Vaccine pneumonococcal conjugate 20 valent (pcv20) im at MEDICAL CITY NORTH HILLS HOSPITAL
4401 Booth Calloway Road, North Richland Hills, TX · Medicalcityhealthcare · · NPI 1518911833
$1,547.02
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.
$1,547.02
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.
$108.29 with Superior Health Plan vs $2,630.17 with Cigna — 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 | MCDSTAR | $108.29 | ↓ -93% |
| Superior Health Plan | STARKids | $108.29 | ↓ -93% |
| Superior Health Plan | STARPLUS | $108.29 | ↓ -93% |
| Superior Health Plan | STARHealth | $108.29 | ↓ -93% |
| Superior Health Plan | CHIP | $108.29 | ↓ -93% |
| Cigna | IFP | $208.85 | ↓ -86% |
| Cigna | QHP | $216.58 | ↓ -86% |
| Humana | Tricare | $303.51 | ↓ -80% |
| TriWest Health Alliance | TRCR | $312.90 | ↓ -80% |
| Unicare | CHIP | $324.87 | ↓ -79% |
| United | OptionsPPO | $332.61 | ↓ -78% |
| United | SmallGroup | $516.29 | ↓ -67% |
| United | NarrowNetworkIndivExchange | $516.29 | ↓ -67% |
| United | AllPayerAppendix | $516.29 | ↓ -67% |
| Healthcare Highways | CityofPlano | $522.89 | ↓ -66% |
| BCBS | Traditional | $640.47 | ↓ -59% |
| United | GlobalBenefitPlan | $696.16 | ↓ -55% |
| City of McKinney | COMM | $696.16 | ↓ -55% |
| National ChoiceCare | WCOMP | $773.51 | ↓ -50% |
| Aetna | ASA | $781.25 | ↓ -49% |
| Physicians Coop of TX | MGMCR | $850.86 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $850.86 | ↓ -45% |
| Aetna | WCOMP | $850.86 | ↓ -45% |
| PC Texas Partners | WCOMP | $850.86 | ↓ -45% |
| BCBS | BlueAdvantageHMO | $855.19 | ↓ -45% |
| BCBS | MyBlueHealth | $855.19 | ↓ -45% |
| Aetna Coventry First Health | COMM | $886.44 | ↓ -43% |
| Averde Health, Inc | PPO | $897.27 | ↓ -42% |
| Magellan Behavior Health | Summit | $928.21 | ↓ -40% |
| Magellan Behavior Health | Pinnacle | $928.21 | ↓ -40% |
| Mega Life | MGMCRPPO | $1,082.91 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $1,082.91 | ↓ -30% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,160.27 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $1,160.27 | ↓ -25% |
| Multiplan | PHCSPrimaryNetwork | $1,160.27 | ↓ -25% |
| Cigna Behavioral Health | COMM | $1,237.62 | ↓ -20% |
| USC Health Services | COMM | $1,237.62 | ↓ -20% |
| USA Managed Care | COMM | $1,237.62 | ↓ -20% |
| BCBS | BlueEssentialsAccess | $1,251.79 | ↓ -19% |
| BCBS | BlueEssentials | $1,251.79 | ↓ -19% |
| BCBS | EPOSOA | $1,313.76 | ↓ -15% |
| Multiplan | ComplementaryNetwork | $1,314.97 | ↓ -15% |
| BCBS | PPO | $1,375.73 | ↓ -11% |
| Independent Medical Systems | COMM | $1,547.02 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,547.02 | ↑ +0% |
| Unicare | MCD | $1,547.02 | ↑ +0% |
| Cigna | LocalPlus | $1,860.99 | ↑ +20% |
| Cigna | NewBusiness | $1,862.83 | ↑ +20% |
| Cigna | NetworkBenefit | $2,079.04 | ↑ +34% |
| Cigna | OpenAccessPlus | $2,079.04 | ↑ +34% |
| Cigna | HMO | $2,079.04 | ↑ +34% |
| Cigna | AllOther | $2,630.17 | ↑ +70% |
Visitor-reported prices
Comments
Vaccine pneumonococcal conjugate 20 valent (pcv20) im at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,281.69 | $954.34 – $954.34 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $729.93 | $206.81 – $1,034.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $729.93 | $150.24 – $1,094.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $729.93 | $145.99 – $912.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $729.93 | $194.65 – $1,034.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $729.93 | $234.31 – $1,094.89 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $729.93 | $344.19 – $1,094.89 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $729.93 | $243.31 – $1,094.89 |