Vaccine pneumonococcal conjugate 15 valent (pcv15) im at MEDICAL CITY NORTH HILLS HOSPITAL
4401 Booth Calloway Road, North Richland Hills, TX · Medicalcityhealthcare · · NPI 1518911833
$1,314.41
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.
?
What you pay up front if you don't use insurance.
$1,314.41
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.
?
The hospital's undiscounted list price — almost no one pays this.
$92.01 with Superior Health Plan vs $2,195.30 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | STARPLUS | $92.01 | ↓ -93% |
| Superior Health Plan | CHIP | $92.01 | ↓ -93% |
| Superior Health Plan | STARKids | $92.01 | ↓ -93% |
| Superior Health Plan | STARHealth | $92.01 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $92.01 | ↓ -93% |
| Cigna | IFP | $177.45 | ↓ -86% |
| Aetna | QHPHIX | $177.45 | ↓ -86% |
| Cigna | QHP | $184.02 | ↓ -86% |
| Humana | Tricare | $253.32 | ↓ -81% |
| TriWest Health Alliance | TRCR | $261.15 | ↓ -80% |
| Aetna | NewBusiness | $261.57 | ↓ -80% |
| Unicare | CHIP | $276.03 | ↓ -79% |
| Aetna | COMM | $279.97 | ↓ -79% |
| Aetna | Meritain | $279.97 | ↓ -79% |
| United | OptionsPPO | $282.60 | ↓ -78% |
| Aetna | OON | $329.92 | ↓ -75% |
| Healthcare Highways | CityofPlano | $444.27 | ↓ -66% |
| United | NarrowNetworkIndivExchange | $444.36 | ↓ -66% |
| United | AllPayerAppendix | $444.36 | ↓ -66% |
| United | SmallGroup | $444.36 | ↓ -66% |
| BCBS | Traditional | $583.60 | ↓ -56% |
| City of McKinney | COMM | $591.48 | ↓ -55% |
| National ChoiceCare | WCOMP | $657.21 | ↓ -50% |
| Aetna | ASA | $692.69 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $722.93 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $722.93 | ↓ -45% |
| Aetna | WCOMP | $722.93 | ↓ -45% |
| PC Texas Partners | WCOMP | $722.93 | ↓ -45% |
| Averde Health, Inc | PPO | $762.36 | ↓ -42% |
| Magellan Behavior Health | Summit | $788.65 | ↓ -40% |
| Magellan Behavior Health | Pinnacle | $788.65 | ↓ -40% |
| BCBS | BlueAdvantageHMO | $855.19 | ↓ -35% |
| BCBS | MyBlueHealth | $855.19 | ↓ -35% |
| BCBS | BluePremier | $882.45 | ↓ -33% |
| Mega Life | MGMCRPPO | $920.09 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $920.09 | ↓ -30% |
| Aetna Coventry First Health | COMM | $955.58 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $985.81 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $985.81 | ↓ -25% |
| Cigna Behavioral Health | COMM | $1,051.53 | ↓ -20% |
| USA Managed Care | COMM | $1,051.53 | ↓ -20% |
| USC Health Services | COMM | $1,051.53 | ↓ -20% |
| Galaxy Health Network | PPO | $1,117.25 | ↓ -15% |
| BCBS | BlueEssentialsAccess | $1,251.79 | ↓ -5% |
| BCBS | BlueEssentials | $1,251.79 | ↓ -5% |
| BCBS | EPOSOA | $1,313.76 | ↓ -0% |
| Independent Medical Systems | COMM | $1,314.41 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,314.41 | ↑ +0% |
| Unicare | MCD | $1,314.41 | ↑ +0% |
| BCBS | PPO | $1,375.73 | ↑ +5% |
| Cigna | LocalPlus | $1,553.29 | ↑ +18% |
| Cigna | NewBusiness | $1,554.83 | ↑ +18% |
| Cigna | OpenAccessPlus | $1,735.29 | ↑ +32% |
| Cigna | HMO | $1,735.29 | ↑ +32% |
| Cigna | NetworkBenefit | $1,735.29 | ↑ +32% |
| Cigna | AllOther | $2,195.30 | ↑ +67% |
| Corvel Corporation | WORKERSCOMP | not published by hospital | — |
| Superior Health Plan | MGMCRSNP | not published by hospital | — |
| Verda Health Plan | MGMCR | not published by hospital | — |
| Provider Partners Health Plan | MCR | not published by hospital | — |
| Superior Health Plan | MGMCRPOS | not published by hospital | — |
| American Health Plan of Texas, Inc. | MGMCR | not published by hospital | — |
| Care N Care | MGMCR | not published by hospital | — |
| Imperial Insurance Company | MCR | not published by hospital | — |
| Integranet | MGMCR | not published by hospital | — |
| ProCare Advantge | MCR | not published by hospital | — |
| Texas Independent Health Plan | MGMCR | not published by hospital | — |
| TriWest Veterans | FEDERAL | not published by hospital | — |
| Superior Health Plan | MGMCRPFFS | not published by hospital | — |
| Bravo Health | MCRHMO | not published by hospital | — |
| Bravo Health | MCRPOS | not published by hospital | — |
| Bravo Health | MCRPPO | not published by hospital | — |
| Bravo Health | MCRSNP | not published by hospital | — |
| Bravo Health | MCRPFFS | not published by hospital | — |
| Superior Health Plan | MGMCRDualEligible | not published by hospital | — |
| Superior Health Plan | MGMCRPPO | not published by hospital | — |
| Devoted Health | PPO | not published by hospital | — |
| Superior Health Plan | MGMCRHMO | not published by hospital | — |
| Aetna | MCR | not published by hospital | — |
| WellCare | MGMCR | not published by hospital | — |
| Humana | MGMCR | not published by hospital | — |
| Molina Healthcare | HIX | not published by hospital | — |
| Devoted Health | MME | not published by hospital | — |
| Devoted Health | MCR | not published by hospital | — |
| Devoted Health | POS | not published by hospital | — |
| Cenpatico | BHMGMCR | not published by hospital | — |
| Devoted Health | HMO | not published by hospital | — |
| Amerigroup | DualEligible | not published by hospital | — |
| Devoted Health | SNP | not published by hospital | — |
| Cigna Healthspring | MGMCR | not published by hospital | — |
| WellMed | MGMCR | not published by hospital | — |
| Mutual of Omaha | MGMCR | not published by hospital | — |
| USA Managed Care | WORKERSCOMP | not published by hospital | — |
| Superior | EPO | not published by hospital | — |
| Superior | HMO | not published by hospital | — |
| Superior | ValueHMO | not published by hospital | — |
| United | MGMCR | not published by hospital | — |
| Molina | MME | not published by hospital | — |
| Molina | MMP | not published by hospital | — |
| Molina | MCR | not published by hospital | — |
| Universal Healthcare Group | MCR | not published by hospital | — |
Visitor-reported prices
Comments
Vaccine pneumonococcal conjugate 15 valent (pcv15) im at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $66.12 | $261.15 – $621.21 |
| HCA HOUSTON CONROE | CONROE | $641.71 | $269.31 – $621.21 |
| HCA HOUSTON KINGWOOD | HUMBLE | $1,295.32 | $269.31 – $621.21 |
| HCA HOUSTON SOUTHEAST | PASADENA | $654.67 | $261.15 – $621.21 |
| HCA HOUSTON WEST | HOUSTON | $1,228.00 | $269.31 – $621.21 |
| Ascension Seton Cedar Park Hospital | Cedar Park | $184.76 | $246.20 – $1,038.62 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle | $1,794.13 | $253.32 – $1,553.29 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | $1,347.98 | $253.32 – $1,553.29 |