Aco cont gluc mnt phys/qhp eqp 95250aco at Texas Health Harris Methodist Hospital Fort Worth
1301 Pennsylvania Avenue, Fort Worth, TX · Texashealth · · NPI 1336172105
$344.10
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.
$573.50
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.
$74.33 with United Healthcare vs $1,090.00 with United Healthcare Options — 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 | $74.33 | ↓ -78% |
| Cook Childrens | Managed Medicaid | $74.33 | ↓ -78% |
| Blue Cross Blue Shield | Managed Medicaid | $74.33 | ↓ -78% |
| Amerigroup | Managed Medicaid | $74.33 | ↓ -78% |
| Superior Wellcare | Managed Medicaid | $78.05 | ↓ -77% |
| Molina | Managed Medicaid | $80.29 | ↓ -77% |
| Aetna | Managed Medicaid | $81.78 | ↓ -76% |
| Blue Cross Blue Shield | Medicare Advantage | $133.74 | ↓ -61% |
| American Health | Medicare Advantage | $133.74 | ↓ -61% |
| HealthSpring | Medicare Advantage | $136.42 | ↓ -60% |
| Humana | Medicare Advantage | $139.09 | ↓ -60% |
| Molina | Medicare Advantage | $140.43 | ↓ -59% |
| Superior Wellcare | Medicare Advantage HMO | $140.43 | ↓ -59% |
| Amerigroup | Medicare Advantage | $140.43 | ↓ -59% |
| Blue Cross Blue Shield | Exchange | $141.09 | ↓ -59% |
| Superior Wellcare | Medicare Advantage MMP | $147.12 | ↓ -57% |
| United Healthcare | Medicare Advantage PPO | $148.45 | ↓ -57% |
| United Healthcare | Medicare Advantage HMO | $151.13 | ↓ -56% |
| Aetna | Whole Health | $235.48 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $251.94 | ↓ -27% |
| City of Fort Worth | Commercial | $269.55 | ↓ -22% |
| Blue Cross Blue Shield | HMO | $290.87 | ↓ -15% |
| Aetna | Commercial | $313.99 | ↓ -9% |
| Cigna | OAP/HMO | $317.03 | ↓ -8% |
| Blue Cross Blue Shield | PPO | $323.21 | ↓ -6% |
| Quick Trip | Commercial | $344.10 | ↑ +0% |
| PHCS | PPO | $398.58 | ↑ +16% |
| Cigna | PPO | $399.73 | ↑ +16% |
| Aetna | Coventry | $402.02 | ↑ +17% |
| Aetna | ASA | $402.02 | ↑ +17% |
| Healthsmart | Commercial | $430.13 | ↑ +25% |
| Multiplan | Commercial | $498.95 | ↑ +45% |
| Galaxy | Commercial | $504.68 | ↑ +47% |
| USA | MCO | $504.68 | ↑ +47% |
| Blue Cross Blue Shield | Traditional | $525.90 | ↑ +53% |
| Cigna | Indemnity | $539.66 | ↑ +57% |
| United Healthcare | All Payer | $821.00 | ↑ +139% |
| United Healthcare Options | PPO | $1,090.00 | ↑ +217% |
Visitor-reported prices
Comments
Aco cont gluc mnt phys/qhp eqp 95250aco at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $370.55 | $76.27 – $555.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $387.73 | $77.55 – $484.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $370.55 | $118.95 – $555.83 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $370.55 | $191.45 – $555.83 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $387.73 | $127.05 – $581.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $370.55 | $74.11 – $463.19 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $370.55 | $92.64 – $555.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $387.73 | $71.08 – $581.59 |