ER Visit (level 5, high severity) at Texas Health Harris Methodist Hospital Fort Worth
1301 Pennsylvania Avenue, Fort Worth, TX · Texashealth · · NPI 1336172105
$1,591.20
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.
$2,652.00
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.
$343.70 with United Healthcare vs $8,657.00 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $343.70 | ↓ -78% |
| Cook Childrens | Managed Medicaid | $343.70 | ↓ -78% |
| Blue Cross Blue Shield | Managed Medicaid | $343.70 | ↓ -78% |
| Amerigroup | Managed Medicaid | $343.70 | ↓ -78% |
| Superior Wellcare | Managed Medicaid | $360.94 | ↓ -77% |
| Molina | Managed Medicaid | $371.28 | ↓ -77% |
| Aetna | Managed Medicaid | $378.18 | ↓ -76% |
| Blue Cross Blue Shield | Medicare Advantage | $598.24 | ↓ -62% |
| American Health | Medicare Advantage | $598.24 | ↓ -62% |
| HealthSpring | Medicare Advantage | $610.21 | ↓ -62% |
| Humana | Medicare Advantage | $622.17 | ↓ -61% |
| Molina | Medicare Advantage | $628.16 | ↓ -61% |
| Amerigroup | Medicare Advantage | $628.16 | ↓ -61% |
| Superior Wellcare | Medicare Advantage HMO | $628.16 | ↓ -61% |
| Superior Wellcare | Medicare Advantage MMP | $658.07 | ↓ -59% |
| United Healthcare | Medicare Advantage PPO | $664.05 | ↓ -58% |
| United Healthcare | Medicare Advantage HMO | $676.02 | ↓ -58% |
| Blue Cross Blue Shield | Exchange | $1,010.41 | ↓ -37% |
| City of Fort Worth | Commercial | $1,246.44 | ↓ -22% |
| Aetna | Whole Health | $1,360.74 | ↓ -14% |
| Fort Worth Firefighters | Commercial | $1,385.40 | ↓ -13% |
| Cigna | OAP/HMO | $1,466.03 | ↓ -8% |
| Quick Trip | Commercial | $1,591.20 | ↑ +0% |
| Aetna | Commercial | $1,814.23 | ↑ +14% |
| PHCS | PPO | $1,843.14 | ↑ +16% |
| Cigna | PPO | $1,848.44 | ↑ +16% |
| Aetna | Coventry | $1,859.05 | ↑ +17% |
| Aetna | ASA | $1,859.05 | ↑ +17% |
| Healthsmart | Commercial | $1,989.00 | ↑ +25% |
| Blue Cross Blue Shield | HMO | $1,994.30 | ↑ +25% |
| Blue Cross Blue Shield | PPO | $2,214.42 | ↑ +39% |
| Multiplan | Commercial | $2,307.24 | ↑ +45% |
| Galaxy | Commercial | $2,333.76 | ↑ +47% |
| USA | MCO | $2,333.76 | ↑ +47% |
| Blue Cross Blue Shield | Traditional | $2,431.88 | ↑ +53% |
| Cigna | Indemnity | $2,495.53 | ↑ +57% |
| United Healthcare | All Payer | $6,468.00 | ↑ +306% |
| United Healthcare Options | PPO | $8,657.00 | ↑ +444% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,327.80 | $568.33 – $5,475.00 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $1,591.20 | not published |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth | $1,591.20 | not published |
| Adventhealth Rollins Brook | Lampasas | $3,127.54 | $1,942.36 – $1,942.36 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,327.80 | $568.33 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,377.55 | $489.38 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,377.55 | $475.51 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,327.80 | $568.33 – $6,643.00 |