Ot therapeutic activities direct patient contact each 15 minutes 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.
$12.18 with Superior Health Plan vs $284.07 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 | CHIP | $12.18 | — |
| Superior Health Plan | STARHealth | $12.18 | — |
| Superior Health Plan | MCDSTAR | $12.18 | — |
| Superior Health Plan | STARPLUS | $12.18 | — |
| Superior Health Plan | STARKids | $12.18 | — |
| Cigna | IFP | $23.49 | — |
| Cigna | QHP | $24.36 | — |
| BCBS | MCRPPO | $30.54 | — |
| BCBS | MGMCRHMO | $30.54 | — |
| WellMed | MGMCR | $30.54 | — |
| TriWest Veterans | FEDERAL | $30.69 | — |
| Devoted Health | SNP | $30.69 | — |
| Devoted Health | HMO | $30.69 | — |
| Devoted Health | POS | $30.69 | — |
| Devoted Health | MME | $30.69 | — |
| Devoted Health | MCR | $30.69 | — |
| Devoted Health | PPO | $30.69 | — |
| Humana | MGMCR | $30.69 | — |
| Mutual of Omaha | MGMCR | $30.69 | — |
| Amerigroup | DualEligible | $30.69 | — |
| United | MGMCR | $30.85 | — |
| Aetna | MCR | $30.95 | — |
| Care N Care | MGMCR | $31.00 | — |
| Cigna Healthspring | MGMCR | $31.31 | — |
| WellCare | MGMCR | $31.61 | — |
| Integranet | MGMCR | $31.61 | — |
| Superior Health Plan | MGMCRSNP | $32.23 | — |
| American Health Plan of Texas, Inc. | MGMCR | $32.23 | — |
| Superior Health Plan | MGMCRPPO | $32.23 | — |
| Superior Health Plan | MGMCRDualEligible | $32.23 | — |
| Superior Health Plan | MGMCRPFFS | $32.23 | — |
| Superior Health Plan | MGMCRPOS | $32.23 | — |
| ProCare Advantge | MCR | $32.23 | — |
| Superior Health Plan | MGMCRHMO | $32.23 | — |
| Texas Independent Health Plan | MGMCR | $32.54 | — |
| Provider Partners Health Plan | MCR | $32.54 | — |
| Cenpatico | BHMGMCR | $33.46 | — |
| Molina | MCR | $33.46 | — |
| Molina | MMP | $33.46 | — |
| Molina | MME | $33.46 | — |
| Humana | Tricare | $33.65 | — |
| Imperial Insurance Company | MCR | $33.76 | — |
| TriWest Health Alliance | TRCR | $34.69 | — |
| Oscar | HIX | $36.20 | — |
| Unicare | CHIP | $36.55 | — |
| Universal Healthcare Group | MCR | $36.83 | — |
| United | OptionsPPO | $37.42 | — |
| Verda Health Plan | MGMCR | $39.90 | — |
| Bravo Health | MCRHMO | $46.04 | — |
| Bravo Health | MCRSNP | $46.04 | — |
| Bravo Health | MCRPFFS | $46.04 | — |
| Bravo Health | MCRPOS | $46.04 | — |
| Bravo Health | MCRPPO | $46.04 | — |
| Superior | ValueHMO | $54.94 | — |
| USA Managed Care | WORKERSCOMP | $58.32 | — |
| Healthcare Highways | CityofPlano | $58.82 | — |
| Corvel Corporation | WORKERSCOMP | $60.77 | — |
| Superior | HMO | $68.75 | — |
| Superior | EPO | $68.75 | — |
| BCBS | Traditional | $77.27 | — |
| Fidelis SecureCare | MGMCR | $78.31 | — |
| City of McKinney | COMM | $78.31 | — |
| Molina Healthcare | HIX | $80.42 | — |
| National ChoiceCare | WCOMP | $87.02 | — |
| Aetna | ASA | $91.71 | — |
| Physicians Coop of TX | MGMCR | $95.72 | — |
| Aetna | WCOMP | $95.72 | — |
| Rockport Health Group | WORKERSCOMP | $95.72 | — |
| PC Texas Partners | WCOMP | $95.72 | — |
| BCBS | BluePremier | $96.10 | — |
| Averde Health, Inc | PPO | $100.94 | — |
| Magellan Behavior Health | Summit | $104.42 | — |
| Magellan Behavior Health | Pinnacle | $104.42 | — |
| Aetna | QHPHIX | $106.00 | — |
| BCBS | BlueAdvantageHMO | $111.98 | — |
| BCBS | MyBlueHealth | $111.98 | — |
| Mega Life | MGMCRPPO | $121.82 | — |
| Multiplan PHCS | PrimaryNetwork | $121.82 | — |
| Coastal Comp Health Networks | WCOMP | $121.82 | — |
| Aetna Coventry First Health | COMM | $126.52 | — |
| HealthSmart Preferred Care | PPO | $130.52 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $130.52 | — |
| USA Managed Care | COMM | $139.22 | — |
| Cigna Behavioral Health | COMM | $139.22 | — |
| USC Health Services | COMM | $139.22 | — |
| Aetna | NewBusiness | $143.00 | — |
| Galaxy Health Network | PPO | $147.93 | — |
| Aetna | COMM | $155.00 | — |
| Aetna | Meritain | $155.00 | — |
| Independent Medical Systems | COMM | $174.03 | — |
| Unicare | MCD | $174.03 | — |
| National Healthcare Solutions | COMM | $174.03 | — |
| Aetna | OON | $179.00 | — |
| BCBS | BlueEssentials | $198.31 | — |
| BCBS | BlueEssentialsAccess | $198.31 | — |
| BCBS | EPOSOA | $208.08 | — |
| BCBS | PPO | $217.85 | — |
| Humana | COMM | $284.07 | — |
Visitor-reported prices
Comments
Ot therapeutic activities direct patient contact each 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $289.38 | $156.77 – $156.77 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $122.76 | $34.78 – $173.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $138.53 | $28.51 – $207.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $147.08 | $29.42 – $183.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $122.76 | $32.74 – $173.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $138.53 | $44.47 – $207.79 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $138.53 | $71.57 – $207.79 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $147.08 | $49.03 – $220.63 |