Debridement (>20 cm) charge pt at Texas Health Harris Methodist Hospital Southlake
1545 E Southlake Blvd, Southlake, TX · Texashealth · · NPI 1629064928
$317.25
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.
$528.75
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.
$16.91 with Blue Cross Blue Shield vs $401.00 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Exchange | $16.91 | ↓ -95% |
| Cook Childrens | Managed Medicaid | $23.79 | ↓ -93% |
| United Healthcare | Managed Medicaid | $23.79 | ↓ -93% |
| Amerigroup | Managed Medicaid | $23.79 | ↓ -93% |
| Blue Cross Blue Shield | Managed Medicaid | $23.79 | ↓ -93% |
| Superior Wellcare | Managed Medicaid | $24.98 | ↓ -92% |
| Molina | Managed Medicaid | $25.70 | ↓ -92% |
| Aetna | Managed Medicaid | $26.18 | ↓ -92% |
| Blue Cross Blue Shield | HMO | $32.16 | ↓ -90% |
| Blue Cross Blue Shield | PPO | $35.73 | ↓ -89% |
| American Health | Medicare Advantage | $47.24 | ↓ -85% |
| Blue Cross Blue Shield | Medicare Advantage | $47.24 | ↓ -85% |
| HealthSpring | Medicare Advantage | $48.19 | ↓ -85% |
| Humana | Medicare Advantage | $49.13 | ↓ -85% |
| Amerigroup | Medicare Advantage | $49.60 | ↓ -84% |
| Superior Wellcare | Medicare Advantage HMO | $49.60 | ↓ -84% |
| Molina | Medicare Advantage | $49.60 | ↓ -84% |
| Superior Wellcare | Medicare Advantage MMP | $51.96 | ↓ -84% |
| United Healthcare | Medicare Advantage PPO | $52.44 | ↓ -83% |
| United Healthcare | Medicare Advantage HMO | $53.38 | ↓ -83% |
| Aetna | Whole Health | $89.20 | ↓ -72% |
| Blue Cross Blue Shield | Traditional | $94.68 | ↓ -70% |
| City of Fort Worth | Commercial | $102.11 | ↓ -68% |
| Aetna | Commercial | $118.94 | ↓ -63% |
| Quick Trip | Commercial | $130.35 | ↓ -59% |
| Fort Worth Firefighters | Commercial | $132.63 | ↓ -58% |
| PHCS | PPO | $150.99 | ↓ -52% |
| Aetna | ASA | $152.29 | ↓ -52% |
| Aetna | Coventry | $152.29 | ↓ -52% |
| Healthsmart | Commercial | $162.94 | ↓ -49% |
| Multiplan | Commercial | $189.01 | ↓ -40% |
| Galaxy | Commercial | $191.18 | ↓ -40% |
| USA | MCO | $191.18 | ↓ -40% |
| Cigna | Indemnity | $204.43 | ↓ -36% |
| United Healthcare | All Payer | $308.00 | ↓ -3% |
| Cigna | OAP/HMO | $328.00 | ↑ +3% |
| Cigna | PPO | $396.00 | ↑ +25% |
| United Healthcare Options | PPO | $401.00 | ↑ +26% |
Visitor-reported prices
Comments
Debridement (>20 cm) charge pt at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $942.01 | $44.39 – $44.39 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $414.23 | $35.40 – $586.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $553.49 | $34.82 – $830.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $315.59 | $34.82 – $394.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $414.23 | $26.98 – $586.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $553.49 | $42.55 – $830.24 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $553.49 | $130.50 – $830.24 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $315.59 | $34.82 – $473.38 |