Heparin assay 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.
$7.85 with Cook Childrens Health Plan vs $1,436.51 with National Healthcare Solutions — 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 |
|---|---|---|---|
| Cook Childrens Health Plan | STAR | $7.85 | — |
| Cook Childrens Health Plan | CHIP | $7.85 | — |
| United | STAR | $11.00 | — |
| United | STARKids | $11.00 | — |
| United | STARPLUS | $11.00 | — |
| Parkland Community Health Plan | MCD | $11.00 | — |
| Amerigroup | MGMCD | $11.00 | — |
| United | CHIP | $11.00 | — |
| United | STARPerinate | $11.00 | — |
| Amerigroup | CHIP | $11.00 | — |
| Cigna Healthspring | MGMCD | $11.55 | — |
| Aetna Better Health | CHIP | $11.88 | — |
| Aetna Better Health | MCD | $11.88 | — |
| Molina | STAR+PLUS | $12.10 | — |
| Molina | MCDSTAR | $12.10 | — |
| Molina | STARKIDS | $12.10 | — |
| Molina | CHIP | $12.10 | — |
| WellMed | MGMCR | $13.02 | — |
| BCBS | MGMCRHMO | $13.09 | — |
| Humana | MGMCR | $13.09 | — |
| United | SmallGroup | $13.09 | — |
| TriWest Veterans | FEDERAL | $13.09 | — |
| Devoted Health | MME | $13.09 | — |
| Devoted Health | MCR | $13.09 | — |
| Devoted Health | POS | $13.09 | — |
| Devoted Health | HMO | $13.09 | — |
| United | NarrowNetworkIndivExchange | $13.09 | — |
| Devoted Health | PPO | $13.09 | — |
| BCBS | MCRPPO | $13.09 | — |
| United | AllPayerAppendix | $13.09 | — |
| Devoted Health | SNP | $13.09 | — |
| Mutual of Omaha | MGMCR | $13.09 | — |
| Amerigroup | DualEligible | $13.09 | — |
| United | MGMCR | $13.16 | — |
| Aetna | MCR | $13.20 | — |
| Care N Care | MGMCR | $13.22 | — |
| Cigna Healthspring | MGMCR | $13.35 | — |
| WellCare | MGMCR | $13.48 | — |
| Integranet | MGMCR | $13.48 | — |
| Superior Health Plan | MGMCRPOS | $13.74 | — |
| Superior Health Plan | MGMCRPFFS | $13.74 | — |
| American Health Plan of Texas, Inc. | MGMCR | $13.74 | — |
| ProCare Advantge | MCR | $13.74 | — |
| Superior Health Plan | MGMCRPPO | $13.74 | — |
| Superior Health Plan | MGMCRHMO | $13.74 | — |
| Superior Health Plan | MGMCRDualEligible | $13.74 | — |
| Superior Health Plan | MGMCRSNP | $13.74 | — |
| Humana | MGMCD | $13.75 | — |
| Provider Partners Health Plan | MCR | $13.88 | — |
| Texas Independent Health Plan | MGMCR | $13.88 | — |
| Humana | Tricare | $14.10 | — |
| Molina | MME | $14.27 | — |
| Cenpatico | BHMGMCR | $14.27 | — |
| Molina | MMP | $14.27 | — |
| Molina | MCR | $14.27 | — |
| Imperial Insurance Company | MCR | $14.40 | — |
| TriWest Health Alliance | TRCR | $14.54 | — |
| Universal Healthcare Group | MCR | $15.71 | — |
| Aetna | QHPHIX | $16.64 | — |
| Verda Health Plan | MGMCR | $17.02 | — |
| Bravo Health | MCRPOS | $19.63 | — |
| Bravo Health | MCRHMO | $19.63 | — |
| Bravo Health | MCRSNP | $19.63 | — |
| Bravo Health | MCRPFFS | $19.63 | — |
| Bravo Health | MCRPPO | $19.63 | — |
| BCBS | MyBlueHealth | $22.91 | — |
| BCBS | BlueAdvantageHMO | $22.91 | — |
| Aetna | NewBusiness | $22.92 | — |
| Superior | ValueHMO | $23.43 | — |
| Aetna | COMM | $24.41 | — |
| Aetna | Meritain | $24.41 | — |
| USA Managed Care | WORKERSCOMP | $24.87 | — |
| BCBS | BluePremier | $25.39 | — |
| Corvel Corporation | WORKERSCOMP | $25.92 | — |
| Aetna | OON | $28.73 | — |
| Superior | HMO | $29.32 | — |
| Superior | EPO | $29.32 | — |
| BCBS | BlueEssentialsAccess | $32.33 | — |
| BCBS | BlueEssentials | $32.33 | — |
| BCBS | EPOSOA | $33.90 | — |
| Oscar | HIX | $34.03 | — |
| Molina Healthcare | HIX | $34.30 | — |
| BCBS | PPO | $35.47 | — |
| Cigna | LocalPlus | $50.38 | — |
| Cigna | NewBusiness | $50.43 | — |
| Cigna | OpenAccessPlus | $56.27 | — |
| Cigna | NetworkBenefit | $56.27 | — |
| Cigna | HMO | $56.27 | — |
| Cigna | AllOther | $71.22 | — |
| Superior Health Plan | STARHealth | $100.56 | — |
| Superior Health Plan | MCDSTAR | $100.56 | — |
| Superior Health Plan | STARPLUS | $100.56 | — |
| Superior Health Plan | STARKids | $100.56 | — |
| Superior Health Plan | CHIP | $100.56 | — |
| Humana | COMM | $145.41 | — |
| Cigna | IFP | $193.93 | — |
| Cigna | QHP | $201.11 | — |
| Unicare | CHIP | $301.67 | — |
| United | OptionsPPO | $308.85 | — |
| Healthcare Highways | NarrowNetwork | $351.94 | — |
| Evry Health | COMM | $370.62 | — |
| Healthcare Highways | CityofPlano | $485.54 | — |
| BCBS | Traditional | $637.81 | — |
| City of McKinney | COMM | $646.43 | — |
| Fidelis SecureCare | MGMCR | $646.43 | — |
| National ChoiceCare | WCOMP | $718.25 | — |
| Aetna | ASA | $757.04 | — |
| Rockport Health Group | WORKERSCOMP | $790.08 | — |
| PC Texas Partners | WCOMP | $790.08 | — |
| Physicians Coop of TX | MGMCR | $790.08 | — |
| Aetna | WCOMP | $790.08 | — |
| Averde Health, Inc | PPO | $833.18 | — |
| Magellan Behavior Health | Summit | $861.91 | — |
| Magellan Behavior Health | Pinnacle | $861.91 | — |
| Coastal Comp Health Networks | WCOMP | $1,005.56 | — |
| Mega Life | MGMCRPPO | $1,005.56 | — |
| Multiplan PHCS | PrimaryNetwork | $1,005.56 | — |
| Aetna Coventry First Health | COMM | $1,044.34 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,077.38 | — |
| HealthSmart Preferred Care | PPO | $1,077.38 | — |
| USA Managed Care | COMM | $1,149.21 | — |
| USC Health Services | COMM | $1,149.21 | — |
| Cigna Behavioral Health | COMM | $1,149.21 | — |
| Galaxy Health Network | PPO | $1,221.03 | — |
| Independent Medical Systems | COMM | $1,436.51 | — |
| Unicare | MCD | $1,436.51 | — |
| National Healthcare Solutions | COMM | $1,436.51 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Heparin assay at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $292.44 | $11.78 – $50.40 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $205.45 | $10.00 – $79.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $199.33 | $12.00 – $95.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $167.41 | $11.00 – $79.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $205.45 | $10.00 – $79.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $199.33 | $11.77 – $95.08 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $199.33 | $8.00 – $95.08 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $167.41 | $11.00 – $95.08 |