Biliary endo perq dx w/speci at Texas Health Harris Methodist Hospital Alliance
10864 Texas Health Trail, Fort Worth, TX · Texashealth · · NPI 1215296884
$4,498.20
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.
$7,497.00
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.
$1,151.54 with United Healthcare vs $25,981.65 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $1,151.54 | ↓ -74% |
| Cook Childrens | Managed Medicaid | $1,151.54 | ↓ -74% |
| Amerigroup | Managed Medicaid | $1,151.54 | ↓ -74% |
| Blue Cross Blue Shield | Managed Medicaid | $1,151.54 | ↓ -74% |
| Superior Wellcare | Managed Medicaid | $1,209.12 | ↓ -73% |
| Molina | Managed Medicaid | $1,243.66 | ↓ -72% |
| Aetna | Managed Medicaid | $1,266.69 | ↓ -72% |
| Aetna | Whole Health | $2,895.34 | ↓ -36% |
| City of Fort Worth | Commercial | $3,523.59 | ↓ -22% |
| Aetna | Commercial | $3,860.96 | ↓ -14% |
| Blue Cross Blue Shield | Exchange | $3,908.44 | ↓ -13% |
| Cigna | OAP/HMO | $4,144.34 | ↓ -8% |
| Quick Trip | Commercial | $4,498.20 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $4,576.92 | ↑ +2% |
| PHCS | PPO | $5,210.42 | ↑ +16% |
| Cigna | PPO | $5,225.41 | ↑ +16% |
| Aetna | Coventry | $5,255.40 | ↑ +17% |
| Aetna | ASA | $5,255.40 | ↑ +17% |
| Healthsmart | Commercial | $5,622.75 | ↑ +25% |
| American Health | Medicare Advantage | $6,514.04 | ↑ +45% |
| Blue Cross Blue Shield | Medicare Advantage | $6,514.04 | ↑ +45% |
| Multiplan | Commercial | $6,522.39 | ↑ +45% |
| USA | MCO | $6,597.36 | ↑ +47% |
| Galaxy | Commercial | $6,597.36 | ↑ +47% |
| HealthSpring | Medicare Advantage | $6,644.32 | ↑ +48% |
| Humana | Medicare Advantage | $6,774.60 | ↑ +51% |
| Superior Wellcare | Medicare Advantage HMO | $6,839.74 | ↑ +52% |
| Amerigroup | Medicare Advantage | $6,839.74 | ↑ +52% |
| Molina | Medicare Advantage | $6,839.74 | ↑ +52% |
| Cigna | Indemnity | $7,054.68 | ↑ +57% |
| Superior Wellcare | Medicare Advantage MMP | $7,165.44 | ↑ +59% |
| United Healthcare | Medicare Advantage PPO | $7,230.58 | ↑ +61% |
| Blue Cross Blue Shield | HMO | $7,306.95 | ↑ +62% |
| United Healthcare | Medicare Advantage HMO | $7,360.86 | ↑ +64% |
| Blue Cross Blue Shield | PPO | $8,118.49 | ↑ +80% |
| United Healthcare | All Payer | $9,560.00 | ↑ +113% |
| United Healthcare Options | PPO | $12,345.00 | ↑ +174% |
| Blue Cross Blue Shield | Traditional | $25,981.65 | ↑ +478% |
Visitor-reported prices
Comments
Biliary endo perq dx w/speci at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth | $4,498.20 | $1,151.54 – $1,266.69 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth | not published | $1,151.54 – $1,266.69 |
| HCA HOUSTON KINGWOOD | HUMBLE | $4,262.78 | $1,128.51 – $6,535.84 |
| St. Luke's Health - Patients Medical Center | Pasadena | $1,414.67 | $2,425.14 – $3,031.43 |
| Baylor St Luke's Medical Center | Houston | $6,238.05 | $1,285.00 – $17,823.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $6,238.05 | $1,285.00 – $17,823.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $6,238.05 | $1,285.00 – $17,823.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $6,238.05 | $4,812.21 – $17,823.00 |