Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at Texas Health Harris Methodist Hospital Fort Worth
1301 Pennsylvania Avenue, Fort Worth, TX · Texashealth · · NPI 1336172105
$447.75
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.
$746.25
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.
$39.86 with Blue Cross Blue Shield vs $1,568.00 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $39.86 | ↓ -91% |
| Cook Childrens | Managed Medicaid | $39.86 | ↓ -91% |
| United Healthcare | Managed Medicaid | $39.86 | ↓ -91% |
| Amerigroup | Managed Medicaid | $39.86 | ↓ -91% |
| Superior Wellcare | Managed Medicaid | $41.85 | ↓ -91% |
| Molina | Managed Medicaid | $43.05 | ↓ -90% |
| Aetna | Managed Medicaid | $43.85 | ↓ -90% |
| Blue Cross Blue Shield | Exchange | $53.99 | ↓ -88% |
| Blue Cross Blue Shield | HMO | $100.93 | ↓ -77% |
| Blue Cross Blue Shield | PPO | $112.14 | ↓ -75% |
| Fort Worth Firefighters | Commercial | $279.84 | ↓ -38% |
| City of Fort Worth | Commercial | $283.58 | ↓ -37% |
| Aetna | Whole Health | $288.20 | ↓ -36% |
| Blue Cross Blue Shield | Medicare Advantage | $308.35 | ↓ -31% |
| American Health | Medicare Advantage | $308.35 | ↓ -31% |
| HealthSpring | Medicare Advantage | $314.52 | ↓ -30% |
| Humana | Medicare Advantage | $320.68 | ↓ -28% |
| Amerigroup | Medicare Advantage | $323.77 | ↓ -28% |
| Molina | Medicare Advantage | $323.77 | ↓ -28% |
| Superior Wellcare | Medicare Advantage HMO | $323.77 | ↓ -28% |
| Superior Wellcare | Medicare Advantage MMP | $339.19 | ↓ -24% |
| United Healthcare | Medicare Advantage PPO | $342.27 | ↓ -24% |
| United Healthcare | Medicare Advantage HMO | $348.44 | ↓ -22% |
| Blue Cross Blue Shield | Traditional | $358.89 | ↓ -20% |
| Aetna | Commercial | $384.32 | ↓ -14% |
| Cigna | OAP/HMO | $412.53 | ↓ -8% |
| Quick Trip | Commercial | $447.75 | ↑ +0% |
| PHCS | PPO | $518.64 | ↑ +16% |
| Cigna | PPO | $520.14 | ↑ +16% |
| Aetna | Coventry | $523.12 | ↑ +17% |
| Aetna | ASA | $523.12 | ↑ +17% |
| Healthsmart | Commercial | $559.69 | ↑ +25% |
| Multiplan | Commercial | $649.24 | ↑ +45% |
| Galaxy | Commercial | $656.70 | ↑ +47% |
| USA | MCO | $656.70 | ↑ +47% |
| Cigna | Indemnity | $702.22 | ↑ +57% |
| United Healthcare | All Payer | $1,247.00 | ↑ +179% |
| United Healthcare Options | PPO | $1,568.00 | ↑ +250% |
| Amerigroup | Medicare Advantage HMO | not published by hospital | — |
| Parkland | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $807.56 | $39.86 – $1,009.46 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | not published | $39.86 – $43.85 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth | not published | $39.86 – $43.85 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $807.56 | $39.86 – $1,009.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,000.01 | $42.65 – $1,500.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $944.18 | $39.86 – $1,180.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $807.56 | $39.86 – $1,009.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,000.01 | $42.65 – $1,500.02 |