Halo repl liner/interface 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.
$146.65 with Superior Health Plan vs $2,095.00 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 |
|---|---|---|---|
| Superior Health Plan | STARPLUS | $146.65 | — |
| Superior Health Plan | MCDSTAR | $146.65 | — |
| Superior Health Plan | STARHealth | $146.65 | — |
| Superior Health Plan | CHIP | $146.65 | — |
| Superior Health Plan | STARKids | $146.65 | — |
| Humana | Tricare | $258.32 | — |
| BCBS | MCRPPO | $261.09 | — |
| BCBS | MGMCRHMO | $261.09 | — |
| WellMed | MGMCR | $264.98 | — |
| TriWest Health Alliance | TRCR | $266.31 | — |
| Devoted Health | HMO | $266.31 | — |
| Devoted Health | SNP | $266.31 | — |
| TriWest Veterans | FEDERAL | $266.31 | — |
| Amerigroup | DualEligible | $266.31 | — |
| Devoted Health | MME | $266.31 | — |
| Humana | MGMCR | $266.31 | — |
| Devoted Health | POS | $266.31 | — |
| Devoted Health | MCR | $266.31 | — |
| Devoted Health | PPO | $266.31 | — |
| Mutual of Omaha | MGMCR | $266.31 | — |
| United | MGMCR | $267.64 | — |
| Aetna | MCR | $268.57 | — |
| Care N Care | MGMCR | $268.97 | — |
| Cigna Healthspring | MGMCR | $271.64 | — |
| Integranet | MGMCR | $274.30 | — |
| WellCare | MGMCR | $274.30 | — |
| Superior Health Plan | MGMCRPFFS | $279.63 | — |
| Superior Health Plan | MGMCRHMO | $279.63 | — |
| Superior Health Plan | MGMCRPPO | $279.63 | — |
| Superior Health Plan | MGMCRDualEligible | $279.63 | — |
| Superior Health Plan | MGMCRPOS | $279.63 | — |
| Superior Health Plan | MGMCRSNP | $279.63 | — |
| ProCare Advantge | MCR | $279.63 | — |
| American Health Plan of Texas, Inc. | MGMCR | $279.63 | — |
| Provider Partners Health Plan | MCR | $282.29 | — |
| Texas Independent Health Plan | MGMCR | $282.29 | — |
| Cigna | IFP | $282.82 | — |
| Molina | MCR | $290.28 | — |
| Molina | MME | $290.28 | — |
| Molina | MMP | $290.28 | — |
| Cenpatico | BHMGMCR | $290.28 | — |
| Imperial Insurance Company | MCR | $292.94 | — |
| Cigna | QHP | $293.30 | — |
| Universal Healthcare Group | MCR | $319.57 | — |
| Verda Health Plan | MGMCR | $346.20 | — |
| Bravo Health | MCRPOS | $399.47 | — |
| Bravo Health | MCRHMO | $399.47 | — |
| Bravo Health | MCRPPO | $399.47 | — |
| Bravo Health | MCRSNP | $399.47 | — |
| Bravo Health | MCRPFFS | $399.47 | — |
| Unicare | CHIP | $439.95 | — |
| United | OptionsPPO | $450.43 | — |
| Superior | ValueHMO | $476.69 | — |
| USA Managed Care | WORKERSCOMP | $505.99 | — |
| BCBS | MyBlueHealth | $517.47 | — |
| BCBS | BlueAdvantageHMO | $517.47 | — |
| Corvel Corporation | WORKERSCOMP | $527.29 | — |
| Cigna | NewBusiness | $553.08 | — |
| Cigna | LocalPlus | $553.08 | — |
| Superior | EPO | $596.53 | — |
| Superior | HMO | $596.53 | — |
| Cigna | OpenAccessPlus | $618.02 | — |
| Cigna | HMO | $618.02 | — |
| Cigna | NetworkBenefit | $618.02 | — |
| BCBS | BlueEssentialsAccess | $668.30 | — |
| BCBS | BlueEssentials | $668.30 | — |
| Molina Healthcare | HIX | $697.73 | — |
| BCBS | EPOSOA | $701.83 | — |
| Healthcare Highways | CityofPlano | $708.11 | — |
| BCBS | PPO | $733.25 | — |
| Cigna | AllOther | $781.43 | — |
| BCBS | Traditional | $930.18 | — |
| City of McKinney | COMM | $942.75 | — |
| National ChoiceCare | WCOMP | $1,047.50 | — |
| Aetna | ASA | $1,104.07 | — |
| Physicians Coop of TX | MGMCR | $1,152.25 | — |
| Aetna | WCOMP | $1,152.25 | — |
| PC Texas Partners | WCOMP | $1,152.25 | — |
| Rockport Health Group | WORKERSCOMP | $1,152.25 | — |
| Averde Health, Inc | PPO | $1,215.10 | — |
| Magellan Behavior Health | Summit | $1,257.00 | — |
| Magellan Behavior Health | Pinnacle | $1,257.00 | — |
| Mega Life | MGMCRPPO | $1,466.50 | — |
| Humana | COMM | $1,504.57 | — |
| Aetna Coventry First Health | COMM | $1,523.07 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,571.25 | — |
| HealthSmart Preferred Care | PPO | $1,571.25 | — |
| USC Health Services | COMM | $1,676.00 | — |
| Cigna Behavioral Health | COMM | $1,676.00 | — |
| USA Managed Care | COMM | $1,676.00 | — |
| Galaxy Health Network | PPO | $1,780.75 | — |
| Unicare | MCD | $2,095.00 | — |
| National Healthcare Solutions | COMM | $2,095.00 | — |
| Independent Medical Systems | COMM | $2,095.00 | — |
Visitor-reported prices
Comments
Halo repl liner/interface at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Allen | Allen | $1,931.10 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $1,931.10 | not published |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $1,931.10 | not published |
| Texas Health Arlington Memorial Hospital | Arlington | $1,931.10 | not published |
| Texas Health Presbyterian Hospital Denton | Denton | $1,931.10 | not published |
| Texas Health Presbyterian Hospital Plano | Plano | $1,931.10 | not published |
| Texas Health Hospital Rockwall | Rockwall | $1,931.10 | not published |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $1,931.10 | not published |