Mayo factor v at MEDICAL CITY NORTH HILLS HOSPITAL
4401 Booth Calloway Road, North Richland Hills, TX · Medicalcityhealthcare · · NPI 1518911833
$989.92
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.
$989.92
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.
$10.59 with Cook Childrens Health Plan vs $989.92 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 | $10.59 | ↓ -99% |
| Cook Childrens Health Plan | CHIP | $10.59 | ↓ -99% |
| United | STAR | $14.83 | ↓ -99% |
| United | STARKids | $14.83 | ↓ -99% |
| United | STARPLUS | $14.83 | ↓ -99% |
| Parkland Community Health Plan | MCD | $14.83 | ↓ -99% |
| Amerigroup | MGMCD | $14.83 | ↓ -99% |
| United | CHIP | $14.83 | ↓ -99% |
| United | STARPerinate | $14.83 | ↓ -99% |
| Amerigroup | CHIP | $14.83 | ↓ -99% |
| Cigna Healthspring | MGMCD | $15.57 | ↓ -98% |
| Aetna Better Health | CHIP | $16.02 | ↓ -98% |
| Aetna Better Health | MCD | $16.02 | ↓ -98% |
| Molina | STAR+PLUS | $16.31 | ↓ -98% |
| Molina | MCDSTAR | $16.31 | ↓ -98% |
| Molina | STARKIDS | $16.31 | ↓ -98% |
| Molina | CHIP | $16.31 | ↓ -98% |
| WellMed | MGMCR | $17.56 | ↓ -98% |
| BCBS | MGMCRHMO | $17.65 | ↓ -98% |
| Humana | MGMCR | $17.65 | ↓ -98% |
| United | SmallGroup | $17.65 | ↓ -98% |
| TriWest Veterans | FEDERAL | $17.65 | ↓ -98% |
| Devoted Health | MME | $17.65 | ↓ -98% |
| Devoted Health | MCR | $17.65 | ↓ -98% |
| Devoted Health | POS | $17.65 | ↓ -98% |
| Devoted Health | HMO | $17.65 | ↓ -98% |
| United | NarrowNetworkIndivExchange | $17.65 | ↓ -98% |
| Devoted Health | PPO | $17.65 | ↓ -98% |
| BCBS | MCRPPO | $17.65 | ↓ -98% |
| United | AllPayerAppendix | $17.65 | ↓ -98% |
| Devoted Health | SNP | $17.65 | ↓ -98% |
| Mutual of Omaha | MGMCR | $17.65 | ↓ -98% |
| Amerigroup | DualEligible | $17.65 | ↓ -98% |
| United | MGMCR | $17.74 | ↓ -98% |
| Aetna | MCR | $17.80 | ↓ -98% |
| Care N Care | MGMCR | $17.83 | ↓ -98% |
| Cigna Healthspring | MGMCR | $18.00 | ↓ -98% |
| WellCare | MGMCR | $18.18 | ↓ -98% |
| Integranet | MGMCR | $18.18 | ↓ -98% |
| Superior Health Plan | MGMCRPOS | $18.53 | ↓ -98% |
| Superior Health Plan | MGMCRPFFS | $18.53 | ↓ -98% |
| American Health Plan of Texas, Inc. | MGMCR | $18.53 | ↓ -98% |
| ProCare Advantge | MCR | $18.53 | ↓ -98% |
| Superior Health Plan | MGMCRPPO | $18.53 | ↓ -98% |
| Superior Health Plan | MGMCRHMO | $18.53 | ↓ -98% |
| Superior Health Plan | MGMCRDualEligible | $18.53 | ↓ -98% |
| Superior Health Plan | MGMCRSNP | $18.53 | ↓ -98% |
| Humana | MGMCD | $18.54 | ↓ -98% |
| Provider Partners Health Plan | MCR | $18.71 | ↓ -98% |
| Texas Independent Health Plan | MGMCR | $18.71 | ↓ -98% |
| Humana | Tricare | $19.02 | ↓ -98% |
| Molina | MME | $19.24 | ↓ -98% |
| Cenpatico | BHMGMCR | $19.24 | ↓ -98% |
| Molina | MMP | $19.24 | ↓ -98% |
| Molina | MCR | $19.24 | ↓ -98% |
| Imperial Insurance Company | MCR | $19.41 | ↓ -98% |
| TriWest Health Alliance | TRCR | $19.61 | ↓ -98% |
| Universal Healthcare Group | MCR | $21.18 | ↓ -98% |
| Aetna | QHPHIX | $22.45 | ↓ -98% |
| Verda Health Plan | MGMCR | $22.95 | ↓ -98% |
| Bravo Health | MCRPOS | $26.47 | ↓ -97% |
| Bravo Health | MCRHMO | $26.47 | ↓ -97% |
| Bravo Health | MCRSNP | $26.47 | ↓ -97% |
| Bravo Health | MCRPFFS | $26.47 | ↓ -97% |
| Bravo Health | MCRPPO | $26.47 | ↓ -97% |
| BCBS | MyBlueHealth | $30.89 | ↓ -97% |
| BCBS | BlueAdvantageHMO | $30.89 | ↓ -97% |
| Aetna | NewBusiness | $30.92 | ↓ -97% |
| Superior | ValueHMO | $31.59 | ↓ -97% |
| Aetna | COMM | $32.93 | ↓ -97% |
| Aetna | Meritain | $32.93 | ↓ -97% |
| USA Managed Care | WORKERSCOMP | $33.53 | ↓ -97% |
| BCBS | BluePremier | $34.24 | ↓ -97% |
| Corvel Corporation | WORKERSCOMP | $34.95 | ↓ -96% |
| Aetna | OON | $38.76 | ↓ -96% |
| Superior | HMO | $39.54 | ↓ -96% |
| Superior | EPO | $39.54 | ↓ -96% |
| BCBS | BlueEssentials | $43.60 | ↓ -96% |
| BCBS | BlueEssentialsAccess | $43.60 | ↓ -96% |
| BCBS | EPOSOA | $45.71 | ↓ -95% |
| Oscar | HIX | $45.89 | ↓ -95% |
| Molina Healthcare | HIX | $46.24 | ↓ -95% |
| BCBS | PPO | $47.83 | ↓ -95% |
| Cigna | LocalPlus | $67.14 | ↓ -93% |
| Cigna | NewBusiness | $67.21 | ↓ -93% |
| Superior Health Plan | STARHealth | $69.29 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $69.29 | ↓ -93% |
| Superior Health Plan | STARPLUS | $69.29 | ↓ -93% |
| Superior Health Plan | STARKids | $69.29 | ↓ -93% |
| Superior Health Plan | CHIP | $69.29 | ↓ -93% |
| Cigna | NetworkBenefit | $75.00 | ↓ -92% |
| Cigna | OpenAccessPlus | $75.00 | ↓ -92% |
| Cigna | HMO | $75.00 | ↓ -92% |
| Cigna | AllOther | $94.92 | ↓ -90% |
| Cigna | IFP | $133.64 | ↓ -86% |
| Cigna | QHP | $138.59 | ↓ -86% |
| Humana | COMM | $196.07 | ↓ -80% |
| Unicare | CHIP | $207.88 | ↓ -79% |
| United | OptionsPPO | $212.83 | ↓ -79% |
| Healthcare Highways | NarrowNetwork | $242.53 | ↓ -76% |
| Evry Health | COMM | $255.40 | ↓ -74% |
| Healthcare Highways | CityofPlano | $334.59 | ↓ -66% |
| BCBS | Traditional | $439.52 | ↓ -56% |
| City of McKinney | COMM | $445.46 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $445.46 | ↓ -55% |
| National ChoiceCare | WCOMP | $494.96 | ↓ -50% |
| Aetna | ASA | $521.69 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $544.46 | ↓ -45% |
| PC Texas Partners | WCOMP | $544.46 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $544.46 | ↓ -45% |
| Aetna | WCOMP | $544.46 | ↓ -45% |
| Averde Health, Inc | PPO | $574.15 | ↓ -42% |
| Magellan Behavior Health | Summit | $593.95 | ↓ -40% |
| Magellan Behavior Health | Pinnacle | $593.95 | ↓ -40% |
| Coastal Comp Health Networks | WCOMP | $692.94 | ↓ -30% |
| Mega Life | MGMCRPPO | $692.94 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $692.94 | ↓ -30% |
| Aetna Coventry First Health | COMM | $719.67 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $742.44 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $742.44 | ↓ -25% |
| USA Managed Care | COMM | $791.94 | ↓ -20% |
| USC Health Services | COMM | $791.94 | ↓ -20% |
| Cigna Behavioral Health | COMM | $791.94 | ↓ -20% |
| Galaxy Health Network | PPO | $841.43 | ↓ -15% |
| Independent Medical Systems | COMM | $989.92 | ↑ +0% |
| Unicare | MCD | $989.92 | ↑ +0% |
| National Healthcare Solutions | COMM | $989.92 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Mayo factor v at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $530.23 | $15.89 – $67.95 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $220.03 | $10.00 – $275.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $221.11 | $12.00 – $331.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $208.24 | $12.00 – $260.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $220.03 | $10.00 – $275.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $221.11 | $12.00 – $331.67 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $221.11 | $8.00 – $331.67 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $208.24 | $12.00 – $312.35 |