Thoracotomy w/expl at Texas Health Harris Methodist Hospital Fort Worth
1301 Pennsylvania Avenue, Fort Worth, TX · Texashealth · · NPI 1336172105
$4,315.95
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.
$7,193.25
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.
$763.95 with American Health vs $12,195.00 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 |
|---|---|---|---|
| American Health | Medicare Advantage | $763.95 | ↓ -82% |
| Blue Cross Blue Shield | Medicare Advantage | $763.95 | ↓ -82% |
| HealthSpring | Medicare Advantage | $779.22 | ↓ -82% |
| Humana | Medicare Advantage | $794.50 | ↓ -82% |
| Molina | Medicare Advantage | $802.14 | ↓ -81% |
| Amerigroup | Medicare Advantage | $802.14 | ↓ -81% |
| Superior Wellcare | Medicare Advantage HMO | $802.14 | ↓ -81% |
| Superior Wellcare | Medicare Advantage MMP | $840.34 | ↓ -81% |
| United Healthcare | Medicare Advantage PPO | $847.98 | ↓ -80% |
| United Healthcare | Medicare Advantage HMO | $863.26 | ↓ -80% |
| Cook Childrens | Managed Medicaid | $932.25 | ↓ -78% |
| Amerigroup | Managed Medicaid | $932.25 | ↓ -78% |
| Blue Cross Blue Shield | Managed Medicaid | $932.25 | ↓ -78% |
| United Healthcare | Managed Medicaid | $932.25 | ↓ -78% |
| Superior Wellcare | Managed Medicaid | $979.00 | ↓ -77% |
| Molina | Managed Medicaid | $1,007.06 | ↓ -77% |
| Aetna | Managed Medicaid | $1,025.76 | ↓ -76% |
| Blue Cross Blue Shield | Exchange | $1,059.59 | ↓ -75% |
| Blue Cross Blue Shield | HMO | $1,980.93 | ↓ -54% |
| Blue Cross Blue Shield | PPO | $2,200.94 | ↓ -49% |
| City of Fort Worth | Commercial | $3,380.83 | ↓ -22% |
| Aetna | Whole Health | $3,690.86 | ↓ -14% |
| Fort Worth Firefighters | Commercial | $3,757.75 | ↓ -13% |
| Cigna | OAP/HMO | $3,976.43 | ↓ -8% |
| Quick Trip | Commercial | $4,315.95 | ↑ +0% |
| Aetna | Commercial | $4,920.90 | ↑ +14% |
| PHCS | PPO | $4,999.31 | ↑ +16% |
| Cigna | PPO | $5,013.70 | ↑ +16% |
| Aetna | ASA | $5,042.47 | ↑ +17% |
| Aetna | Coventry | $5,042.47 | ↑ +17% |
| Healthsmart | Commercial | $5,394.94 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $6,179.00 | ↑ +43% |
| Multiplan | Commercial | $6,258.13 | ↑ +45% |
| Galaxy | Commercial | $6,330.06 | ↑ +47% |
| USA | MCO | $6,330.06 | ↑ +47% |
| Cigna | Indemnity | $6,768.85 | ↑ +57% |
| United Healthcare | All Payer | $9,586.00 | ↑ +122% |
| United Healthcare Options | PPO | $12,195.00 | ↑ +183% |
Visitor-reported prices
Comments
Thoracotomy w/expl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,045.17 | $545.38 – $2,897.33 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,045.17 | $579.47 – $2,897.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,298.96 | $267.37 – $1,948.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,298.96 | $259.79 – $1,623.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,045.17 | $545.38 – $2,897.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,298.96 | $416.97 – $1,948.44 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,298.96 | $671.13 – $1,948.44 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,298.96 | $432.99 – $1,948.44 |