X-ray surgical specimen at MEDICAL CITY NORTH HILLS HOSPITAL
4401 Booth Calloway Road, North Richland Hills, TX · Medicalcityhealthcare · · NPI 1518911833
$136.27
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.
$136.27
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.
$9.54 with Superior Health Plan vs $2,157.48 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 | CHIP | $9.54 | ↓ -93% |
| Superior Health Plan | STARHealth | $9.54 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $9.54 | ↓ -93% |
| Superior Health Plan | STARPLUS | $9.54 | ↓ -93% |
| Superior Health Plan | STARKids | $9.54 | ↓ -93% |
| Cigna | IFP | $18.40 | ↓ -86% |
| Cigna | QHP | $19.08 | ↓ -86% |
| Unicare | CHIP | $28.62 | ↓ -79% |
| United | OptionsPPO | $29.30 | ↓ -78% |
| Healthcare Highways | NarrowNetwork | $33.39 | ↓ -75% |
| Evry Health | COMM | $35.16 | ↓ -74% |
| Amerigroup | MGMCD | $42.78 | ↓ -69% |
| Amerigroup | CHIP | $42.78 | ↓ -69% |
| Cook Childrens Health Plan | CHIP | $42.78 | ↓ -69% |
| United | STARPLUS | $42.78 | ↓ -69% |
| United | STARKids | $42.78 | ↓ -69% |
| United | STAR | $42.78 | ↓ -69% |
| Cook Childrens Health Plan | STAR | $42.78 | ↓ -69% |
| Parkland Community Health Plan | MCD | $42.78 | ↓ -69% |
| United | STARPerinate | $42.78 | ↓ -69% |
| United | CHIP | $42.78 | ↓ -69% |
| Cigna Healthspring | MGMCD | $44.92 | ↓ -67% |
| Healthcare Highways | CityofPlano | $46.06 | ↓ -66% |
| Aetna Better Health | CHIP | $46.20 | ↓ -66% |
| Aetna Better Health | MCD | $46.20 | ↓ -66% |
| Molina | STAR+PLUS | $47.06 | ↓ -65% |
| Molina | CHIP | $47.06 | ↓ -65% |
| Molina | MCDSTAR | $47.06 | ↓ -65% |
| Molina | STARKIDS | $47.06 | ↓ -65% |
| Humana | MGMCD | $53.48 | ↓ -61% |
| Curative Administrators | COMM | $54.51 | ↓ -60% |
| BCBS | Traditional | $56.42 | ↓ -59% |
| Aetna | NewBusiness | $58.54 | ↓ -57% |
| United | GlobalBenefitPlan | $61.32 | ↓ -55% |
| City of McKinney | COMM | $61.32 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $61.32 | ↓ -55% |
| Aetna | COMM | $62.53 | ↓ -54% |
| Aetna | Meritain | $62.53 | ↓ -54% |
| National ChoiceCare | WCOMP | $68.14 | ↓ -50% |
| Aetna | ASA | $68.82 | ↓ -49% |
| Aetna | OON | $74.00 | ↓ -46% |
| PC Texas Partners | WCOMP | $74.95 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $74.95 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $74.95 | ↓ -45% |
| Aetna | WCOMP | $74.95 | ↓ -45% |
| Aetna Coventry First Health | COMM | $78.08 | ↓ -43% |
| Averde Health, Inc | PPO | $79.04 | ↓ -42% |
| Magellan Behavior Health | Pinnacle | $81.76 | ↓ -40% |
| Magellan Behavior Health | Summit | $81.76 | ↓ -40% |
| Coastal Comp Health Networks | WCOMP | $95.39 | ↓ -30% |
| Mega Life | MGMCRPPO | $95.39 | ↓ -30% |
| Multiplan | PHCSPrimaryNetwork | $102.20 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $102.20 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $102.20 | ↓ -25% |
| Cigna | LocalPlus | $104.33 | ↓ -23% |
| Cigna | NewBusiness | $104.43 | ↓ -23% |
| Cigna Behavioral Health | COMM | $109.02 | ↓ -20% |
| USA Managed Care | COMM | $109.02 | ↓ -20% |
| USC Health Services | COMM | $109.02 | ↓ -20% |
| Multiplan | ComplementaryNetwork | $115.83 | ↓ -15% |
| Cigna | HMO | $116.52 | ↓ -14% |
| Cigna | OpenAccessPlus | $116.52 | ↓ -14% |
| Cigna | NetworkBenefit | $116.52 | ↓ -14% |
| National Healthcare Solutions | COMM | $136.27 | ↑ +0% |
| Independent Medical Systems | COMM | $136.27 | ↑ +0% |
| Unicare | MCD | $136.27 | ↑ +0% |
| Cigna | AllOther | $147.48 | ↑ +8% |
| United | SmallGroup | $657.03 | ↑ +382% |
| United | NarrowNetworkIndivExchange | $657.03 | ↑ +382% |
| BCBS | BlueAdvantageHMO | $659.76 | ↑ +384% |
| BCBS | MyBlueHealth | $659.76 | ↑ +384% |
| United | AllPayerAppendix | $1,086.50 | ↑ +697% |
| BCBS | BlueEssentials | $1,964.85 | ↑ +1342% |
| BCBS | BlueEssentialsAccess | $1,964.85 | ↑ +1342% |
| BCBS | EPOSOA | $2,061.16 | ↑ +1413% |
| BCBS | PPO | $2,157.48 | ↑ +1483% |
Visitor-reported prices
Comments
X-ray surgical specimen at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $458.88 | $42.78 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $638.62 | $131.45 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $565.09 | $42.78 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $458.88 | $42.78 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $638.62 | $45.77 – $1,366.64 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $638.62 | $42.78 – $1,366.64 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $565.09 | $42.78 – $1,366.64 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $458.88 | $42.78 – $1,366.64 |