X-ray mandible ltd <4 views at MEDICAL CITY FORT WORTH HOSPITAL

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

Source: hospital's published price file ↗ · Published Sep 1, 2026 · Ingested Sep 23, 2026

not published by hospital

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.

not published by hospital

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.

$39.09 with United vs $357.55 with BCBS — 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
United CHIP $39.09
Parkland Community Health Plan MCD $39.09
Cook Childrens Health Plan STAR $39.09
Cook Childrens Health Plan CHIP $39.09
Amerigroup MGMCD $39.09
Amerigroup CHIP $39.09
United STARPerinate $39.09
United STARPLUS $39.09
United STARKids $39.09
United STAR $39.09
Healthspring Life MCD $41.04
Cigna Healthspring MGMCD $41.04
Aetna Better Health CHIP $42.22
Aetna Better Health MCD $42.22
Molina STAR+PLUS $43.00
Molina CHIP $43.00
Molina MCDSTAR $43.00
Molina STARKIDS $43.00
Humana MGMCD $48.86
Aetna NewBusiness $68.60
Aetna Meritain $73.28
Aetna COMM $73.28
United NarrowNetworkIndivExchange $83.86
United SmallGroup $83.86
Aetna OON $86.73
BCBS BlueAdvantageHMO $109.34
BCBS MyBlueHealth $109.34
Cigna LocalPlus $120.55
Cigna NewBusiness $120.67
Cigna NetworkBenefit $134.72
Cigna OpenAccessPlus $134.72
Cigna HMO $134.72
Cigna AllOther $170.40
United AllPayerAppendix $182.03
BCBS BlueEssentialsAccess $325.62
BCBS BlueEssentials $325.62
BCBS EPOSOA $341.59
BCBS PPO $357.55

Visitor-reported prices

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X-ray mandible ltd <4 views at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $426.98 $307.27 – $307.27
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $121.12 $39.09 – $225.11
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $261.13 $53.75 – $391.70
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $303.05 $39.09 – $378.81
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $121.12 $39.09 – $225.11
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $261.13 $41.83 – $391.70
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $261.13 $39.09 – $391.70
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $303.05 $39.09 – $454.57

All Texas hospitals for this procedure →