Acetazolamide 500 mg solution for injection at Texas Health Harris Methodist Hospital Alliance
10864 Texas Health Trail, Fort Worth, TX · Texashealth · · NPI 1215296884
$39.69
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.
$66.15
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.
$6.79 with Blue Cross Blue Shield vs $234.38 with Blue Cross Blue Shield — 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $6.79 | ↓ -83% |
| United Healthcare | Managed Medicaid | $6.79 | ↓ -83% |
| Cook Childrens | Managed Medicaid | $6.79 | ↓ -83% |
| Amerigroup | Managed Medicaid | $6.79 | ↓ -83% |
| Superior Wellcare | Managed Medicaid | $7.13 | ↓ -82% |
| Molina | Managed Medicaid | $7.34 | ↓ -82% |
| Aetna | Managed Medicaid | $7.47 | ↓ -81% |
| Aetna | Whole Health | $22.87 | ↓ -42% |
| Fort Worth Firefighters | Commercial | $29.06 | ↓ -27% |
| Aetna | Commercial | $30.50 | ↓ -23% |
| City of Fort Worth | Commercial | $31.09 | ↓ -22% |
| Blue Cross Blue Shield | Exchange | $32.85 | ↓ -17% |
| United Healthcare | All Payer | $34.21 | ↓ -14% |
| United Healthcare Options | PPO | $36.25 | ↓ -9% |
| Cigna | OAP/HMO | $36.57 | ↓ -8% |
| Quick Trip | Commercial | $39.69 | ↑ +0% |
| PHCS | PPO | $45.97 | ↑ +16% |
| Cigna | PPO | $46.11 | ↑ +16% |
| Aetna | Coventry | $46.37 | ↑ +17% |
| Aetna | ASA | $46.37 | ↑ +17% |
| Healthsmart | Commercial | $49.61 | ↑ +25% |
| Blue Cross Blue Shield | HMO | $51.55 | ↑ +30% |
| Blue Cross Blue Shield | PPO | $57.29 | ↑ +44% |
| Multiplan | Commercial | $57.55 | ↑ +45% |
| USA | MCO | $58.21 | ↑ +47% |
| Galaxy | Commercial | $58.21 | ↑ +47% |
| Cigna | Indemnity | $62.25 | ↑ +57% |
| Blue Cross Blue Shield | Traditional | $234.38 | ↑ +491% |
| Molina | Medicare Advantage | not published by hospital | — |
| United Healthcare | Medicare Advantage PPO | not published by hospital | — |
| United Healthcare | Medicare Advantage HMO | not published by hospital | — |
| HealthSpring | Medicare Advantage | not published by hospital | — |
| Blue Cross Blue Shield | Medicare Advantage | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| Amerigroup | Medicare Advantage | not published by hospital | — |
| American Health | Medicare Advantage | not published by hospital | — |
| Superior Wellcare | Medicare Advantage HMO | not published by hospital | — |
| Superior Wellcare | Medicare Advantage MMP | not published by hospital | — |
Visitor-reported prices
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Acetazolamide 500 mg solution for injection at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $113.40 | $26.80 – $160.65 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth | $39.69 | $32.85 – $32.85 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth | $39.69 | $32.85 – $32.85 |
| Adventhealth Rollins Brook | Lampasas | $246.40 | $96.90 – $96.90 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $113.40 | $26.80 – $160.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $113.40 | $23.34 – $170.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $113.40 | $22.68 – $141.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $113.40 | $26.80 – $160.65 |