Allograft 160mg placental salera mini membrane at MEDICAL CITY FORT WORTH HOSPITAL

900 EIGHTH AVENUE, FT WORTH, TX · Medicalcityhealthcare · · NPI 1659323772

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

not published by hospital

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.

Full explanation →

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

not published by hospital

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.

Full explanation →

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

$44.66 with Superior Health Plan vs $638.00 with Independent Medical Systems — same scan, same building. Share

Negotiated rates by payer
?

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
Superior Health Plan STARHealth $44.66
Superior Health Plan STARPLUS $44.66
Superior Health Plan STARKids $44.66
Superior Health Plan CHIP $44.66
Superior Health Plan MCDSTAR $44.66
Cigna IFP $86.13
Cigna QHP $89.32
Cigna LocalPlus $103.17
Cigna NewBusiness $103.27
Aetna QHPHIX $103.99
Cigna NetworkBenefit $115.26
Cigna HMO $115.26
Cigna OpenAccessPlus $115.26
United OptionsPPO $119.94
Unicare CHIP $140.36
Cigna AllOther $145.81
Aetna NewBusiness $151.84
BCBS MyBlueHealth $157.59
BCBS BlueAdvantageHMO $157.59
Aetna Meritain $163.33
Aetna COMM $163.33
BCBS BluePremier $186.30
Aetna OON $191.40
BCBS BlueEssentialsAccess $203.52
BCBS BlueEssentials $203.52
BCBS EPOSOA $213.73
Healthcare Highways CityofPlano $215.64
BCBS PPO $223.30
BCBS Traditional $283.27
City of McKinney COMM $287.10
Emerging Therapy Solutions MGMCR $319.00
National ChoiceCare WCOMP $319.00
Aetna ASA $336.23
Cigna Lifesource COMM $338.14
Aetna WCOMP $350.90
PC Texas Partners WCOMP $350.90
Rockport Health Group WORKERSCOMP $350.90
Physicians Coop of TX MGMCR $350.90
Averde Health, Inc PPO $370.04
Aetna Coventry First Health NONEXCLUSIVE $375.78
Aetna Coventry First Health EXCLUSIVE $375.78
Mega Life MGMCRPPO $446.60
Coastal Comp Health Networks WCOMP $446.60
HealthSmart Preferred Care PPO $452.98
Emerging Therapy Solutions Commercial $459.36
LEWISVILLE ISD/DLS CONSULTING COMMPPO $478.50
TCU ATHLETICS COMM $510.40
USC Health Services COMM $510.40
USA Managed Care COMM $510.40
Galaxy Health Network PPO $542.30
Optum Transplant COMM $548.68
Unicare MCD $638.00
National Healthcare Solutions COMM $638.00
Independent Medical Systems COMM $638.00

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Allograft 160mg placental salera mini membrane at other Texas hospitals

Hospital City Cash price Negotiated range
MEDICAL CITY ARGYLE HOSPITAL Argyle $456.00 $103.17 – $103.17
MEDICAL CITY LEWISVILLE HOSPITAL LEWISVILLE $516.00 $103.17 – $103.17
HCA HOUSTON CLEAR LAKE FRIENDSWOOD not published $41.26 – $41.26
HCA HOUSTON MEDICAL CENTER Houston not published $41.26 – $41.26
HCA HOUSTON CONROE CONROE not published $41.26 – $41.26
HCA HOUSTON KINGWOOD HUMBLE not published $41.26 – $41.26
HCA HOUSTON NORTHWEST SPRING not published $41.26 – $41.26
HCA HOUSTON PEARLAND Pearland not published $41.26 – $41.26

All Texas hospitals for this procedure →