Revasc lithotrip tibi/perone 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.
$2,372.39 with Superior Health Plan vs $33,891.33 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 |
|---|---|---|---|
| Superior Health Plan | STARHealth | $2,372.39 | — |
| Superior Health Plan | STARPLUS | $2,372.39 | — |
| Superior Health Plan | STARKids | $2,372.39 | — |
| Superior Health Plan | CHIP | $2,372.39 | — |
| Superior Health Plan | MCDSTAR | $2,372.39 | — |
| Cigna | IFP | $4,575.33 | — |
| Cigna | QHP | $4,744.79 | — |
| Cook Childrens Health Plan | CHIP | $4,750.24 | — |
| United | CHIP | $4,750.24 | — |
| United | STAR | $4,750.24 | — |
| United | STARKids | $4,750.24 | — |
| United | STARPLUS | $4,750.24 | — |
| United | STARPerinate | $4,750.24 | — |
| Amerigroup | CHIP | $4,750.24 | — |
| Amerigroup | MGMCD | $4,750.24 | — |
| Parkland Community Health Plan | MCD | $4,750.24 | — |
| Cook Childrens Health Plan | STAR | $4,750.24 | — |
| Cigna Healthspring | MGMCD | $4,987.75 | — |
| Aetna Better Health | MCD | $5,130.26 | — |
| Aetna Better Health | CHIP | $5,130.26 | — |
| Molina | CHIP | $5,225.26 | — |
| Molina | STARKIDS | $5,225.26 | — |
| Molina | MCDSTAR | $5,225.26 | — |
| Molina | STAR+PLUS | $5,225.26 | — |
| Humana | MGMCD | $5,937.80 | — |
| Oscar | HIX | $7,049.40 | — |
| Unicare | CHIP | $7,117.18 | — |
| United | OptionsPPO | $7,286.64 | — |
| Evry Health | COMM | $8,743.96 | — |
| Curative Administrators | COMM | $9,875.00 | — |
| Healthcare Highways | CityofPlano | $11,455.27 | — |
| BCBS | Traditional | $14,031.01 | — |
| Aetna | NewBusiness | $14,630.00 | — |
| United | GlobalBenefitPlan | $15,251.10 | — |
| City of McKinney | COMM | $15,251.10 | — |
| Fidelis SecureCare | MGMCR | $15,251.10 | — |
| Aetna | COMM | $15,630.00 | — |
| Aetna | Meritain | $15,630.00 | — |
| National ChoiceCare | WCOMP | $16,945.67 | — |
| Aetna | ASA | $17,115.12 | — |
| Cigna | LocalPlus | $17,220.00 | — |
| Cigna | NewBusiness | $17,238.00 | — |
| United | SmallGroup | $18,400.00 | — |
| Aetna | OON | $18,490.00 | — |
| United | NarrowNetworkIndivExchange | $18,590.00 | — |
| Aetna | WCOMP | $18,640.23 | — |
| Rockport Health Group | WORKERSCOMP | $18,640.23 | — |
| Physicians Coop of TX | MGMCR | $18,640.23 | — |
| PC Texas Partners | WCOMP | $18,640.23 | — |
| Cigna | OpenAccessPlus | $19,240.00 | — |
| Cigna | HMO | $19,240.00 | — |
| Cigna | NetworkBenefit | $19,240.00 | — |
| Aetna Coventry First Health | COMM | $19,419.73 | — |
| Averde Health, Inc | PPO | $19,656.97 | — |
| Magellan Behavior Health | Pinnacle | $20,334.80 | — |
| Magellan Behavior Health | Summit | $20,334.80 | — |
| BCBS | BlueAdvantageHMO | $20,688.46 | — |
| BCBS | MyBlueHealth | $20,688.46 | — |
| Mega Life | MGMCRPPO | $23,723.93 | — |
| Coastal Comp Health Networks | WCOMP | $23,723.93 | — |
| Cigna | AllOther | $24,339.00 | — |
| Multiplan | PHCSPrimaryNetwork | $25,418.50 | — |
| HealthSmart Preferred Care | PPO | $25,418.50 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $25,418.50 | — |
| BCBS | BlueEssentials | $25,609.50 | — |
| BCBS | BlueEssentialsAccess | $25,609.50 | — |
| United | AllPayerAppendix | $25,750.00 | — |
| BCBS | EPOSOA | $26,915.08 | — |
| USA Managed Care | COMM | $27,113.06 | — |
| USC Health Services | COMM | $27,113.06 | — |
| Cigna Behavioral Health | COMM | $27,113.06 | — |
| BCBS | PPO | $28,120.23 | — |
| Multiplan | ComplementaryNetwork | $28,807.63 | — |
| Independent Medical Systems | COMM | $33,891.33 | — |
| Unicare | MCD | $33,891.33 | — |
| National Healthcare Solutions | COMM | $33,891.33 | — |
Visitor-reported prices
Comments
Revasc lithotrip tibi/perone at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $14,653.34 | $4,750.24 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $14,653.35 | $3,016.15 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $13,321.23 | $4,750.24 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $14,653.34 | $4,750.24 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $14,653.35 | $5,082.76 – $27,252.71 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $14,653.35 | $4,750.24 – $27,252.71 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $13,321.23 | $4,750.24 – $27,252.71 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $14,653.34 | $4,750.24 – $27,252.71 |