Apl(pml-rara) quant - sendout at Texas Health Harris Methodist Hospital Fort Worth
1301 Pennsylvania Avenue, Fort Worth, TX · Texashealth · · NPI 1336172105
$810.00
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.
$1,350.00
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.
$174.14 with Blue Cross Blue Shield vs $1,126.61 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 | $174.14 | ↓ -79% |
| Cook Childrens | Managed Medicaid | $174.14 | ↓ -79% |
| Amerigroup | Managed Medicaid | $174.14 | ↓ -79% |
| United Healthcare | Managed Medicaid | $174.14 | ↓ -79% |
| Superior Wellcare | Managed Medicaid | $182.85 | ↓ -77% |
| Molina | Managed Medicaid | $188.07 | ↓ -77% |
| Aetna | Managed Medicaid | $191.55 | ↓ -76% |
| American Health | Medicare Advantage | $207.31 | ↓ -74% |
| United Healthcare Options | PPO | $207.31 | ↓ -74% |
| United Healthcare | All Payer | $207.31 | ↓ -74% |
| Blue Cross Blue Shield | Medicare Advantage | $207.31 | ↓ -74% |
| HealthSpring | Medicare Advantage | $211.46 | ↓ -74% |
| Humana | Medicare Advantage | $215.60 | ↓ -73% |
| Molina | Medicare Advantage | $217.68 | ↓ -73% |
| Superior Wellcare | Medicare Advantage HMO | $217.68 | ↓ -73% |
| Amerigroup | Medicare Advantage | $217.68 | ↓ -73% |
| Superior Wellcare | Medicare Advantage MMP | $228.04 | ↓ -72% |
| United Healthcare | Medicare Advantage PPO | $230.11 | ↓ -72% |
| Blue Cross Blue Shield | Exchange | $230.53 | ↓ -72% |
| United Healthcare | Medicare Advantage HMO | $234.26 | ↓ -71% |
| Blue Cross Blue Shield | HMO | $410.47 | ↓ -49% |
| Fort Worth Firefighters | Commercial | $448.97 | ↓ -45% |
| City of Fort Worth | Commercial | $454.96 | ↓ -44% |
| Blue Cross Blue Shield | PPO | $456.08 | ↓ -44% |
| Aetna | Whole Health | $644.68 | ↓ -20% |
| Cigna | OAP/HMO | $661.84 | ↓ -18% |
| Quick Trip | Commercial | $718.35 | ↓ -11% |
| PHCS | PPO | $832.09 | ↑ +3% |
| Cigna | PPO | $834.48 | ↑ +3% |
| Aetna | ASA | $839.27 | ↑ +4% |
| Aetna | Coventry | $839.27 | ↑ +4% |
| Aetna | Commercial | $859.57 | ↑ +6% |
| Healthsmart | Commercial | $897.94 | ↑ +11% |
| Multiplan | Commercial | $1,041.61 | ↑ +29% |
| USA | MCO | $1,053.58 | ↑ +30% |
| Galaxy | Commercial | $1,053.58 | ↑ +30% |
| Blue Cross Blue Shield | Traditional | $1,097.88 | ↑ +36% |
| Cigna | Indemnity | $1,126.61 | ↑ +39% |
| Amerigroup | Medicare Advantage HMO | not published by hospital | — |
| Parkland | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Apl(pml-rara) quant - sendout at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $673.04 | $10.00 – $613.12 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $718.35 | $174.14 – $207.31 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth | $718.35 | $174.14 – $207.31 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $673.04 | $10.00 – $613.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $650.81 | $12.00 – $735.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $567.00 | $12.00 – $613.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $673.04 | $10.00 – $613.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $650.81 | $12.00 – $735.75 |