Pt 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.
$64.81 with Superior Health Plan vs $925.86 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 | $64.81 | — |
| Superior Health Plan | CHIP | $64.81 | — |
| Superior Health Plan | STARHealth | $64.81 | — |
| Superior Health Plan | STARPLUS | $64.81 | — |
| Superior Health Plan | MCDSTAR | $64.81 | — |
| WellMed | MGMCR | $85.49 | — |
| Devoted Health | MME | $85.92 | — |
| Amerigroup | DualEligible | $85.92 | — |
| Mutual of Omaha | MGMCR | $85.92 | — |
| TriWest | FEDERAL | $85.92 | — |
| Humana | MGMCR | $85.92 | — |
| Devoted Health | PPO | $85.92 | — |
| Devoted Health | SNP | $85.92 | — |
| Devoted Health | HMO | $85.92 | — |
| Devoted Health | POS | $85.92 | — |
| Devoted Health | MCR | $85.92 | — |
| United | MGMCR | $86.35 | — |
| BCBS | MCRPPO | $86.54 | — |
| BCBS | MGMCRHMO | $86.54 | — |
| Aetna | MCR | $86.65 | — |
| Care N Care | MGMCR | $86.78 | — |
| Cigna Healthspring | MGMCR | $87.64 | — |
| Integranet | MGMCR | $88.50 | — |
| WellCare | MGMCR | $88.50 | — |
| Superior Health Plan | MGMCRHMO | $90.22 | — |
| Superior Health Plan | MGMCRPPO | $90.22 | — |
| American Health Plan of Texas, Inc. | MGMCR | $90.22 | — |
| Superior Health Plan | MGMCRDualEligible | $90.22 | — |
| Superior Health Plan | MGMCRPFFS | $90.22 | — |
| Superior Health Plan | MGMCRPOS | $90.22 | — |
| Superior Health Plan | MGMCRSNP | $90.22 | — |
| ProCare Advantge | MCR | $90.22 | — |
| Provider Partners Health Plan | MCR | $91.08 | — |
| Texas Independent Health Plan | MGMCR | $91.08 | — |
| Molina | MMP | $93.66 | — |
| Molina | MME | $93.66 | — |
| Molina | MCR | $93.66 | — |
| Imperial Insurance Company | MCR | $94.52 | — |
| Humana | Tricare | $95.39 | — |
| TriWest Health Alliance | TRCR | $98.34 | — |
| Universal Healthcare Group | MCR | $103.11 | — |
| Aetna | QHPHIX | $106.00 | — |
| Verda Health Plan | MGMCR | $111.70 | — |
| Cigna | IFP | $124.99 | — |
| Bravo Health | MCRSNP | $128.88 | — |
| Bravo Health | MCRPOS | $128.88 | — |
| Bravo Health | MCRHMO | $128.88 | — |
| Bravo Health | MCRPFFS | $128.88 | — |
| Bravo Health | MCRPPO | $128.88 | — |
| Cigna | QHP | $129.62 | — |
| Aetna | NewBusiness | $143.00 | — |
| Superior | ValueHMO | $153.80 | — |
| Aetna | COMM | $155.00 | — |
| Aetna | Meritain | $155.00 | — |
| USA Managed Care | WORKERSCOMP | $163.25 | — |
| Corvel Corporation | WORKERSCOMP | $170.13 | — |
| United | OptionsPPO | $174.06 | — |
| Aetna | OON | $179.00 | — |
| Superior | HMO | $192.47 | — |
| Superior | EPO | $192.47 | — |
| Oscar | HIX | $192.58 | — |
| Unicare | CHIP | $203.69 | — |
| BCBS | BluePremier | $204.12 | — |
| Molina Healthcare | HIX | $225.12 | — |
| BCBS | BlueAdvantageHMO | $237.85 | — |
| BCBS | MyBlueHealth | $237.85 | — |
| Healthcare Highways | CityofPlano | $312.94 | — |
| BCBS | Traditional | $411.08 | — |
| Fidelis SecureCare | MGMCR | $416.64 | — |
| City of McKinney | COMM | $416.64 | — |
| BCBS | BlueEssentialsAccess | $421.21 | — |
| BCBS | BlueEssentials | $421.21 | — |
| BCBS | EPOSOA | $441.96 | — |
| BCBS | PPO | $462.72 | — |
| National ChoiceCare | WCOMP | $462.93 | — |
| Emerging Therapy Solutions | MGMCR | $462.93 | — |
| Aetna | ASA | $487.93 | — |
| Cigna Lifesource | COMM | $490.71 | — |
| Rockport Health Group | WORKERSCOMP | $509.22 | — |
| PC Texas Partners | WCOMP | $509.22 | — |
| Physicians Coop of TX | MGMCR | $509.22 | — |
| Aetna | WCOMP | $509.22 | — |
| Averde Health, Inc | PPO | $537.00 | — |
| Aetna Coventry First Health | EXCLUSIVE | $545.33 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $545.33 | — |
| Humana | COMM | $592.25 | — |
| Coastal Comp Health Networks | WCOMP | $648.10 | — |
| Multiplan PHCS | PrimaryNetwork | $648.10 | — |
| Mega Life | MGMCRPPO | $648.10 | — |
| HealthSmart Preferred Care | PPO | $657.36 | — |
| Emerging Therapy Solutions | Commercial | $666.62 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $694.39 | — |
| TCU ATHLETICS | COMM | $740.69 | — |
| USA Managed Care | COMM | $740.69 | — |
| USC Health Services | COMM | $740.69 | — |
| Galaxy Health Network | PPO | $786.98 | — |
| Optum Transplant | COMM | $796.24 | — |
| Independent Medical Systems | COMM | $925.86 | — |
| Unicare | MCD | $925.86 | — |
| National Healthcare Solutions | COMM | $925.86 | — |
Visitor-reported prices
Comments
Pt evaluation moderate complexity patient/family at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $554.20 | $332.99 – $332.99 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $285.10 | $80.78 – $403.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $332.36 | $68.41 – $498.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $352.31 | $70.46 – $440.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $285.10 | $76.03 – $403.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $332.36 | $106.69 – $498.55 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $332.36 | $155.00 – $498.55 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $352.31 | $108.00 – $528.46 |