Autoimmune rheumatoid arthr anl 12 mrk ia at Texas Health Harris Methodist Hospital Fort Worth
1301 Pennsylvania Avenue, Fort Worth, TX · Texashealth · · NPI 1336172105
$1,211.40
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.
$2,019.00
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.
$261.66 with Amerigroup vs $1,899.88 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $261.66 | ↓ -78% |
| Cook Childrens | Managed Medicaid | $261.66 | ↓ -78% |
| Blue Cross Blue Shield | Managed Medicaid | $261.66 | ↓ -78% |
| United Healthcare | Managed Medicaid | $261.66 | ↓ -78% |
| Superior Wellcare | Managed Medicaid | $274.79 | ↓ -77% |
| Molina | Managed Medicaid | $282.66 | ↓ -77% |
| Aetna | Managed Medicaid | $287.91 | ↓ -76% |
| Blue Cross Blue Shield | Exchange | $769.24 | ↓ -36% |
| Blue Cross Blue Shield | Medicare Advantage | $840.65 | ↓ -31% |
| United Healthcare Options | PPO | $840.65 | ↓ -31% |
| American Health | Medicare Advantage | $840.65 | ↓ -31% |
| United Healthcare | All Payer | $840.65 | ↓ -31% |
| HealthSpring | Medicare Advantage | $857.46 | ↓ -29% |
| Humana | Medicare Advantage | $874.28 | ↓ -28% |
| Superior Wellcare | Medicare Advantage HMO | $882.68 | ↓ -27% |
| Amerigroup | Medicare Advantage | $882.68 | ↓ -27% |
| Molina | Medicare Advantage | $882.68 | ↓ -27% |
| Fort Worth Firefighters | Commercial | $886.95 | ↓ -27% |
| Superior Wellcare | Medicare Advantage MMP | $924.72 | ↓ -24% |
| United Healthcare | Medicare Advantage PPO | $933.12 | ↓ -23% |
| City of Fort Worth | Commercial | $948.93 | ↓ -22% |
| United Healthcare | Medicare Advantage HMO | $949.93 | ↓ -22% |
| Cigna | OAP/HMO | $1,116.10 | ↓ -8% |
| Quick Trip | Commercial | $1,211.40 | ↑ +0% |
| Aetna | Whole Health | $1,338.89 | ↑ +11% |
| PHCS | PPO | $1,403.21 | ↑ +16% |
| Cigna | PPO | $1,407.24 | ↑ +16% |
| Aetna | Coventry | $1,415.32 | ↑ +17% |
| Aetna | ASA | $1,415.32 | ↑ +17% |
| Healthsmart | Commercial | $1,514.25 | ↑ +25% |
| Blue Cross Blue Shield | HMO | $1,518.29 | ↑ +25% |
| Blue Cross Blue Shield | PPO | $1,685.87 | ↑ +39% |
| Multiplan | Commercial | $1,756.53 | ↑ +45% |
| USA | MCO | $1,776.72 | ↑ +47% |
| Galaxy | Commercial | $1,776.72 | ↑ +47% |
| Aetna | Commercial | $1,785.19 | ↑ +47% |
| Blue Cross Blue Shield | Traditional | $1,851.42 | ↑ +53% |
| Cigna | Indemnity | $1,899.88 | ↑ +57% |
Visitor-reported prices
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Autoimmune rheumatoid arthr anl 12 mrk ia at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $357.79 | $35.00 – $2,017.56 |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER - ALLIANCE | FORT WORTH | not published | $840.65 – $2,202.50 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $357.79 | $35.00 – $2,017.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $357.79 | $35.00 – $2,017.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $357.79 | $35.00 – $2,017.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $357.79 | $35.00 – $2,017.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $357.79 | $35.00 – $2,017.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $357.79 | $35.00 – $2,017.56 |