Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER - ALLIANCE
3100 Alliance Town Ctr, FORT WORTH, TX · Medicalcityhealthcare · · NPI 1316775935
$322.90
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.
$322.90
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.
$43.76 with Humana vs $193.74 with Magellan BH — 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 | $43.76 | ↓ -86% |
| Aetna | MCR | $44.13 | ↓ -86% |
| Molina | MMP | $47.70 | ↓ -85% |
| Molina | MME | $47.70 | ↓ -85% |
| Molina | MCR | $47.70 | ↓ -85% |
| Verda Health Plan | MGMCR | $56.89 | ↓ -82% |
| Superior | ValueHMO | $78.33 | ↓ -76% |
| Superior | HMO | $98.03 | ↓ -70% |
| Superior | EPO | $98.03 | ↓ -70% |
| Aetna | QHPHIX | $106.00 | ↓ -67% |
| Molina Healthcare | HIX | $114.66 | ↓ -64% |
| Aetna | NewBusiness | $143.00 | ↓ -56% |
| Aetna | COMM | $155.00 | ↓ -52% |
| Aetna | Meritain | $155.00 | ↓ -52% |
| Aetna | ASA | $170.17 | ↓ -47% |
| Aetna | OON | $179.00 | ↓ -45% |
| Magellan BH | Summit | $193.74 | ↓ -40% |
| Magellan BH | Pinnacle | $193.74 | ↓ -40% |
Visitor-reported prices
Comments
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $124.35 | $33.16 – $176.16 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $134.70 | $69.99 – $69.99 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth | $134.70 | $69.99 – $69.99 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth | $134.70 | $69.99 – $69.99 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $124.35 | $35.23 – $176.16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $135.00 | $27.79 – $202.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $118.67 | $23.73 – $155.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $124.35 | $33.16 – $176.16 |