Fl exam g/colon tube w contrast at MEDICAL CITY NORTH HILLS HOSPITAL
4401 Booth Calloway Road, North Richland Hills, TX · Medicalcityhealthcare · · NPI 1518911833
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$235.16 with Cigna vs $7,113.00 with Humana — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Cigna | IFP | $235.16 | — |
| WellMed | MGMCR | $241.28 | — |
| Cigna | QHP | $243.87 | — |
| BCBS | BluePremier | $309.94 | — |
| Unicare | CHIP | $365.81 | — |
| United | OptionsPPO | $374.52 | — |
| BCBS | BlueAdvantageHMO | $454.43 | — |
| BCBS | MyBlueHealth | $454.43 | — |
| BCBS | BlueEssentials | $577.94 | — |
| BCBS | BlueEssentialsAccess | $577.94 | — |
| Healthcare Highways | CityofPlano | $588.78 | — |
| BCBS | EPOSOA | $608.23 | — |
| BCBS | PPO | $636.20 | — |
| BCBS | Traditional | $773.43 | — |
| City of McKinney | COMM | $783.88 | — |
| National ChoiceCare | WCOMP | $870.98 | — |
| Aetna | ASA | $918.01 | — |
| Superior Health Plan | CHIP | $948.00 | — |
| Superior Health Plan | STARHealth | $948.00 | — |
| Superior Health Plan | MCDSTAR | $948.00 | — |
| Superior Health Plan | STARPLUS | $948.00 | — |
| Superior Health Plan | STARKids | $948.00 | — |
| PC Texas Partners | WCOMP | $958.07 | — |
| Aetna | WCOMP | $958.07 | — |
| Physicians Coop of TX | MGMCR | $958.07 | — |
| Rockport Health Group | WORKERSCOMP | $958.07 | — |
| Averde Health, Inc | PPO | $1,010.33 | — |
| Magellan Behavior Health | Pinnacle | $1,045.17 | — |
| Magellan Behavior Health | Summit | $1,045.17 | — |
| Mega Life | MGMCRPPO | $1,219.37 | — |
| Coastal Comp Health Networks | WCOMP | $1,219.37 | — |
| Multiplan PHCS | PrimaryNetwork | $1,219.37 | — |
| Aetna Coventry First Health | COMM | $1,266.40 | — |
| HealthSmart Preferred Care | PPO | $1,306.46 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,306.46 | — |
| Cigna Behavioral Health | COMM | $1,393.56 | — |
| USC Health Services | COMM | $1,393.56 | — |
| USA Managed Care | COMM | $1,393.56 | — |
| Galaxy Health Network | PPO | $1,480.66 | — |
| Cigna | LocalPlus | $1,572.00 | — |
| Cigna | NewBusiness | $1,574.00 | — |
| United | SmallGroup | $1,580.00 | — |
| Curative Administrators | COMM | $1,672.00 | — |
| Independent Medical Systems | COMM | $1,741.95 | — |
| National Healthcare Solutions | COMM | $1,741.95 | — |
| Unicare | MCD | $1,741.95 | — |
| Cigna | NetworkBenefit | $1,757.00 | — |
| Cigna | HMO | $1,757.00 | — |
| Cigna | OpenAccessPlus | $1,757.00 | — |
| Fidelis SecureCare | MGMCR | $1,995.00 | — |
| Healthcare Highways | NarrowNetwork | $2,152.00 | — |
| United | AllPayerAppendix | $2,174.00 | — |
| Cigna | AllOther | $2,222.00 | — |
| Evry Health | COMM | $2,287.00 | — |
| United | NarrowNetworkIndivExchange | $2,361.00 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| Oscar | HIX | $2,636.00 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Aetna | COMM | $3,682.00 | — |
| Aetna | Meritain | $3,682.00 | — |
| Aetna | OON | $4,332.00 | — |
| Humana | COMM | $7,113.00 | — |
Visitor-reported prices
Comments
Fl exam g/colon tube w contrast at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,253.36 | $291.30 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $627.02 | $111.00 – $783.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $696.17 | $71.00 – $1,044.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $478.87 | $71.00 – $607.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $627.02 | $167.21 – $783.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $696.17 | $85.00 – $1,044.25 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $696.17 | $359.69 – $1,044.25 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $478.87 | $71.00 – $718.30 |