Complx repair trunk addl 5cm/< 13102 at Texas Health Harris Methodist Hospital Southlake
1545 E Southlake Blvd, Southlake, TX · Texashealth · · NPI 1629064928
$382.80
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.
$638.00
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.
$69.86 with United Healthcare vs $1,568.00 with United Healthcare Options — 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $69.86 | ↓ -82% |
| Cook Childrens | Managed Medicaid | $69.86 | ↓ -82% |
| Blue Cross Blue Shield | Managed Medicaid | $69.86 | ↓ -82% |
| Amerigroup | Managed Medicaid | $69.86 | ↓ -82% |
| Superior Wellcare | Managed Medicaid | $73.37 | ↓ -81% |
| Molina | Managed Medicaid | $75.48 | ↓ -80% |
| Aetna | Managed Medicaid | $76.88 | ↓ -80% |
| Blue Cross Blue Shield | Medicare Advantage | $118.72 | ↓ -69% |
| American Health | Medicare Advantage | $118.72 | ↓ -69% |
| HealthSpring | Medicare Advantage | $121.10 | ↓ -68% |
| Humana | Medicare Advantage | $123.47 | ↓ -68% |
| Superior Wellcare | Medicare Advantage HMO | $124.66 | ↓ -67% |
| Molina | Medicare Advantage | $124.66 | ↓ -67% |
| Amerigroup | Medicare Advantage | $124.66 | ↓ -67% |
| Superior Wellcare | Medicare Advantage MMP | $130.59 | ↓ -66% |
| United Healthcare | Medicare Advantage PPO | $131.78 | ↓ -66% |
| United Healthcare | Medicare Advantage HMO | $134.15 | ↓ -65% |
| Blue Cross Blue Shield | Exchange | $201.61 | ↓ -47% |
| Aetna | Whole Health | $270.38 | ↓ -29% |
| City of Fort Worth | Commercial | $299.86 | ↓ -22% |
| Fort Worth Firefighters | Commercial | $333.29 | ↓ -13% |
| Cigna | OAP/HMO | $352.69 | ↓ -8% |
| Aetna | Commercial | $360.47 | ↓ -6% |
| Quick Trip | Commercial | $382.80 | ↑ +0% |
| Blue Cross Blue Shield | HMO | $405.13 | ↑ +6% |
| Blue Cross Blue Shield | PPO | $405.13 | ↑ +6% |
| PHCS | PPO | $443.41 | ↑ +16% |
| Cigna | PPO | $444.69 | ↑ +16% |
| Aetna | Coventry | $447.24 | ↑ +17% |
| Aetna | ASA | $447.24 | ↑ +17% |
| Healthsmart | Commercial | $478.50 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $548.04 | ↑ +43% |
| Multiplan | Commercial | $555.06 | ↑ +45% |
| USA | MCO | $561.44 | ↑ +47% |
| Galaxy | Commercial | $561.44 | ↑ +47% |
| Cigna | Indemnity | $600.36 | ↑ +57% |
| United Healthcare | All Payer | $1,247.00 | ↑ +226% |
| United Healthcare Options | PPO | $1,568.00 | ↑ +310% |
Visitor-reported prices
Comments
Complx repair trunk addl 5cm/< 13102 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,267.55 | $216.30 – $1,081.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,267.55 | $71.00 – $1,901.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,028.45 | $71.00 – $1,285.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,267.55 | $203.58 – $1,081.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,267.55 | $85.00 – $1,901.33 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,267.55 | $654.90 – $1,901.33 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,028.45 | $71.00 – $1,542.67 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,267.55 | $203.58 – $1,081.50 |