Levothyroxine 100 mcg intravenous powder for solution 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

$1,155.62

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.

$1,155.62

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.

$7.04 with Humana vs $1,155.62 with Independent Medical Systems — 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
Humana Tricare $7.04 ↓ -99%
TriWest Health Alliance TRCR $7.26 ↓ -99%
United AllPayerAppendix $9.87 ↓ -99%
United NarrowNetworkIndivExchange $9.87 ↓ -99%
United SmallGroup $9.87 ↓ -99%
BCBS MyBlueHealth $36.71 ↓ -97%
BCBS BlueAdvantageHMO $36.71 ↓ -97%
Cigna LocalPlus $46.59 ↓ -96%
Cigna NewBusiness $46.64 ↓ -96%
Cigna OpenAccessPlus $52.05 ↓ -95%
Cigna NetworkBenefit $52.05 ↓ -95%
Cigna HMO $52.05 ↓ -95%
BCBS BlueEssentials $53.73 ↓ -95%
BCBS BlueEssentialsAccess $53.73 ↓ -95%
BCBS EPOSOA $56.39 ↓ -95%
BCBS PPO $59.05 ↓ -95%
Cigna AllOther $65.85 ↓ -94%
BCBS BluePremier $66.18 ↓ -94%
Superior Health Plan MCDSTAR $80.89 ↓ -93%
Superior Health Plan CHIP $80.89 ↓ -93%
Superior Health Plan STARPLUS $80.89 ↓ -93%
Superior Health Plan STARKids $80.89 ↓ -93%
Superior Health Plan STARHealth $80.89 ↓ -93%
Cigna IFP $156.01 ↓ -86%
Cigna QHP $161.79 ↓ -86%
Aetna QHPHIX $188.37 ↓ -84%
United OptionsPPO $217.26 ↓ -81%
Unicare CHIP $254.24 ↓ -78%
Aetna NewBusiness $275.04 ↓ -76%
Aetna Meritain $295.84 ↓ -74%
Aetna COMM $295.84 ↓ -74%
Aetna OON $346.69 ↓ -70%
Healthcare Highways CityofPlano $390.60 ↓ -66%
BCBS Traditional $513.10 ↓ -56%
City of McKinney COMM $520.03 ↓ -55%
Emerging Therapy Solutions MGMCR $577.81 ↓ -50%
National ChoiceCare WCOMP $577.81 ↓ -50%
Aetna ASA $609.01 ↓ -47%
Cigna Lifesource COMM $612.48 ↓ -47%
Aetna WCOMP $635.59 ↓ -45%
Rockport Health Group WORKERSCOMP $635.59 ↓ -45%
Physicians Coop of TX MGMCR $635.59 ↓ -45%
PC Texas Partners WCOMP $635.59 ↓ -45%
Averde Health, Inc PPO $670.26 ↓ -42%
Aetna Coventry First Health EXCLUSIVE $680.66 ↓ -41%
Aetna Coventry First Health NONEXCLUSIVE $680.66 ↓ -41%
Coastal Comp Health Networks WCOMP $808.93 ↓ -30%
Mega Life MGMCRPPO $808.93 ↓ -30%
HealthSmart Preferred Care PPO $820.49 ↓ -29%
Emerging Therapy Solutions Commercial $832.05 ↓ -28%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $866.71 ↓ -25%
USA Managed Care COMM $924.50 ↓ -20%
TCU ATHLETICS COMM $924.50 ↓ -20%
USC Health Services COMM $924.50 ↓ -20%
Galaxy Health Network PPO $982.28 ↓ -15%
Optum Transplant COMM $993.83 ↓ -14%
National Healthcare Solutions COMM $1,155.62 ↑ +0%
Unicare MCD $1,155.62 ↑ +0%
Independent Medical Systems COMM $1,155.62 ↑ +0%

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Levothyroxine 100 mcg intravenous powder for solution at other Texas hospitals

Hospital City Cash price Negotiated range
Covenant Children's Hospital Lubbock $1,196.39 $26.94 – $26.94
HCA HOUSTON KINGWOOD HUMBLE $546.36 $5.98 – $20.85
Baylor St Luke's Medical Center Houston $187.29 $26.25 – $119.28
St. Joseph Health Madison Hospital Madisonville $52.78 $38.43 – $301.58
St. Luke's Health - Springwoods Village Hospital Spring $187.29 $26.25 – $119.28
St. Luke's Health - Sugar Land Hospital Sugar Land $187.29 $26.25 – $119.28
St. Joseph Health College Station Hospital College Station $52.78 $51.27 – $301.58
St. Luke's Health - Lakeside Hospital The Woodlands $187.29 $26.25 – $119.28

All Texas hospitals for this procedure →