Bilateral n block inj trigeminal 64400 at Texas Health Harris Methodist Hospital Southwest Fort Worth

6100 Harris Pkwy, Fort Worth, TX · Texashealth · · NPI 1417980202

Source: hospital's published price file ↗ · Published Apr 21, 2026 · Ingested Sep 16, 2026

$264.30

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$440.50

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$67.55 with Amerigroup vs $1,568.00 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 →

Payer
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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
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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 $67.55 ↓ -74%
Cook Childrens Managed Medicaid $67.55 ↓ -74%
United Healthcare Managed Medicaid $67.55 ↓ -74%
Blue Cross Blue Shield Managed Medicaid $67.55 ↓ -74%
Superior Wellcare Managed Medicaid $70.93 ↓ -73%
Molina Managed Medicaid $72.95 ↓ -72%
Aetna Managed Medicaid $74.31 ↓ -72%
Blue Cross Blue Shield Exchange $96.17 ↓ -64%
Blue Cross Blue Shield HMO $179.80 ↓ -32%
Blue Cross Blue Shield PPO $199.77 ↓ -24%
City of Fort Worth Commercial $207.04 ↓ -22%
Aetna Whole Health $226.02 ↓ -14%
Fort Worth Firefighters Commercial $230.12 ↓ -13%
Cigna OAP/HMO $243.51 ↓ -8%
Quick Trip Commercial $264.30 ↑ +0%
Aetna Commercial $301.35 ↑ +14%
PHCS PPO $306.15 ↑ +16%
Cigna PPO $307.03 ↑ +16%
Aetna Coventry $308.79 ↑ +17%
Aetna ASA $308.79 ↑ +17%
Blue Cross Blue Shield Medicare Advantage $308.86 ↑ +17%
American Health Medicare Advantage $308.86 ↑ +17%
HealthSpring Medicare Advantage $315.04 ↑ +19%
Humana Medicare Advantage $321.21 ↑ +22%
Amerigroup Medicare Advantage $324.30 ↑ +23%
Molina Medicare Advantage $324.30 ↑ +23%
Superior Wellcare Medicare Advantage HMO $324.30 ↑ +23%
Healthsmart Commercial $330.38 ↑ +25%
Superior Wellcare Medicare Advantage MMP $339.74 ↑ +29%
United Healthcare Medicare Advantage PPO $342.83 ↑ +30%
United Healthcare Medicare Advantage HMO $349.01 ↑ +32%
Blue Cross Blue Shield Traditional $378.39 ↑ +43%
Multiplan Commercial $383.24 ↑ +45%
USA MCO $387.64 ↑ +47%
Galaxy Commercial $387.64 ↑ +47%
Cigna Indemnity $414.51 ↑ +57%
United Healthcare All Payer $1,247.00 ↑ +372%
United Healthcare Options PPO $1,568.00 ↑ +493%

Visitor-reported prices

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Bilateral n block inj trigeminal 64400 at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $788.11 $67.55 – $985.14
Texas Health Harris Methodist Hospital Alliance Fort Worth $264.30 $67.55 – $74.31
Texas Health Harris Methodist Hospital Fort Worth Fort Worth $264.30 $67.55 – $74.31
Adventhealth Rollins Brook Lampasas $1,426.83 $95.64 – $4,826.69
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $788.11 $67.55 – $985.14
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $795.31 $71.00 – $1,192.97
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $807.04 $67.55 – $1,008.79
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $788.11 $67.55 – $985.14

All Texas hospitals for this procedure →