Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment at MEDICAL CITY NORTH HILLS HOSPITAL
4401 Booth Calloway Road, North Richland Hills, TX · Medicalcityhealthcare · · NPI 1518911833
$152.00
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.
$152.00
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.
$10.64 with Superior Health Plan vs $620.23 with BCBS — 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 | $10.64 | ↓ -93% |
| Superior Health Plan | STARPLUS | $10.64 | ↓ -93% |
| Superior Health Plan | STARHealth | $10.64 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $10.64 | ↓ -93% |
| Superior Health Plan | CHIP | $10.64 | ↓ -93% |
| Cigna | IFP | $20.52 | ↓ -87% |
| Aetna | QHPHIX | $20.52 | ↓ -87% |
| Cigna | QHP | $21.28 | ↓ -86% |
| Aetna | NewBusiness | $30.25 | ↓ -80% |
| Unicare | CHIP | $31.92 | ↓ -79% |
| Aetna | Meritain | $32.38 | ↓ -79% |
| Aetna | COMM | $32.38 | ↓ -79% |
| United | OptionsPPO | $32.68 | ↓ -79% |
| Healthcare Highways | NarrowNetwork | $37.24 | ↓ -76% |
| Aetna | OON | $38.15 | ↓ -75% |
| Evry Health | COMM | $39.22 | ↓ -74% |
| Healthcare Highways | CityofPlano | $51.38 | ↓ -66% |
| Curative Administrators | COMM | $60.80 | ↓ -60% |
| BCBS | Traditional | $67.49 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $68.40 | ↓ -55% |
| City of McKinney | COMM | $68.40 | ↓ -55% |
| National ChoiceCare | WCOMP | $76.00 | ↓ -50% |
| Aetna | ASA | $80.10 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $83.60 | ↓ -45% |
| Aetna | WCOMP | $83.60 | ↓ -45% |
| PC Texas Partners | WCOMP | $83.60 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $83.60 | ↓ -45% |
| Averde Health, Inc | PPO | $88.16 | ↓ -42% |
| Magellan Behavior Health | Pinnacle | $91.20 | ↓ -40% |
| Magellan Behavior Health | Summit | $91.20 | ↓ -40% |
| Multiplan PHCS | PrimaryNetwork | $106.40 | ↓ -30% |
| Mega Life | MGMCRPPO | $106.40 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $106.40 | ↓ -30% |
| Aetna Coventry First Health | COMM | $110.50 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $114.00 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $114.00 | ↓ -25% |
| USC Health Services | COMM | $121.60 | ↓ -20% |
| Cigna Behavioral Health | COMM | $121.60 | ↓ -20% |
| USA Managed Care | COMM | $121.60 | ↓ -20% |
| Galaxy Health Network | PPO | $129.20 | ↓ -15% |
| Unicare | MCD | $152.00 | ↑ +0% |
| National Healthcare Solutions | COMM | $152.00 | ↑ +0% |
| Independent Medical Systems | COMM | $152.00 | ↑ +0% |
| Humana | COMM | $270.55 | ↑ +78% |
| BCBS | BluePremier | $273.59 | ↑ +80% |
| BCBS | MyBlueHealth | $318.81 | ↑ +110% |
| BCBS | BlueAdvantageHMO | $318.81 | ↑ +110% |
| BCBS | BlueEssentials | $564.58 | ↑ +271% |
| BCBS | BlueEssentialsAccess | $564.58 | ↑ +271% |
| BCBS | EPOSOA | $592.40 | ↑ +290% |
| BCBS | PPO | $620.23 | ↑ +308% |
Visitor-reported prices
Comments
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $178.57 | $50.60 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $188.86 | $38.87 – $327.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $188.86 | $37.77 – $327.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $178.57 | $47.62 – $327.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $188.86 | $60.62 – $327.47 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $188.86 | $97.58 – $327.47 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $188.86 | $62.95 – $327.47 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $178.57 | $47.62 – $327.47 |