Bx breast add lesion strtctc at Texas Health Harris Methodist Hospital Fort Worth
1301 Pennsylvania Avenue, Fort Worth, TX · Texashealth · · NPI 1336172105
$3,609.00
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.
$6,015.00
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.
$358.90 with American Health vs $5,660.12 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 |
|---|---|---|---|
| American Health | Medicare Advantage | $358.90 | ↓ -90% |
| Blue Cross Blue Shield | Medicare Advantage | $358.90 | ↓ -90% |
| HealthSpring | Medicare Advantage | $366.08 | ↓ -90% |
| Humana | Medicare Advantage | $373.25 | ↓ -90% |
| Molina | Medicare Advantage | $376.84 | ↓ -90% |
| Amerigroup | Medicare Advantage | $376.84 | ↓ -90% |
| Superior Wellcare | Medicare Advantage HMO | $376.84 | ↓ -90% |
| Superior Wellcare | Medicare Advantage MMP | $394.79 | ↓ -89% |
| United Healthcare | Medicare Advantage PPO | $398.38 | ↓ -89% |
| United Healthcare | Medicare Advantage HMO | $405.55 | ↓ -89% |
| United Healthcare | Managed Medicaid | $779.54 | ↓ -78% |
| Amerigroup | Managed Medicaid | $779.54 | ↓ -78% |
| Cook Childrens | Managed Medicaid | $779.54 | ↓ -78% |
| Blue Cross Blue Shield | Managed Medicaid | $779.54 | ↓ -78% |
| Superior Wellcare | Managed Medicaid | $818.64 | ↓ -77% |
| Molina | Managed Medicaid | $842.10 | ↓ -77% |
| Aetna | Managed Medicaid | $857.74 | ↓ -76% |
| Fort Worth Firefighters | Commercial | $996.00 | ↓ -72% |
| United Healthcare | All Payer | $1,247.00 | ↓ -65% |
| United Healthcare Options | PPO | $1,568.00 | ↓ -57% |
| Blue Cross Blue Shield | Exchange | $2,291.72 | ↓ -36% |
| Aetna | Whole Health | $2,469.76 | ↓ -32% |
| City of Fort Worth | Commercial | $2,827.05 | ↓ -22% |
| Aetna | Commercial | $3,293.21 | ↓ -9% |
| Cigna | OAP/HMO | $3,325.09 | ↓ -8% |
| Quick Trip | Commercial | $3,609.00 | ↑ +0% |
| PHCS | PPO | $4,180.43 | ↑ +16% |
| Cigna | PPO | $4,192.46 | ↑ +16% |
| Aetna | ASA | $4,216.52 | ↑ +17% |
| Aetna | Coventry | $4,216.52 | ↑ +17% |
| Healthsmart | Commercial | $4,511.25 | ↑ +25% |
| Blue Cross Blue Shield | HMO | $4,523.28 | ↑ +25% |
| Blue Cross Blue Shield | PPO | $5,022.53 | ↑ +39% |
| Multiplan | Commercial | $5,233.05 | ↑ +45% |
| USA | MCO | $5,293.20 | ↑ +47% |
| Galaxy | Commercial | $5,293.20 | ↑ +47% |
| Blue Cross Blue Shield | Traditional | $5,515.76 | ↑ +53% |
| Cigna | Indemnity | $5,660.12 | ↑ +57% |
Visitor-reported prices
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Bx breast add lesion strtctc at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,339.34 | $357.16 – $1,897.40 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $3,609.00 | not published |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth | $3,609.00 | not published |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,339.34 | $379.48 – $1,897.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $764.56 | $71.00 – $1,146.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $928.58 | $71.00 – $1,160.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,339.34 | $357.16 – $1,897.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $764.56 | $85.00 – $1,146.84 |