Debride skn/sq/musc/abd wall 11004 at Texas Health Huguley Hospital Fort Worth South
11801 South Freeway, Burleson, TX · AdventHealth · · NPI 1033120423
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.
$635.17 with Bcbs vs $11,727.00 with Unitedhealthcare — 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 | Blue Advantage Hmo | $635.17 | — |
| Bcbs | Blue Essentials Network Hmo | $1,298.02 | — |
| Bcbs | Ppo | $1,442.37 | — |
| Bcbs | Traditional | $4,153.89 | — |
| Unitedhealthcare | All Commercial Plans | $9,124.00 | — |
| Unitedhealthcare | Options Ppo | $11,727.00 | — |
Visitor-reported prices
Comments
Debride skn/sq/musc/abd wall 11004 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $124.43 | $90.59 – $711.00 |
| St. Joseph Health College Station Hospital | College Station | $124.43 | $391.05 – $711.00 |
| St. Joseph Health Grimes Hospital | Navasota | $124.43 | $257.81 – $789.21 |
| St. Joseph Health Burleson Hospital | Caldwell | $124.43 | $156.42 – $711.00 |
| Covenant Hospital Plainview | Plainview | $903.00 | $1,208.99 – $1,573.12 |
| Adventhealth Rollins Brook | Lampasas | not published | $751.86 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | not published | $1,016.52 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | not published | $944.34 – $5,388.00 |