Established Patient Office Visit (level 5) at Texas Health Harris Methodist Hospital Fort Worth
1301 Pennsylvania Avenue, Fort Worth, TX · Texashealth · · NPI 1336172105
$1,074.90
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.
$1,791.50
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.
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The hospital's undiscounted list price — almost no one pays this.
$33.40 with United Healthcare vs $242.54 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 | $33.40 | ↓ -97% |
| Cook Childrens | Managed Medicaid | $33.40 | ↓ -97% |
| Blue Cross Blue Shield | Managed Medicaid | $33.40 | ↓ -97% |
| Amerigroup | Managed Medicaid | $33.40 | ↓ -97% |
| Superior Wellcare | Managed Medicaid | $35.08 | ↓ -97% |
| Molina | Managed Medicaid | $36.09 | ↓ -97% |
| Aetna | Managed Medicaid | $36.76 | ↓ -97% |
| Blue Cross Blue Shield | Exchange | $98.20 | ↓ -91% |
| Aetna | Whole Health | $105.83 | ↓ -90% |
| Fort Worth Firefighters | Commercial | $113.23 | ↓ -89% |
| City of Fort Worth | Commercial | $121.14 | ↓ -89% |
| United Healthcare | All Payer | $133.31 | ↓ -88% |
| Aetna | Commercial | $141.12 | ↓ -87% |
| United Healthcare Options | PPO | $141.25 | ↓ -87% |
| Cigna | OAP/HMO | $142.48 | ↓ -87% |
| Quick Trip | Commercial | $154.65 | ↓ -86% |
| PHCS | PPO | $179.14 | ↓ -83% |
| Cigna | PPO | $179.65 | ↓ -83% |
| Aetna | Coventry | $180.68 | ↓ -83% |
| Aetna | ASA | $180.68 | ↓ -83% |
| American Health | Medicare Advantage | $191.04 | ↓ -82% |
| Blue Cross Blue Shield | Medicare Advantage | $191.04 | ↓ -82% |
| Healthsmart | Commercial | $193.31 | ↓ -82% |
| Blue Cross Blue Shield | HMO | $193.83 | ↓ -82% |
| HealthSpring | Medicare Advantage | $194.86 | ↓ -82% |
| Humana | Medicare Advantage | $198.68 | ↓ -82% |
| Molina | Medicare Advantage | $200.59 | ↓ -81% |
| Amerigroup | Medicare Advantage | $200.59 | ↓ -81% |
| Superior Wellcare | Medicare Advantage HMO | $200.59 | ↓ -81% |
| Superior Wellcare | Medicare Advantage MMP | $210.14 | ↓ -80% |
| United Healthcare | Medicare Advantage PPO | $212.05 | ↓ -80% |
| Blue Cross Blue Shield | PPO | $215.22 | ↓ -80% |
| United Healthcare | Medicare Advantage HMO | $215.88 | ↓ -80% |
| Multiplan | Commercial | $224.24 | ↓ -79% |
| USA | MCO | $226.82 | ↓ -79% |
| Galaxy | Commercial | $226.82 | ↓ -79% |
| Blue Cross Blue Shield | Traditional | $236.36 | ↓ -78% |
| Cigna | Indemnity | $242.54 | ↓ -77% |
| Parkland | Managed Medicaid | not published by hospital | — |
| Amerigroup | Medicare Advantage HMO | not published by hospital | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 5) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $484.35 | $153.18 – $153.18 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth | $1,074.90 | $153.18 – $153.18 |
| Adventhealth Rollins Brook | Lampasas | $450.00 | $434.28 – $434.28 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $884.58 | $263.95 – $315.77 |
| HCA HOUSTON MEDICAL CENTER | Houston | $1,971.10 | $263.95 – $315.77 |
| Baylor St Luke's Medical Center | Houston | $174.65 | $82.00 – $499.00 |
| St. Joseph Health Madison Hospital | Madisonville | $113.58 | $30.45 – $224.47 |
| St. Luke's Health Memorial Lufkin | Lufkin | $253.49 | $83.24 – $499.40 |