Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm at Texas Health Harris Methodist Hospital Fort Worth
1301 Pennsylvania Avenue, Fort Worth, TX · Texashealth · · NPI 1336172105
$142.68
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.
$237.80
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.
$19.29 with United Healthcare vs $141.26 with United Healthcare — 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 | $19.29 | ↓ -86% |
| Cook Childrens | Managed Medicaid | $19.29 | ↓ -86% |
| Blue Cross Blue Shield | Managed Medicaid | $19.29 | ↓ -86% |
| Amerigroup | Managed Medicaid | $19.29 | ↓ -86% |
| Superior Wellcare | Managed Medicaid | $20.26 | ↓ -86% |
| Molina | Managed Medicaid | $20.84 | ↓ -85% |
| Aetna | Managed Medicaid | $21.23 | ↓ -85% |
| Aetna | Whole Health | $51.48 | ↓ -64% |
| Fort Worth Firefighters | Commercial | $55.83 | ↓ -61% |
| City of Fort Worth | Commercial | $56.57 | ↓ -60% |
| Blue Cross Blue Shield | Exchange | $56.72 | ↓ -60% |
| Aetna | Commercial | $68.63 | ↓ -52% |
| United Healthcare | All Payer | $77.00 | ↓ -46% |
| United Healthcare Options | PPO | $81.58 | ↓ -43% |
| Cigna | OAP/HMO | $82.30 | ↓ -42% |
| Quick Trip | Commercial | $89.32 | ↓ -37% |
| Blue Cross Blue Shield | HMO | $95.15 | ↓ -33% |
| PHCS | PPO | $103.46 | ↓ -27% |
| Cigna | PPO | $103.76 | ↓ -27% |
| Aetna | Coventry | $104.36 | ↓ -27% |
| Aetna | ASA | $104.36 | ↓ -27% |
| Blue Cross Blue Shield | PPO | $105.74 | ↓ -26% |
| Healthsmart | Commercial | $111.65 | ↓ -22% |
| American Health | Medicare Advantage | $125.01 | ↓ -12% |
| Blue Cross Blue Shield | Medicare Advantage | $125.01 | ↓ -12% |
| HealthSpring | Medicare Advantage | $127.51 | ↓ -11% |
| Multiplan | Commercial | $129.52 | ↓ -9% |
| Humana | Medicare Advantage | $130.01 | ↓ -9% |
| USA | MCO | $131.01 | ↓ -8% |
| Galaxy | Commercial | $131.01 | ↓ -8% |
| Superior Wellcare | Medicare Advantage HMO | $131.26 | ↓ -8% |
| Amerigroup | Medicare Advantage | $131.26 | ↓ -8% |
| Molina | Medicare Advantage | $131.26 | ↓ -8% |
| Blue Cross Blue Shield | Traditional | $136.51 | ↓ -4% |
| Superior Wellcare | Medicare Advantage MMP | $137.51 | ↓ -4% |
| United Healthcare | Medicare Advantage PPO | $138.76 | ↓ -3% |
| Cigna | Indemnity | $140.09 | ↓ -2% |
| United Healthcare | Medicare Advantage HMO | $141.26 | ↓ -1% |
| Parkland | Managed Medicaid | not published by hospital | — |
| Amerigroup | Medicare Advantage HMO | not published by hospital | — |
Visitor-reported prices
Comments
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $288.32 | $18.86 – $268.77 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $142.68 | $60.63 – $60.63 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth | $142.68 | $60.63 – $60.63 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $288.32 | $20.04 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $288.32 | $14.56 – $106.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $288.32 | $14.15 – $131.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $288.32 | $18.86 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $288.32 | $22.71 – $186.89 |