Annual Physical, New Patient (age 18-39) at Texas Health Harris Methodist Hospital Fort Worth
1301 Pennsylvania Avenue, Fort Worth, TX · Texashealth · · NPI 1336172105
$184.95
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.
$308.25
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.
$26.76 with Cook Childrens vs $194.32 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 |
|---|---|---|---|
| Cook Childrens | Managed Medicaid | $26.76 | ↓ -86% |
| Amerigroup | Managed Medicaid | $26.76 | ↓ -86% |
| United Healthcare | Managed Medicaid | $26.76 | ↓ -86% |
| Blue Cross Blue Shield | Managed Medicaid | $26.76 | ↓ -86% |
| Superior Wellcare | Managed Medicaid | $28.10 | ↓ -85% |
| Molina | Managed Medicaid | $28.91 | ↓ -84% |
| Aetna | Managed Medicaid | $29.45 | ↓ -84% |
| Blue Cross Blue Shield | Exchange | $78.68 | ↓ -57% |
| Aetna | Whole Health | $84.79 | ↓ -54% |
| Fort Worth Firefighters | Commercial | $90.72 | ↓ -51% |
| City of Fort Worth | Commercial | $97.06 | ↓ -48% |
| United Healthcare | All Payer | $106.80 | ↓ -42% |
| Aetna | Commercial | $113.06 | ↓ -39% |
| United Healthcare Options | PPO | $113.16 | ↓ -39% |
| Cigna | OAP/HMO | $114.15 | ↓ -38% |
| Quick Trip | Commercial | $123.90 | ↓ -33% |
| American Health | Medicare Advantage | $133.74 | ↓ -28% |
| Blue Cross Blue Shield | Medicare Advantage | $133.74 | ↓ -28% |
| HealthSpring | Medicare Advantage | $136.41 | ↓ -26% |
| Humana | Medicare Advantage | $139.08 | ↓ -25% |
| Superior Wellcare | Medicare Advantage HMO | $140.42 | ↓ -24% |
| Molina | Medicare Advantage | $140.42 | ↓ -24% |
| Amerigroup | Medicare Advantage | $140.42 | ↓ -24% |
| PHCS | PPO | $143.52 | ↓ -22% |
| Cigna | PPO | $143.93 | ↓ -22% |
| Aetna | Coventry | $144.76 | ↓ -22% |
| Aetna | ASA | $144.76 | ↓ -22% |
| Superior Wellcare | Medicare Advantage MMP | $147.11 | ↓ -20% |
| United Healthcare | Medicare Advantage PPO | $148.45 | ↓ -20% |
| United Healthcare | Medicare Advantage HMO | $151.12 | ↓ -18% |
| Healthsmart | Commercial | $154.88 | ↓ -16% |
| Blue Cross Blue Shield | HMO | $155.29 | ↓ -16% |
| Blue Cross Blue Shield | PPO | $172.43 | ↓ -7% |
| Multiplan | Commercial | $179.66 | ↓ -3% |
| Galaxy | Commercial | $181.72 | ↓ -2% |
| USA | MCO | $181.72 | ↓ -2% |
| Blue Cross Blue Shield | Traditional | $189.36 | ↑ +2% |
| Cigna | Indemnity | $194.32 | ↑ +5% |
Visitor-reported prices
Comments
Annual Physical, New Patient (age 18-39) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Hospital Plainview | Plainview | $103.32 | $209.88 – $216.69 |
| Covenant Hospital Levelland | Levelland | $103.32 | $216.69 – $237.73 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $134.70 | $135.08 – $135.08 |
| Adventhealth Rollins Brook | Lampasas | not published | $382.96 – $382.96 |
| CHRISTUS Children's Hospital | San Antonio | not published | $345.39 – $345.39 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $79.25 – $312.46 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $79.25 – $312.46 |
| Covenant Children's Hospital | Lubbock | not published | $339.19 – $339.19 |