Annual Physical, Established Patient (age 40-64) at Texas Health Harris Methodist Hospital Fort Worth
1301 Pennsylvania Avenue, Fort Worth, TX · Texashealth · · NPI 1336172105
$171.15
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.
$285.25
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.
$36.97 with United Healthcare vs $268.42 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $36.97 | ↓ -78% |
| Cook Childrens | Managed Medicaid | $36.97 | ↓ -78% |
| Amerigroup | Managed Medicaid | $36.97 | ↓ -78% |
| Blue Cross Blue Shield | Managed Medicaid | $36.97 | ↓ -78% |
| Superior Wellcare | Managed Medicaid | $38.82 | ↓ -77% |
| Molina | Managed Medicaid | $39.94 | ↓ -77% |
| Aetna | Managed Medicaid | $40.68 | ↓ -76% |
| Blue Cross Blue Shield | Exchange | $108.68 | ↓ -37% |
| Aetna | Whole Health | $117.12 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $125.31 | ↓ -27% |
| American Health | Medicare Advantage | $128.12 | ↓ -25% |
| Blue Cross Blue Shield | Medicare Advantage | $128.12 | ↓ -25% |
| HealthSpring | Medicare Advantage | $130.68 | ↓ -24% |
| Humana | Medicare Advantage | $133.25 | ↓ -22% |
| City of Fort Worth | Commercial | $134.07 | ↓ -22% |
| Superior Wellcare | Medicare Advantage HMO | $134.53 | ↓ -21% |
| Molina | Medicare Advantage | $134.53 | ↓ -21% |
| Amerigroup | Medicare Advantage | $134.53 | ↓ -21% |
| Superior Wellcare | Medicare Advantage MMP | $140.93 | ↓ -18% |
| United Healthcare | Medicare Advantage PPO | $142.21 | ↓ -17% |
| United Healthcare | Medicare Advantage HMO | $144.78 | ↓ -15% |
| United Healthcare | All Payer | $147.53 | ↓ -14% |
| Aetna | Commercial | $156.17 | ↓ -9% |
| United Healthcare Options | PPO | $156.32 | ↓ -9% |
| Cigna | OAP/HMO | $157.69 | ↓ -8% |
| Quick Trip | Commercial | $171.15 | ↑ +0% |
| PHCS | PPO | $198.25 | ↑ +16% |
| Cigna | PPO | $198.82 | ↑ +16% |
| Aetna | ASA | $199.96 | ↑ +17% |
| Aetna | Coventry | $199.96 | ↑ +17% |
| Healthsmart | Commercial | $213.94 | ↑ +25% |
| Blue Cross Blue Shield | HMO | $214.51 | ↑ +25% |
| Blue Cross Blue Shield | PPO | $238.18 | ↑ +39% |
| Multiplan | Commercial | $248.17 | ↑ +45% |
| Galaxy | Commercial | $251.02 | ↑ +47% |
| USA | MCO | $251.02 | ↑ +47% |
| Blue Cross Blue Shield | Traditional | $261.57 | ↑ +53% |
| Cigna | Indemnity | $268.42 | ↑ +57% |
Visitor-reported prices
Comments
Annual Physical, Established Patient (age 40-64) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $212.88 | $43.82 – $319.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $212.88 | $42.58 – $298.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $212.88 | $68.33 – $364.39 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $212.88 | $109.99 – $319.32 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $212.88 | $70.96 – $319.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $212.88 | $42.58 – $301.58 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $212.88 | $53.22 – $319.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $212.88 | $39.03 – $319.32 |