Pulse ox multiple 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.
$10.20 with BCBS vs $754.96 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 |
|---|---|---|---|
| BCBS | BluePremier | $10.20 | — |
| BCBS | BlueAdvantageHMO | $11.88 | — |
| BCBS | MyBlueHealth | $11.88 | — |
| BCBS | BlueEssentialsAccess | $21.04 | — |
| BCBS | BlueEssentials | $21.04 | — |
| BCBS | EPOSOA | $22.08 | — |
| BCBS | PPO | $23.11 | — |
| Humana | COMM | $31.05 | — |
| Superior Health Plan | STARPLUS | $52.85 | — |
| Superior Health Plan | CHIP | $52.85 | — |
| Superior Health Plan | STARKids | $52.85 | — |
| Superior Health Plan | MCDSTAR | $52.85 | — |
| Superior Health Plan | STARHealth | $52.85 | — |
| Aetna | QHPHIX | $101.92 | — |
| Cigna | IFP | $101.92 | — |
| Cigna | QHP | $105.69 | — |
| Imperial Insurance Company | MCR | $143.44 | — |
| Aetna | NewBusiness | $150.24 | — |
| Oscar | HIX | $157.03 | — |
| Unicare | CHIP | $158.54 | — |
| Aetna | Meritain | $160.81 | — |
| Aetna | COMM | $160.81 | — |
| United | OptionsPPO | $162.32 | — |
| Healthcare Highways | NarrowNetwork | $184.97 | — |
| Aetna | OON | $189.49 | — |
| Evry Health | COMM | $194.78 | — |
| Cigna | LocalPlus | $199.31 | — |
| Cigna | NewBusiness | $199.31 | — |
| Cigna | OpenAccessPlus | $222.71 | — |
| Cigna | NetworkBenefit | $222.71 | — |
| Cigna | HMO | $222.71 | — |
| Healthcare Highways | CityofPlano | $255.18 | — |
| Cigna | AllOther | $281.60 | — |
| Curative Administrators | COMM | $301.98 | — |
| BCBS | Traditional | $335.20 | — |
| City of McKinney | COMM | $339.73 | — |
| Fidelis SecureCare | MGMCR | $339.73 | — |
| National ChoiceCare | WCOMP | $377.48 | — |
| Aetna | ASA | $397.86 | — |
| PC Texas Partners | WCOMP | $415.23 | — |
| Rockport Health Group | WORKERSCOMP | $415.23 | — |
| Physicians Coop of TX | MGMCR | $415.23 | — |
| Aetna | WCOMP | $415.23 | — |
| Averde Health, Inc | PPO | $437.88 | — |
| Magellan Behavior Health | Summit | $452.98 | — |
| Magellan Behavior Health | Pinnacle | $452.98 | — |
| Multiplan PHCS | PrimaryNetwork | $528.47 | — |
| Mega Life | MGMCRPPO | $528.47 | — |
| Coastal Comp Health Networks | WCOMP | $528.47 | — |
| Aetna Coventry First Health | COMM | $548.86 | — |
| HealthSmart Preferred Care | PPO | $566.22 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $566.22 | — |
| USC Health Services | COMM | $603.97 | — |
| USA Managed Care | COMM | $603.97 | — |
| Cigna Behavioral Health | COMM | $603.97 | — |
| Galaxy Health Network | PPO | $641.72 | — |
| Independent Medical Systems | COMM | $754.96 | — |
| Unicare | MCD | $754.96 | — |
| National Healthcare Solutions | COMM | $754.96 | — |
Visitor-reported prices
Comments
Pulse ox multiple at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $476.04 | $16.63 – $16.63 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $194.33 | $13.26 – $275.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $194.33 | $13.05 – $291.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $194.33 | $13.05 – $242.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $194.33 | $10.11 – $275.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $194.33 | $15.94 – $291.49 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $194.33 | $100.40 – $291.49 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $194.33 | $13.05 – $291.49 |