Limited ankle motion ea jnt at MEDICAL CITY NORTH HILLS HOSPITAL
4401 Booth Calloway Road, North Richland Hills, TX · Medicalcityhealthcare · · NPI 1518911833
$375.00
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.
$375.00
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.
$26.25 with Superior Health Plan vs $411.55 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 |
|---|---|---|---|
| Superior Health Plan | STARKids | $26.25 | ↓ -93% |
| Superior Health Plan | STARHealth | $26.25 | ↓ -93% |
| Superior Health Plan | STARPLUS | $26.25 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $26.25 | ↓ -93% |
| Superior Health Plan | CHIP | $26.25 | ↓ -93% |
| Cigna | IFP | $50.63 | ↓ -86% |
| Cigna | QHP | $52.50 | ↓ -86% |
| Humana | Tricare | $70.65 | ↓ -81% |
| BCBS | MCRPPO | $71.41 | ↓ -81% |
| BCBS | MGMCRHMO | $71.41 | ↓ -81% |
| WellMed | MGMCR | $72.48 | ↓ -81% |
| TriWest Veterans | FEDERAL | $72.84 | ↓ -81% |
| Amerigroup | DualEligible | $72.84 | ↓ -81% |
| Humana | MGMCR | $72.84 | ↓ -81% |
| Devoted Health | POS | $72.84 | ↓ -81% |
| Devoted Health | MCR | $72.84 | ↓ -81% |
| Devoted Health | MME | $72.84 | ↓ -81% |
| Devoted Health | SNP | $72.84 | ↓ -81% |
| TriWest Health Alliance | TRCR | $72.84 | ↓ -81% |
| Mutual of Omaha | MGMCR | $72.84 | ↓ -81% |
| Devoted Health | PPO | $72.84 | ↓ -81% |
| Devoted Health | HMO | $72.84 | ↓ -81% |
| United | MGMCR | $73.20 | ↓ -80% |
| Aetna | MCR | $73.46 | ↓ -80% |
| Care N Care | MGMCR | $73.57 | ↓ -80% |
| Cigna Healthspring | MGMCR | $74.30 | ↓ -80% |
| Integranet | MGMCR | $75.03 | ↓ -80% |
| WellCare | MGMCR | $75.03 | ↓ -80% |
| American Health Plan of Texas, Inc. | MGMCR | $76.48 | ↓ -80% |
| Superior Health Plan | MGMCRHMO | $76.48 | ↓ -80% |
| Superior Health Plan | MGMCRPPO | $76.48 | ↓ -80% |
| Superior Health Plan | MGMCRDualEligible | $76.48 | ↓ -80% |
| Superior Health Plan | MGMCRPFFS | $76.48 | ↓ -80% |
| Superior Health Plan | MGMCRPOS | $76.48 | ↓ -80% |
| Superior Health Plan | MGMCRSNP | $76.48 | ↓ -80% |
| ProCare Advantge | MCR | $76.48 | ↓ -80% |
| Texas Independent Health Plan | MGMCR | $77.21 | ↓ -79% |
| Provider Partners Health Plan | MCR | $77.21 | ↓ -79% |
| Unicare | CHIP | $78.75 | ↓ -79% |
| Molina | MCR | $79.40 | ↓ -79% |
| Cenpatico | BHMGMCR | $79.40 | ↓ -79% |
| Molina | MMP | $79.40 | ↓ -79% |
| Molina | MME | $79.40 | ↓ -79% |
| Imperial Insurance Company | MCR | $80.12 | ↓ -79% |
| United | OptionsPPO | $80.63 | ↓ -78% |
| Universal Healthcare Group | MCR | $87.41 | ↓ -77% |
| BCBS | MyBlueHealth | $92.63 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $92.63 | ↓ -75% |
| Verda Health Plan | MGMCR | $94.69 | ↓ -75% |
| Cigna | LocalPlus | $99.00 | ↓ -74% |
| Cigna | NewBusiness | $99.00 | ↓ -74% |
| Bravo Health | MCRHMO | $109.26 | ↓ -71% |
| Bravo Health | MCRPPO | $109.26 | ↓ -71% |
| Bravo Health | MCRSNP | $109.26 | ↓ -71% |
| Bravo Health | MCRPFFS | $109.26 | ↓ -71% |
| Bravo Health | MCRPOS | $109.26 | ↓ -71% |
| Cigna | OpenAccessPlus | $110.63 | ↓ -70% |
| Cigna | HMO | $110.63 | ↓ -70% |
| Cigna | NetworkBenefit | $110.63 | ↓ -70% |
| BCBS | BlueEssentialsAccess | $119.63 | ↓ -68% |
| BCBS | BlueEssentials | $119.63 | ↓ -68% |
| BCBS | EPOSOA | $125.63 | ↓ -66% |
| Healthcare Highways | CityofPlano | $126.75 | ↓ -66% |
| Superior | ValueHMO | $130.38 | ↓ -65% |
| BCBS | PPO | $131.25 | ↓ -65% |
| USA Managed Care | WORKERSCOMP | $138.40 | ↓ -63% |
| Cigna | AllOther | $139.87 | ↓ -63% |
| Corvel Corporation | WORKERSCOMP | $144.22 | ↓ -62% |
| Superior | EPO | $163.16 | ↓ -56% |
| Superior | HMO | $163.16 | ↓ -56% |
| BCBS | Traditional | $166.50 | ↓ -56% |
| City of McKinney | COMM | $168.75 | ↓ -55% |
| National ChoiceCare | WCOMP | $187.50 | ↓ -50% |
| Molina Healthcare | HIX | $190.84 | ↓ -49% |
| Aetna | ASA | $197.63 | ↓ -47% |
| Aetna | WCOMP | $206.25 | ↓ -45% |
| PC Texas Partners | WCOMP | $206.25 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $206.25 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $206.25 | ↓ -45% |
| Averde Health, Inc | PPO | $217.50 | ↓ -42% |
| Magellan Behavior Health | Summit | $225.00 | ↓ -40% |
| Magellan Behavior Health | Pinnacle | $225.00 | ↓ -40% |
| Mega Life | MGMCRPPO | $262.50 | ↓ -30% |
| Aetna Coventry First Health | COMM | $272.63 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $281.25 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $281.25 | ↓ -25% |
| USC Health Services | COMM | $300.00 | ↓ -20% |
| Cigna Behavioral Health | COMM | $300.00 | ↓ -20% |
| USA Managed Care | COMM | $300.00 | ↓ -20% |
| Galaxy Health Network | PPO | $318.75 | ↓ -15% |
| Unicare | MCD | $375.00 | ↑ +0% |
| National Healthcare Solutions | COMM | $375.00 | ↑ +0% |
| Independent Medical Systems | COMM | $375.00 | ↑ +0% |
| Humana | COMM | $411.55 | ↑ +10% |
Visitor-reported prices
Comments
Limited ankle motion ea jnt at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $160.99 | $45.61 – $214.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $55.80 | $11.49 – $83.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $55.80 | $11.16 – $74.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $160.99 | $42.93 – $214.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $55.80 | $17.91 – $83.70 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $55.80 | $28.83 – $83.70 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $55.80 | $18.60 – $83.70 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $160.99 | $42.93 – $214.66 |