Drng open subdiaphragmatic/subphrenic absc 49040 at Texas Health Harris Methodist Hospital Fort Worth
1301 Pennsylvania Avenue, Fort Worth, TX · Texashealth · · NPI 1336172105
$2,068.50
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.
?
What you pay up front if you don't use insurance.
$3,447.50
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.
?
The hospital's undiscounted list price — almost no one pays this.
$446.80 with Blue Cross Blue Shield vs $12,195.00 with United Healthcare Options — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $446.80 | ↓ -78% |
| Cook Childrens | Managed Medicaid | $446.80 | ↓ -78% |
| Amerigroup | Managed Medicaid | $446.80 | ↓ -78% |
| United Healthcare | Managed Medicaid | $446.80 | ↓ -78% |
| Superior Wellcare | Managed Medicaid | $469.20 | ↓ -77% |
| Molina | Managed Medicaid | $482.65 | ↓ -77% |
| Aetna | Managed Medicaid | $491.61 | ↓ -76% |
| Blue Cross Blue Shield | Medicare Advantage | $941.95 | ↓ -54% |
| American Health | Medicare Advantage | $941.95 | ↓ -54% |
| HealthSpring | Medicare Advantage | $960.79 | ↓ -54% |
| Humana | Medicare Advantage | $979.63 | ↓ -53% |
| Molina | Medicare Advantage | $989.05 | ↓ -52% |
| Superior Wellcare | Medicare Advantage HMO | $989.05 | ↓ -52% |
| Amerigroup | Medicare Advantage | $989.05 | ↓ -52% |
| Superior Wellcare | Medicare Advantage MMP | $1,036.15 | ↓ -50% |
| United Healthcare | Medicare Advantage PPO | $1,045.56 | ↓ -49% |
| United Healthcare | Medicare Advantage HMO | $1,064.40 | ↓ -49% |
| Blue Cross Blue Shield | Exchange | $1,309.20 | ↓ -37% |
| Aetna | Whole Health | $1,331.42 | ↓ -36% |
| City of Fort Worth | Commercial | $1,620.33 | ↓ -22% |
| Aetna | Commercial | $1,775.46 | ↓ -14% |
| Cigna | OAP/HMO | $1,905.78 | ↓ -8% |
| Quick Trip | Commercial | $2,068.50 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $2,104.70 | ↑ +2% |
| PHCS | PPO | $2,396.01 | ↑ +16% |
| Cigna | PPO | $2,402.91 | ↑ +16% |
| Aetna | ASA | $2,416.70 | ↑ +17% |
| Aetna | Coventry | $2,416.70 | ↑ +17% |
| Blue Cross Blue Shield | HMO | $2,447.60 | ↑ +18% |
| Healthsmart | Commercial | $2,585.63 | ↑ +25% |
| Blue Cross Blue Shield | PPO | $2,719.43 | ↑ +31% |
| Multiplan | Commercial | $2,999.33 | ↑ +45% |
| Galaxy | Commercial | $3,033.80 | ↑ +47% |
| USA | MCO | $3,033.80 | ↑ +47% |
| Blue Cross Blue Shield | Traditional | $3,161.36 | ↑ +53% |
| Cigna | Indemnity | $3,244.10 | ↑ +57% |
| United Healthcare | All Payer | $9,586.00 | ↑ +363% |
| United Healthcare Options | PPO | $12,195.00 | ↑ +490% |
Visitor-reported prices
Comments
Drng open subdiaphragmatic/subphrenic absc 49040 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $2,068.50 | not published |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth | $2,068.50 | not published |
| Texas Health Presbyterian Hospital Allen | Allen | $2,068.50 | not published |
| Texas Health Presbyterian Hospital Plano | Plano | $2,068.50 | not published |
| Texas Health Hospital Frisco | Frisco | $2,068.50 | not published |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford | $2,068.50 | not published |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne | $2,068.50 | not published |
| Adventhealth Rollins Brook | Lampasas | not published | $1,301.91 – $4,826.69 |