Ot evaluation moderate complexity patient/family 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.
$52.74 with Superior Health Plan vs $753.44 with National Healthcare Solutions — 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 | $52.74 | — |
| Superior Health Plan | CHIP | $52.74 | — |
| Superior Health Plan | STARHealth | $52.74 | — |
| Superior Health Plan | STARPLUS | $52.74 | — |
| Superior Health Plan | MCDSTAR | $52.74 | — |
| WellMed | MGMCR | $87.80 | — |
| Devoted Health | MME | $88.24 | — |
| Amerigroup | DualEligible | $88.24 | — |
| Mutual of Omaha | MGMCR | $88.24 | — |
| TriWest | FEDERAL | $88.24 | — |
| Humana | MGMCR | $88.24 | — |
| Devoted Health | PPO | $88.24 | — |
| Devoted Health | SNP | $88.24 | — |
| Devoted Health | HMO | $88.24 | — |
| Devoted Health | POS | $88.24 | — |
| Devoted Health | MCR | $88.24 | — |
| United | MGMCR | $88.68 | — |
| BCBS | MCRPPO | $88.81 | — |
| BCBS | MGMCRHMO | $88.81 | — |
| Aetna | MCR | $88.99 | — |
| Care N Care | MGMCR | $89.12 | — |
| Cigna Healthspring | MGMCR | $90.00 | — |
| Integranet | MGMCR | $90.89 | — |
| WellCare | MGMCR | $90.89 | — |
| Superior Health Plan | MGMCRHMO | $92.65 | — |
| Superior Health Plan | MGMCRPPO | $92.65 | — |
| American Health Plan of Texas, Inc. | MGMCR | $92.65 | — |
| Superior Health Plan | MGMCRDualEligible | $92.65 | — |
| Superior Health Plan | MGMCRPFFS | $92.65 | — |
| Superior Health Plan | MGMCRPOS | $92.65 | — |
| Superior Health Plan | MGMCRSNP | $92.65 | — |
| ProCare Advantge | MCR | $92.65 | — |
| Provider Partners Health Plan | MCR | $93.53 | — |
| Texas Independent Health Plan | MGMCR | $93.53 | — |
| Molina | MMP | $96.18 | — |
| Molina | MME | $96.18 | — |
| Molina | MCR | $96.18 | — |
| Imperial Insurance Company | MCR | $97.06 | — |
| Humana | Tricare | $97.89 | — |
| TriWest Health Alliance | TRCR | $100.92 | — |
| Cigna | IFP | $101.71 | — |
| Cigna | QHP | $105.48 | — |
| Universal Healthcare Group | MCR | $105.89 | — |
| Aetna | QHPHIX | $106.00 | — |
| Verda Health Plan | MGMCR | $114.71 | — |
| Bravo Health | MCRPPO | $132.36 | — |
| Bravo Health | MCRPOS | $132.36 | — |
| Bravo Health | MCRHMO | $132.36 | — |
| Bravo Health | MCRSNP | $132.36 | — |
| Bravo Health | MCRPFFS | $132.36 | — |
| United | OptionsPPO | $141.65 | — |
| Aetna | NewBusiness | $143.00 | — |
| Aetna | COMM | $155.00 | — |
| Aetna | Meritain | $155.00 | — |
| Oscar | HIX | $156.72 | — |
| Superior | ValueHMO | $157.95 | — |
| Unicare | CHIP | $165.76 | — |
| USA Managed Care | WORKERSCOMP | $167.65 | — |
| Corvel Corporation | WORKERSCOMP | $174.71 | — |
| Aetna | OON | $179.00 | — |
| Superior | HMO | $197.65 | — |
| Superior | EPO | $197.65 | — |
| BCBS | BluePremier | $219.43 | — |
| Molina Healthcare | HIX | $231.18 | — |
| Healthcare Highways | CityofPlano | $254.66 | — |
| BCBS | BlueAdvantageHMO | $255.70 | — |
| BCBS | MyBlueHealth | $255.70 | — |
| BCBS | Traditional | $334.53 | — |
| City of McKinney | COMM | $339.05 | — |
| Fidelis SecureCare | MGMCR | $339.05 | — |
| Emerging Therapy Solutions | MGMCR | $376.72 | — |
| National ChoiceCare | WCOMP | $376.72 | — |
| Aetna | ASA | $397.06 | — |
| Cigna Lifesource | COMM | $399.32 | — |
| PC Texas Partners | WCOMP | $414.39 | — |
| Rockport Health Group | WORKERSCOMP | $414.39 | — |
| Physicians Coop of TX | MGMCR | $414.39 | — |
| Aetna | WCOMP | $414.39 | — |
| Averde Health, Inc | PPO | $437.00 | — |
| Aetna Coventry First Health | EXCLUSIVE | $443.78 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $443.78 | — |
| BCBS | BlueEssentialsAccess | $452.81 | — |
| BCBS | BlueEssentials | $452.81 | — |
| BCBS | EPOSOA | $475.13 | — |
| BCBS | PPO | $497.44 | — |
| Coastal Comp Health Networks | WCOMP | $527.41 | — |
| Multiplan PHCS | PrimaryNetwork | $527.41 | — |
| Mega Life | MGMCRPPO | $527.41 | — |
| HealthSmart Preferred Care | PPO | $534.94 | — |
| Emerging Therapy Solutions | Commercial | $542.48 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $565.08 | — |
| USA Managed Care | COMM | $602.75 | — |
| USC Health Services | COMM | $602.75 | — |
| TCU ATHLETICS | COMM | $602.75 | — |
| Humana | COMM | $638.18 | — |
| Galaxy Health Network | PPO | $640.42 | — |
| Optum Transplant | COMM | $647.96 | — |
| Independent Medical Systems | COMM | $753.44 | — |
| Unicare | MCD | $753.44 | — |
| National Healthcare Solutions | COMM | $753.44 | — |
Visitor-reported prices
Comments
Ot evaluation moderate complexity patient/family at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $333.87 | $357.97 – $357.97 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $352.05 | $99.75 – $498.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $378.80 | $77.97 – $568.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $359.41 | $71.88 – $449.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $352.05 | $93.88 – $498.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $378.80 | $108.00 – $568.21 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $378.80 | $155.00 – $568.21 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $359.41 | $108.00 – $539.12 |