Perc d-e cor stent ather s 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.
$5,591.00 with Superior Health Plan vs $94,000.00 with United — 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 | $5,591.00 | — |
| Superior Health Plan | STARHealth | $5,591.00 | — |
| Superior Health Plan | MCDSTAR | $5,591.00 | — |
| Superior Health Plan | CHIP | $5,591.00 | — |
| Superior Health Plan | STARPLUS | $5,591.00 | — |
| Cigna | IFP | $6,426.22 | — |
| Aetna | QHPHIX | $6,426.22 | — |
| Cigna | QHP | $6,664.23 | — |
| Aetna | NewBusiness | $9,472.73 | — |
| Unicare | CHIP | $9,996.35 | — |
| Aetna | Meritain | $10,139.15 | — |
| Aetna | COMM | $10,139.15 | — |
| United | OptionsPPO | $10,234.35 | — |
| Aetna | OON | $11,948.01 | — |
| Oscar | HIX | $12,897.00 | — |
| Humana | COMM | $14,751.75 | — |
| Healthcare Highways | CityofPlano | $16,089.36 | — |
| BCBS | Traditional | $21,135.13 | — |
| Fidelis SecureCare | MGMCR | $21,420.74 | — |
| City of McKinney | COMM | $21,420.74 | — |
| National ChoiceCare | WCOMP | $23,800.83 | — |
| Aetna | ASA | $25,086.07 | — |
| PC Texas Partners | WCOMP | $26,180.91 | — |
| Aetna | WCOMP | $26,180.91 | — |
| Physicians Coop of TX | MGMCR | $26,180.91 | — |
| Rockport Health Group | WORKERSCOMP | $26,180.91 | — |
| Averde Health, Inc | PPO | $27,608.96 | — |
| Healthcare Highways | NarrowNetwork | $27,837.00 | — |
| Magellan Behavior Health | Summit | $28,560.99 | — |
| Magellan Behavior Health | Pinnacle | $28,560.99 | — |
| Evry Health | COMM | $29,597.00 | — |
| Cigna | LocalPlus | $32,724.00 | — |
| Cigna | NewBusiness | $32,756.00 | — |
| Coastal Comp Health Networks | WCOMP | $33,321.15 | — |
| Multiplan PHCS | PrimaryNetwork | $33,321.15 | — |
| Mega Life | MGMCRPPO | $33,321.15 | — |
| Aetna Coventry First Health | COMM | $34,606.40 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $35,701.24 | — |
| HealthSmart Preferred Care | PPO | $35,701.24 | — |
| Cigna | HMO | $36,562.00 | — |
| Cigna | NetworkBenefit | $36,562.00 | — |
| Cigna | OpenAccessPlus | $36,562.00 | — |
| Cigna Behavioral Health | COMM | $38,081.32 | — |
| USC Health Services | COMM | $38,081.32 | — |
| USA Managed Care | COMM | $38,081.32 | — |
| Galaxy Health Network | PPO | $40,461.40 | — |
| BCBS | BluePremier | $43,356.72 | — |
| Curative Administrators | COMM | $43,890.00 | — |
| Cigna | AllOther | $46,251.00 | — |
| Unicare | MCD | $47,601.65 | — |
| Independent Medical Systems | COMM | $47,601.65 | — |
| National Healthcare Solutions | COMM | $47,601.65 | — |
| United | NarrowNetworkIndivExchange | $51,705.00 | — |
| BCBS | BlueAdvantageHMO | $53,398.90 | — |
| BCBS | MyBlueHealth | $53,398.90 | — |
| BCBS | BlueEssentials | $68,541.87 | — |
| BCBS | BlueEssentialsAccess | $68,541.87 | — |
| United | SmallGroup | $70,697.00 | — |
| BCBS | EPOSOA | $72,048.66 | — |
| BCBS | PPO | $75,396.06 | — |
| United | AllPayerAppendix | $94,000.00 | — |
Visitor-reported prices
Comments
Perc d-e cor stent ather s at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $26,512.47 | $6,299.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $25,491.77 | $5,247.06 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $23,740.59 | $4,748.12 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $26,512.47 | $7,069.99 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $25,491.77 | $8,182.86 – $43,439.01 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $25,491.77 | $13,170.75 – $43,439.01 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $23,740.59 | $7,913.53 – $43,439.01 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $26,512.47 | $7,069.99 – $43,439.01 |