Chemotherapy injection 96542 at MEDICAL CITY FORT WORTH HOSPITAL
900 EIGHTH AVENUE, FT WORTH, TX · Medicalcityhealthcare · · NPI 1659323772
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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$41.24 with Superior Health Plan vs $924.97 with Humana — 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 |
|---|---|---|---|
| Superior Health Plan | STARKids | $41.24 | — |
| Superior Health Plan | STARHealth | $41.24 | — |
| Superior Health Plan | MCDSTAR | $41.24 | — |
| Superior Health Plan | STARPLUS | $41.24 | — |
| Superior Health Plan | CHIP | $41.24 | — |
| Cigna | IFP | $79.53 | — |
| Cigna | QHP | $82.48 | — |
| BCBS | BluePremier | $101.22 | — |
| United | OptionsPPO | $110.75 | — |
| BCBS | MyBlueHealth | $117.95 | — |
| BCBS | BlueAdvantageHMO | $117.95 | — |
| Oscar | HIX | $122.54 | — |
| Unicare | CHIP | $129.61 | — |
| Healthcare Highways | NarrowNetwork | $144.33 | — |
| Evry Health | COMM | $151.99 | — |
| Healthcare Highways | CityofPlano | $199.12 | — |
| BCBS | BlueEssentialsAccess | $208.87 | — |
| BCBS | BlueEssentials | $208.87 | — |
| BCBS | EPOSOA | $219.17 | — |
| BCBS | PPO | $229.46 | — |
| Curative Administrators | COMM | $235.65 | — |
| BCBS | Traditional | $261.57 | — |
| Fidelis SecureCare | MGMCR | $265.10 | — |
| City of McKinney | COMM | $265.10 | — |
| Emerging Therapy Solutions | MGMCR | $294.56 | — |
| National ChoiceCare | WCOMP | $294.56 | — |
| Aetna | ASA | $310.47 | — |
| Cigna Lifesource | COMM | $312.23 | — |
| PC Texas Partners | WCOMP | $324.02 | — |
| Aetna | WCOMP | $324.02 | — |
| Physicians Coop of TX | MGMCR | $324.02 | — |
| Rockport Health Group | WORKERSCOMP | $324.02 | — |
| Averde Health, Inc | PPO | $341.69 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $346.99 | — |
| Aetna Coventry First Health | EXCLUSIVE | $346.99 | — |
| Coastal Comp Health Networks | WCOMP | $412.38 | — |
| Multiplan PHCS | PrimaryNetwork | $412.38 | — |
| Mega Life | MGMCRPPO | $412.38 | — |
| HealthSmart Preferred Care | PPO | $418.28 | — |
| Emerging Therapy Solutions | Commercial | $424.17 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $441.84 | — |
| USA Managed Care | COMM | $471.30 | — |
| USC Health Services | COMM | $471.30 | — |
| TCU ATHLETICS | COMM | $471.30 | — |
| Galaxy Health Network | PPO | $500.75 | — |
| Optum Transplant | COMM | $506.64 | — |
| National Healthcare Solutions | COMM | $589.12 | — |
| Unicare | MCD | $589.12 | — |
| Independent Medical Systems | COMM | $589.12 | — |
| Humana | COMM | $924.97 | — |
| Aetna | OON | not published by hospital | — |
| Aetna | COMM | not published by hospital | — |
| Aetna | Meritain | not published by hospital | — |
| Aetna | QHPHIX | not published by hospital | — |
| Aetna | NewBusiness | not published by hospital | — |
Visitor-reported prices
Comments
Chemotherapy injection 96542 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $482.78 | $131.67 – $838.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $281.62 | $57.97 – $838.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $295.46 | $59.09 – $838.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $482.78 | $100.36 – $838.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $281.62 | $90.40 – $838.97 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $281.62 | $145.50 – $838.97 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $295.46 | $98.49 – $838.97 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $482.78 | $128.74 – $838.97 |