Tc-99m tilmanocept diag at Texas Health Harris Methodist Hospital Fort Worth
1301 Pennsylvania Avenue, Fort Worth, TX · Texashealth · · NPI 1336172105
$1,121.70
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.
$1,869.50
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.
$242.29 with United Healthcare vs $1,759.20 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 | $242.29 | ↓ -78% |
| Cook Childrens | Managed Medicaid | $242.29 | ↓ -78% |
| Blue Cross Blue Shield | Managed Medicaid | $242.29 | ↓ -78% |
| Amerigroup | Managed Medicaid | $242.29 | ↓ -78% |
| Superior Wellcare | Managed Medicaid | $254.44 | ↓ -77% |
| Molina | Managed Medicaid | $261.73 | ↓ -77% |
| Aetna | Managed Medicaid | $266.59 | ↓ -76% |
| Blue Cross Blue Shield | Exchange | $610.64 | ↓ -46% |
| Aetna | Whole Health | $646.47 | ↓ -42% |
| Fort Worth Firefighters | Commercial | $701.06 | ↓ -38% |
| City of Fort Worth | Commercial | $710.41 | ↓ -37% |
| Aetna | Commercial | $861.84 | ↓ -23% |
| Blue Cross Blue Shield | HMO | $958.30 | ↓ -15% |
| United Healthcare | All Payer | $966.91 | ↓ -14% |
| United Healthcare Options | PPO | $1,024.49 | ↓ -9% |
| Cigna | OAP/HMO | $1,033.46 | ↓ -8% |
| Blue Cross Blue Shield | PPO | $1,064.99 | ↓ -5% |
| Quick Trip | Commercial | $1,121.70 | ↑ +0% |
| PHCS | PPO | $1,299.30 | ↑ +16% |
| Cigna | PPO | $1,303.04 | ↑ +16% |
| Aetna | Coventry | $1,310.52 | ↑ +17% |
| Aetna | ASA | $1,310.52 | ↑ +17% |
| Healthsmart | Commercial | $1,402.13 | ↑ +25% |
| Multiplan | Commercial | $1,626.47 | ↑ +45% |
| USA | MCO | $1,645.16 | ↑ +47% |
| Galaxy | Commercial | $1,645.16 | ↑ +47% |
| Blue Cross Blue Shield | Traditional | $1,714.33 | ↑ +53% |
| Cigna | Indemnity | $1,759.20 | ↑ +57% |
| Molina | Medicare Advantage | not published by hospital | — |
| Blue Cross Blue Shield | Medicare Advantage | not published by hospital | — |
| Parkland | Managed Medicaid | not published by hospital | — |
| Superior Wellcare | Medicare Advantage HMO | not published by hospital | — |
| HealthSpring | Medicare Advantage | not published by hospital | — |
| Superior Wellcare | Medicare Advantage MMP | not published by hospital | — |
| United Healthcare | Medicare Advantage HMO | not published by hospital | — |
| Amerigroup | Medicare Advantage | not published by hospital | — |
| United Healthcare | Medicare Advantage PPO | not published by hospital | — |
| Amerigroup | Medicare Advantage HMO | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| American Health | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m tilmanocept diag at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $1,121.70 | $610.64 – $610.64 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth | $1,166.70 | $610.64 – $610.64 |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER - ALLIANCE | FORT WORTH | not published | $1,625.88 – $1,625.88 |
| HCA HOUSTON KINGWOOD | HUMBLE | $2,340.10 | $917.12 – $5,480.11 |
| HCA HOUSTON NORTHWEST | SPRING | $4,513.82 | $917.12 – $5,480.11 |
| St. Luke's Health - Patients Medical Center | Pasadena | $932.09 | $100.00 – $1,997.33 |
| Baylor St Luke's Medical Center | Houston | $1,279.60 | $100.00 – $3,656.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $1,279.60 | $100.00 – $3,656.00 |