Sigmoidoscopy and biopsy at Texas Health Harris Methodist Hospital Fort Worth
1301 Pennsylvania Avenue, Fort Worth, TX · Texashealth · · NPI 1336172105
$547.05
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.
$911.75
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.
$328.50 with Amerigroup vs $3,076.00 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $328.50 | ↓ -40% |
| Cook Childrens | Managed Medicaid | $328.50 | ↓ -40% |
| United Healthcare | Managed Medicaid | $328.50 | ↓ -40% |
| Blue Cross Blue Shield | Managed Medicaid | $328.50 | ↓ -40% |
| Fort Worth Firefighters | Commercial | $341.91 | ↓ -37% |
| Superior Wellcare | Managed Medicaid | $344.93 | ↓ -37% |
| City of Fort Worth | Commercial | $346.47 | ↓ -37% |
| Blue Cross Blue Shield | Exchange | $347.38 | ↓ -36% |
| Aetna | Whole Health | $352.12 | ↓ -36% |
| Molina | Managed Medicaid | $354.78 | ↓ -35% |
| Aetna | Managed Medicaid | $361.35 | ↓ -34% |
| Aetna | Commercial | $469.55 | ↓ -14% |
| Cigna | OAP/HMO | $504.02 | ↓ -8% |
| Quick Trip | Commercial | $547.05 | ↑ +0% |
| PHCS | PPO | $633.67 | ↑ +16% |
| Cigna | PPO | $635.49 | ↑ +16% |
| Aetna | ASA | $639.14 | ↑ +17% |
| Aetna | Coventry | $639.14 | ↑ +17% |
| Healthsmart | Commercial | $683.81 | ↑ +25% |
| Blue Cross Blue Shield | HMO | $685.64 | ↑ +25% |
| Blue Cross Blue Shield | PPO | $761.31 | ↑ +39% |
| Multiplan | Commercial | $793.22 | ↑ +45% |
| Galaxy | Commercial | $802.34 | ↑ +47% |
| USA | MCO | $802.34 | ↑ +47% |
| Blue Cross Blue Shield | Traditional | $836.07 | ↑ +53% |
| Cigna | Indemnity | $857.96 | ↑ +57% |
| American Health | Medicare Advantage | $934.20 | ↑ +71% |
| Blue Cross Blue Shield | Medicare Advantage | $934.20 | ↑ +71% |
| HealthSpring | Medicare Advantage | $952.88 | ↑ +74% |
| Humana | Medicare Advantage | $971.56 | ↑ +78% |
| Superior Wellcare | Medicare Advantage HMO | $980.91 | ↑ +79% |
| Amerigroup | Medicare Advantage | $980.91 | ↑ +79% |
| Molina | Medicare Advantage | $980.91 | ↑ +79% |
| Superior Wellcare | Medicare Advantage MMP | $1,027.61 | ↑ +88% |
| United Healthcare | Medicare Advantage PPO | $1,036.96 | ↑ +90% |
| United Healthcare | Medicare Advantage HMO | $1,055.64 | ↑ +93% |
| United Healthcare | All Payer | $2,380.00 | ↑ +335% |
| United Healthcare Options | PPO | $3,076.00 | ↑ +462% |
| Parkland | Managed Medicaid | not published by hospital | — |
| Amerigroup | Medicare Advantage HMO | not published by hospital | — |
Visitor-reported prices
Comments
Sigmoidoscopy and biopsy at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $547.05 | $328.50 – $361.35 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth | $547.05 | $328.50 – $361.35 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | not published | $328.50 – $3,693.00 |
| St. Luke's Health - Patients Medical Center | Pasadena | $1,200.85 | $2,058.60 – $2,573.25 |
| Baylor St Luke's Medical Center | Houston | $723.80 | $558.36 – $2,068.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $723.80 | $558.36 – $2,068.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $723.80 | $558.36 – $2,068.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $723.80 | $558.36 – $2,068.00 |