Bx breast 1st lesion mr imag at Texas Health Harris Methodist Hospital Fort Worth
1301 Pennsylvania Avenue, Fort Worth, TX · Texashealth · · NPI 1336172105
$3,497.40
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.
$5,829.00
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.
$486.45 with United Healthcare vs $5,274.07 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $486.45 | ↓ -86% |
| Cook Childrens | Managed Medicaid | $486.45 | ↓ -86% |
| Blue Cross Blue Shield | Managed Medicaid | $486.45 | ↓ -86% |
| Amerigroup | Managed Medicaid | $486.45 | ↓ -86% |
| Superior Wellcare | Managed Medicaid | $510.77 | ↓ -85% |
| Molina | Managed Medicaid | $525.37 | ↓ -85% |
| Aetna | Managed Medicaid | $535.10 | ↓ -85% |
| Blue Cross Blue Shield | Exchange | $1,625.38 | ↓ -54% |
| Blue Cross Blue Shield | Medicare Advantage | $1,659.12 | ↓ -53% |
| American Health | Medicare Advantage | $1,659.12 | ↓ -53% |
| HealthSpring | Medicare Advantage | $1,692.31 | ↓ -52% |
| Humana | Medicare Advantage | $1,725.49 | ↓ -51% |
| Amerigroup | Medicare Advantage | $1,742.08 | ↓ -50% |
| Molina | Medicare Advantage | $1,742.08 | ↓ -50% |
| Superior Wellcare | Medicare Advantage HMO | $1,742.08 | ↓ -50% |
| Superior Wellcare | Medicare Advantage MMP | $1,825.04 | ↓ -48% |
| United Healthcare | Medicare Advantage PPO | $1,841.63 | ↓ -47% |
| United Healthcare | Medicare Advantage HMO | $1,874.81 | ↓ -46% |
| Fort Worth Firefighters | Commercial | $2,185.88 | ↓ -37% |
| City of Fort Worth | Commercial | $2,215.02 | ↓ -37% |
| Aetna | Whole Health | $2,301.31 | ↓ -34% |
| Blue Cross Blue Shield | HMO | $2,589.39 | ↓ -26% |
| Blue Cross Blue Shield | PPO | $2,880.84 | ↓ -18% |
| United Healthcare | All Payer | $2,898.78 | ↓ -17% |
| Aetna | Commercial | $3,068.60 | ↓ -12% |
| United Healthcare Options | PPO | $3,071.40 | ↓ -12% |
| Cigna | OAP/HMO | $3,098.31 | ↓ -11% |
| Quick Trip | Commercial | $3,362.85 | ↓ -4% |
| PHCS | PPO | $3,895.30 | ↑ +11% |
| Cigna | PPO | $3,906.51 | ↑ +12% |
| Aetna | Coventry | $3,928.93 | ↑ +12% |
| Aetna | ASA | $3,928.93 | ↑ +12% |
| Healthsmart | Commercial | $4,203.56 | ↑ +20% |
| Blue Cross Blue Shield | Traditional | $4,623.92 | ↑ +32% |
| Multiplan | Commercial | $4,876.13 | ↑ +39% |
| USA | MCO | $4,932.18 | ↑ +41% |
| Galaxy | Commercial | $4,932.18 | ↑ +41% |
| Cigna | Indemnity | $5,274.07 | ↑ +51% |
| Amerigroup | Medicare Advantage HMO | not published by hospital | — |
| Parkland | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Bx breast 1st lesion mr imag at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $3,231.90 | $486.45 – $4,039.88 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $3,497.40 | $486.45 – $535.10 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth | $3,497.40 | $486.45 – $535.10 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,231.90 | $486.45 – $4,039.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,231.90 | $71.00 – $4,847.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,231.90 | $71.00 – $4,039.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,231.90 | $486.45 – $4,039.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,231.90 | $85.00 – $4,847.85 |