Pt evaluation moderate complexity patient/family at Texas Health Harris Methodist Hospital Fort Worth
1301 Pennsylvania Avenue, Fort Worth, TX · Texashealth · · NPI 1336172105
$327.15
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.
$545.25
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.
$26.76 with Cook Childrens vs $401.00 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 |
|---|---|---|---|
| Cook Childrens | Managed Medicaid | $26.76 | ↓ -92% |
| United Healthcare | Managed Medicaid | $26.76 | ↓ -92% |
| Amerigroup | Managed Medicaid | $26.76 | ↓ -92% |
| Blue Cross Blue Shield | Managed Medicaid | $26.76 | ↓ -92% |
| Superior Wellcare | Managed Medicaid | $28.10 | ↓ -91% |
| Molina | Managed Medicaid | $28.91 | ↓ -91% |
| Aetna | Managed Medicaid | $29.45 | ↓ -91% |
| Fort Worth Firefighters | Commercial | $77.44 | ↓ -76% |
| City of Fort Worth | Commercial | $78.47 | ↓ -76% |
| Blue Cross Blue Shield | Exchange | $78.68 | ↓ -76% |
| Aetna | Whole Health | $84.79 | ↓ -74% |
| American Health | Medicare Advantage | $97.64 | ↓ -70% |
| Blue Cross Blue Shield | Medicare Advantage | $97.64 | ↓ -70% |
| HealthSpring | Medicare Advantage | $99.59 | ↓ -70% |
| Humana | Medicare Advantage | $101.54 | ↓ -69% |
| Amerigroup | Medicare Advantage | $102.52 | ↓ -69% |
| Molina | Medicare Advantage | $102.52 | ↓ -69% |
| Superior Wellcare | Medicare Advantage HMO | $102.52 | ↓ -69% |
| Superior Wellcare | Medicare Advantage MMP | $107.40 | ↓ -67% |
| United Healthcare | Medicare Advantage PPO | $108.38 | ↓ -67% |
| United Healthcare | Medicare Advantage HMO | $110.33 | ↓ -66% |
| Aetna | Commercial | $113.06 | ↓ -65% |
| Quick Trip | Commercial | $123.90 | ↓ -62% |
| PHCS | PPO | $143.52 | ↓ -56% |
| Aetna | ASA | $144.76 | ↓ -56% |
| Aetna | Coventry | $144.76 | ↓ -56% |
| Healthsmart | Commercial | $154.88 | ↓ -53% |
| Blue Cross Blue Shield | HMO | $155.29 | ↓ -53% |
| Blue Cross Blue Shield | PPO | $172.43 | ↓ -47% |
| Multiplan | Commercial | $179.66 | ↓ -45% |
| USA | MCO | $181.72 | ↓ -44% |
| Galaxy | Commercial | $181.72 | ↓ -44% |
| Blue Cross Blue Shield | Traditional | $189.36 | ↓ -42% |
| Cigna | Indemnity | $194.32 | ↓ -41% |
| United Healthcare | All Payer | $308.00 | ↓ -6% |
| Cigna | OAP/HMO | $328.00 | ↑ +0% |
| Cigna | PPO | $396.00 | ↑ +21% |
| United Healthcare Options | PPO | $401.00 | ↑ +23% |
| Amerigroup | Medicare Advantage HMO | not published by hospital | — |
| Parkland | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Pt evaluation moderate complexity patient/family at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $285.10 | $76.03 – $403.89 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $327.15 | $117.45 – $117.45 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth | $327.15 | $117.45 – $117.45 |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER - ALLIANCE | FORT WORTH | $700.88 | $85.92 – $225.12 |
| Adventhealth Rollins Brook | Lampasas | $554.20 | $332.99 – $332.99 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $285.10 | $80.78 – $403.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $332.36 | $68.41 – $498.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $352.31 | $70.46 – $440.38 |