Annual Physical, New Patient (age 40-64) at Texas Health Harris Methodist Hospital Fort Worth
1301 Pennsylvania Avenue, Fort Worth, TX · Texashealth · · NPI 1336172105
$144.60
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.
$241.00
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.
$31.23 with Cook Childrens vs $226.78 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 | $31.23 | ↓ -78% |
| Amerigroup | Managed Medicaid | $31.23 | ↓ -78% |
| United Healthcare | Managed Medicaid | $31.23 | ↓ -78% |
| Blue Cross Blue Shield | Managed Medicaid | $31.23 | ↓ -78% |
| Superior Wellcare | Managed Medicaid | $32.80 | ↓ -77% |
| Molina | Managed Medicaid | $33.74 | ↓ -77% |
| Aetna | Managed Medicaid | $34.37 | ↓ -76% |
| Blue Cross Blue Shield | Exchange | $91.82 | ↓ -37% |
| Aetna | Whole Health | $98.95 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $105.87 | ↓ -27% |
| City of Fort Worth | Commercial | $113.27 | ↓ -22% |
| United Healthcare | All Payer | $124.65 | ↓ -14% |
| Aetna | Commercial | $131.95 | ↓ -9% |
| United Healthcare Options | PPO | $132.07 | ↓ -9% |
| Cigna | OAP/HMO | $133.22 | ↓ -8% |
| Quick Trip | Commercial | $144.60 | ↑ +0% |
| American Health | Medicare Advantage | $154.68 | ↑ +7% |
| Blue Cross Blue Shield | Medicare Advantage | $154.68 | ↑ +7% |
| HealthSpring | Medicare Advantage | $157.78 | ↑ +9% |
| Humana | Medicare Advantage | $160.87 | ↑ +11% |
| Superior Wellcare | Medicare Advantage HMO | $162.42 | ↑ +12% |
| Molina | Medicare Advantage | $162.42 | ↑ +12% |
| Amerigroup | Medicare Advantage | $162.42 | ↑ +12% |
| PHCS | PPO | $167.50 | ↑ +16% |
| Cigna | PPO | $167.98 | ↑ +16% |
| Aetna | Coventry | $168.94 | ↑ +17% |
| Aetna | ASA | $168.94 | ↑ +17% |
| Superior Wellcare | Medicare Advantage MMP | $170.15 | ↑ +18% |
| United Healthcare | Medicare Advantage PPO | $171.70 | ↑ +19% |
| United Healthcare | Medicare Advantage HMO | $174.79 | ↑ +21% |
| Healthsmart | Commercial | $180.75 | ↑ +25% |
| Blue Cross Blue Shield | HMO | $181.23 | ↑ +25% |
| Blue Cross Blue Shield | PPO | $201.24 | ↑ +39% |
| Multiplan | Commercial | $209.67 | ↑ +45% |
| Galaxy | Commercial | $212.08 | ↑ +47% |
| USA | MCO | $212.08 | ↑ +47% |
| Blue Cross Blue Shield | Traditional | $221.00 | ↑ +53% |
| Cigna | Indemnity | $226.78 | ↑ +57% |
Visitor-reported prices
Comments
Annual Physical, New Patient (age 40-64) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $26.25 | $19.11 – $150.00 |
| St. Joseph Health College Station Hospital | College Station | $26.25 | $77.00 – $150.00 |
| St. Joseph Health Grimes Hospital | Navasota | $26.25 | $54.39 – $166.50 |
| St. Joseph Health Burleson Hospital | Caldwell | $26.25 | $33.00 – $150.00 |
| Covenant Hospital Plainview | Plainview | $121.38 | $255.50 – $262.51 |
| Covenant Hospital Levelland | Levelland | $121.38 | $262.51 – $289.41 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $144.60 | $164.44 – $164.44 |
| Adventhealth Rollins Brook | Lampasas | not published | $466.20 – $466.20 |