Graft apligraf 3in 44sqcm-q4101-cost per sq cm 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.
$29.45 with Humana vs $545.40 with Independent Medical Systems — 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 |
|---|---|---|---|
| Humana | Tricare | $29.45 | — |
| TriWest Health Alliance | TRCR | $30.36 | — |
| Superior Health Plan | MCDSTAR | $38.18 | — |
| Superior Health Plan | STARPLUS | $38.18 | — |
| Superior Health Plan | STARKids | $38.18 | — |
| Superior Health Plan | STARHealth | $38.18 | — |
| Superior Health Plan | CHIP | $38.18 | — |
| Cigna | IFP | $73.63 | — |
| Aetna | QHPHIX | $73.63 | — |
| Cigna | QHP | $76.36 | — |
| Aetna | NewBusiness | $108.53 | — |
| Unicare | CHIP | $114.53 | — |
| Aetna | Meritain | $116.17 | — |
| Aetna | COMM | $116.17 | — |
| United | OptionsPPO | $117.26 | — |
| BCBS | MyBlueHealth | $117.92 | — |
| BCBS | BlueAdvantageHMO | $117.92 | — |
| BCBS | BluePremier | $121.68 | — |
| Aetna | OON | $136.90 | — |
| BCBS | BlueEssentialsAccess | $172.61 | — |
| BCBS | BlueEssentials | $172.61 | — |
| BCBS | EPOSOA | $181.15 | — |
| Cigna | LocalPlus | $183.35 | — |
| Cigna | NewBusiness | $183.53 | — |
| Healthcare Highways | CityofPlano | $184.35 | — |
| BCBS | PPO | $189.70 | — |
| Cigna | OpenAccessPlus | $204.83 | — |
| Cigna | NetworkBenefit | $204.83 | — |
| Cigna | HMO | $204.83 | — |
| United | AllPayerAppendix | $209.78 | — |
| United | SmallGroup | $209.78 | — |
| United | NarrowNetworkIndivExchange | $209.78 | — |
| Humana | COMM | $220.33 | — |
| BCBS | Traditional | $242.16 | — |
| City of McKinney | COMM | $245.43 | — |
| Cigna | AllOther | $259.13 | — |
| National ChoiceCare | WCOMP | $272.70 | — |
| Aetna | ASA | $287.43 | — |
| PC Texas Partners | WCOMP | $299.97 | — |
| Aetna | WCOMP | $299.97 | — |
| Rockport Health Group | WORKERSCOMP | $299.97 | — |
| Physicians Coop of TX | MGMCR | $299.97 | — |
| Averde Health, Inc | PPO | $316.33 | — |
| Magellan Behavior Health | Summit | $327.24 | — |
| Magellan Behavior Health | Pinnacle | $327.24 | — |
| Coastal Comp Health Networks | WCOMP | $381.78 | — |
| Mega Life | MGMCRPPO | $381.78 | — |
| Aetna Coventry First Health | COMM | $396.51 | — |
| HealthSmart Preferred Care | PPO | $409.05 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $409.05 | — |
| Cigna Behavioral Health | COMM | $436.32 | — |
| USC Health Services | COMM | $436.32 | — |
| USA Managed Care | COMM | $436.32 | — |
| Galaxy Health Network | PPO | $463.59 | — |
| National Healthcare Solutions | COMM | $545.40 | — |
| Unicare | MCD | $545.40 | — |
| Independent Medical Systems | COMM | $545.40 | — |
Visitor-reported prices
Comments
Graft apligraf 3in 44sqcm-q4101-cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $319.00 | $30.36 – $299.99 |
| Covenant Children's Hospital | Lubbock | $3,202.29 | $106.06 – $136.47 |
| St. Luke's Health - Patients Medical Center | Pasadena | $2,575.81 | $37.26 – $129.15 |
| Baylor St Luke's Medical Center | Houston | $61.60 | $30.76 – $176.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $22.92 | $21.40 – $137.52 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $61.60 | $37.26 – $176.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $61.60 | $37.26 – $176.00 |
| HCA HOUSTON SOUTHEAST | PASADENA | $642.00 | $30.36 – $299.99 |