#a/b/c/c/h pnl-candida albicans ab at Texas Health Harris Methodist Hospital Fort Worth
1301 Pennsylvania Avenue, Fort Worth, TX · Texashealth · · NPI 1336172105
$118.50
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.
$197.50
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.
$10.09 with Blue Cross Blue Shield vs $185.85 with Cigna — 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 | $10.09 | ↓ -91% |
| Cook Childrens | Managed Medicaid | $10.09 | ↓ -91% |
| Amerigroup | Managed Medicaid | $10.09 | ↓ -91% |
| United Healthcare | Managed Medicaid | $10.09 | ↓ -91% |
| Superior Wellcare | Managed Medicaid | $10.59 | ↓ -91% |
| Molina | Managed Medicaid | $10.90 | ↓ -91% |
| Aetna | Managed Medicaid | $11.10 | ↓ -91% |
| American Health | Medicare Advantage | $12.01 | ↓ -90% |
| United Healthcare Options | PPO | $12.01 | ↓ -90% |
| United Healthcare | All Payer | $12.01 | ↓ -90% |
| Blue Cross Blue Shield | Medicare Advantage | $12.01 | ↓ -90% |
| HealthSpring | Medicare Advantage | $12.25 | ↓ -90% |
| Humana | Medicare Advantage | $12.49 | ↓ -89% |
| Molina | Medicare Advantage | $12.61 | ↓ -89% |
| Superior Wellcare | Medicare Advantage HMO | $12.61 | ↓ -89% |
| Amerigroup | Medicare Advantage | $12.61 | ↓ -89% |
| Superior Wellcare | Medicare Advantage MMP | $13.21 | ↓ -89% |
| United Healthcare | Medicare Advantage PPO | $13.33 | ↓ -89% |
| Blue Cross Blue Shield | Exchange | $13.36 | ↓ -89% |
| United Healthcare | Medicare Advantage HMO | $13.57 | ↓ -89% |
| Fort Worth Firefighters | Commercial | $23.57 | ↓ -80% |
| Blue Cross Blue Shield | HMO | $23.78 | ↓ -80% |
| Blue Cross Blue Shield | PPO | $26.42 | ↓ -78% |
| Aetna | Whole Health | $27.26 | ↓ -77% |
| Aetna | Commercial | $36.34 | ↓ -69% |
| Cigna | PPO | $49.42 | ↓ -58% |
| Cigna | OAP/HMO | $49.42 | ↓ -58% |
| Blue Cross Blue Shield | Traditional | $70.39 | ↓ -41% |
| City of Fort Worth | Commercial | $75.05 | ↓ -37% |
| Quick Trip | Commercial | $118.50 | ↑ +0% |
| PHCS | PPO | $137.26 | ↑ +16% |
| Aetna | Coventry | $138.45 | ↑ +17% |
| Aetna | ASA | $138.45 | ↑ +17% |
| Healthsmart | Commercial | $148.13 | ↑ +25% |
| Multiplan | Commercial | $171.83 | ↑ +45% |
| Galaxy | Commercial | $173.80 | ↑ +47% |
| USA | MCO | $173.80 | ↑ +47% |
| Cigna | Indemnity | $185.85 | ↑ +57% |
| Parkland | Managed Medicaid | not published by hospital | — |
| Amerigroup | Medicare Advantage HMO | not published by hospital | — |
Visitor-reported prices
Comments
#a/b/c/c/h pnl-candida albicans ab at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $75.60 | $10.00 – $28.82 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $118.50 | $10.09 – $49.42 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth | $118.50 | $10.09 – $49.42 |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER - ALLIANCE | FORT WORTH | not published | $12.01 – $31.47 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $75.60 | $10.00 – $28.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $75.60 | $4.01 – $29.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $75.60 | $10.09 – $28.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $75.60 | $10.00 – $28.82 |