#hypersens-actinomyces ab at MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER - ALLIANCE
3100 Alliance Town Ctr, FORT WORTH, TX · Medicalcityhealthcare · · NPI 1316775935
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.
$10.18 with Humana vs $26.67 with Molina Healthcare — 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 |
|---|---|---|---|
| Humana | MGMCR | $10.18 | — |
| Aetna | MCR | $10.27 | — |
| Molina | MME | $11.10 | — |
| Molina | MMP | $11.10 | — |
| Molina | MCR | $11.10 | — |
| Aetna | QHPHIX | $12.95 | — |
| Verda Health Plan | MGMCR | $13.23 | — |
| Aetna | NewBusiness | $17.84 | — |
| Superior | ValueHMO | $18.22 | — |
| Aetna | COMM | $19.00 | — |
| Aetna | Meritain | $19.00 | — |
| Aetna | OON | $22.36 | — |
| Superior | EPO | $22.80 | — |
| Superior | HMO | $22.80 | — |
| Molina Healthcare | HIX | $26.67 | — |
Visitor-reported prices
Comments
#hypersens-actinomyces ab at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | not published | $8.55 – $19.97 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth | not published | $8.55 – $19.97 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth | not published | $8.55 – $19.97 |
| St. Joseph Health Madison Hospital | Madisonville | $27.48 | $9.16 – $141.30 |
| St. Luke's Health Memorial Lufkin | Lufkin | $17.34 | $8.55 – $103.99 |
| St. Joseph Health College Station Hospital | College Station | $27.48 | $8.55 – $133.45 |
| St. Joseph Health Grimes Hospital | Navasota | $27.48 | $9.16 – $133.45 |
| St. Luke's Health Memorial Livingston | Livingston | $17.34 | $8.55 – $103.99 |