Pq biliary strict dil s&i 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.
$52.32 with BCBS vs $2,101.90 with Independent Medical Systems — 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 |
|---|---|---|---|
| BCBS | BluePremier | $52.32 | — |
| BCBS | MyBlueHealth | $57.60 | — |
| BCBS | BlueAdvantageHMO | $57.60 | — |
| Aetna | QHPHIX | $125.59 | — |
| Superior Health Plan | MCDSTAR | $147.13 | — |
| Superior Health Plan | CHIP | $147.13 | — |
| Superior Health Plan | STARKids | $147.13 | — |
| Superior Health Plan | STARPLUS | $147.13 | — |
| Superior Health Plan | STARHealth | $147.13 | — |
| BCBS | BlueEssentialsAccess | $171.04 | — |
| BCBS | BlueEssentials | $171.04 | — |
| Aetna | NewBusiness | $172.20 | — |
| BCBS | EPOSOA | $179.40 | — |
| Aetna | Meritain | $184.47 | — |
| Aetna | COMM | $184.47 | — |
| BCBS | PPO | $187.75 | — |
| Aetna | OON | $216.35 | — |
| Cigna | IFP | $283.76 | — |
| Cigna | QHP | $294.27 | — |
| Humana | COMM | $362.71 | — |
| Imperial Insurance Company | MCR | $399.36 | — |
| Unicare | CHIP | $441.40 | — |
| United | OptionsPPO | $451.91 | — |
| Healthcare Highways | NarrowNetwork | $514.97 | — |
| Evry Health | COMM | $542.29 | — |
| Cigna | LocalPlus | $554.90 | — |
| Cigna | NewBusiness | $554.90 | — |
| Cigna | NetworkBenefit | $620.06 | — |
| Cigna | OpenAccessPlus | $620.06 | — |
| Cigna | HMO | $620.06 | — |
| Healthcare Highways | CityofPlano | $710.44 | — |
| Cigna | AllOther | $784.01 | — |
| Curative Administrators | COMM | $840.76 | — |
| BCBS | Traditional | $933.24 | — |
| Fidelis SecureCare | MGMCR | $945.86 | — |
| City of McKinney | COMM | $945.86 | — |
| National ChoiceCare | WCOMP | $1,050.95 | — |
| Aetna | ASA | $1,107.70 | — |
| PC Texas Partners | WCOMP | $1,156.05 | — |
| Rockport Health Group | WORKERSCOMP | $1,156.05 | — |
| Physicians Coop of TX | MGMCR | $1,156.05 | — |
| Aetna | WCOMP | $1,156.05 | — |
| Averde Health, Inc | PPO | $1,219.10 | — |
| Magellan Behavior Health | Summit | $1,261.14 | — |
| Magellan Behavior Health | Pinnacle | $1,261.14 | — |
| Multiplan PHCS | PrimaryNetwork | $1,471.33 | — |
| Coastal Comp Health Networks | WCOMP | $1,471.33 | — |
| Mega Life | MGMCRPPO | $1,471.33 | — |
| Aetna Coventry First Health | COMM | $1,528.08 | — |
| HealthSmart Preferred Care | PPO | $1,576.42 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,576.42 | — |
| USC Health Services | COMM | $1,681.52 | — |
| USA Managed Care | COMM | $1,681.52 | — |
| Cigna Behavioral Health | COMM | $1,681.52 | — |
| Galaxy Health Network | PPO | $1,786.62 | — |
| National Healthcare Solutions | COMM | $2,101.90 | — |
| Unicare | MCD | $2,101.90 | — |
| Independent Medical Systems | COMM | $2,101.90 | — |
Visitor-reported prices
Comments
Pq biliary strict dil s&i at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $707.71 | $87.94 – $1,002.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $861.43 | $147.74 – $1,292.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $861.43 | $147.74 – $1,076.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $707.71 | $100.69 – $1,002.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $861.43 | $179.84 – $1,292.14 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $861.43 | $445.07 – $1,292.14 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $861.43 | $147.74 – $1,292.14 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $707.71 | $87.94 – $1,002.58 |