Established Patient Office Visit (level 4) at Texas Health Harris Methodist Hospital Southlake
1545 E Southlake Blvd, Southlake, TX · Texashealth · · NPI 1629064928
$205.20
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.
$342.00
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.
$37.45 with United Healthcare vs $657.04 with Blue Cross Blue Shield — 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 | $37.45 | ↓ -82% |
| Cook Childrens | Managed Medicaid | $37.45 | ↓ -82% |
| Blue Cross Blue Shield | Managed Medicaid | $37.45 | ↓ -82% |
| Amerigroup | Managed Medicaid | $37.45 | ↓ -82% |
| Superior Wellcare | Managed Medicaid | $39.33 | ↓ -81% |
| Molina | Managed Medicaid | $40.46 | ↓ -80% |
| Aetna | Managed Medicaid | $41.21 | ↓ -80% |
| Blue Cross Blue Shield | Exchange | $117.37 | ↓ -43% |
| Blue Cross Blue Shield | Medicare Advantage | $134.65 | ↓ -34% |
| American Health | Medicare Advantage | $134.65 | ↓ -34% |
| HealthSpring | Medicare Advantage | $137.34 | ↓ -33% |
| Humana | Medicare Advantage | $140.03 | ↓ -32% |
| Aetna | Whole Health | $140.43 | ↓ -32% |
| Superior Wellcare | Medicare Advantage HMO | $141.38 | ↓ -31% |
| Amerigroup | Medicare Advantage | $141.38 | ↓ -31% |
| Molina | Medicare Advantage | $141.38 | ↓ -31% |
| Superior Wellcare | Medicare Advantage MMP | $148.11 | ↓ -28% |
| United Healthcare | Medicare Advantage PPO | $149.46 | ↓ -27% |
| Fort Worth Firefighters | Commercial | $150.24 | ↓ -27% |
| United Healthcare | Medicare Advantage HMO | $152.15 | ↓ -26% |
| City of Fort Worth | Commercial | $160.74 | ↓ -22% |
| United Healthcare | All Payer | $176.88 | ↓ -14% |
| Aetna | Commercial | $187.25 | ↓ -9% |
| United Healthcare Options | PPO | $187.42 | ↓ -9% |
| Cigna | OAP/HMO | $189.06 | ↓ -8% |
| Quick Trip | Commercial | $205.20 | ↑ +0% |
| Blue Cross Blue Shield | HMO | $223.15 | ↑ +9% |
| PHCS | PPO | $237.69 | ↑ +16% |
| Cigna | PPO | $238.37 | ↑ +16% |
| Aetna | Coventry | $239.74 | ↑ +17% |
| Aetna | ASA | $239.74 | ↑ +17% |
| Blue Cross Blue Shield | PPO | $247.95 | ↑ +21% |
| Healthsmart | Commercial | $256.50 | ↑ +25% |
| Multiplan | Commercial | $297.54 | ↑ +45% |
| USA | MCO | $300.96 | ↑ +47% |
| Galaxy | Commercial | $300.96 | ↑ +47% |
| Cigna | Indemnity | $321.82 | ↑ +57% |
| Blue Cross Blue Shield | Traditional | $657.04 | ↑ +220% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 4) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $439.04 | $308.04 – $308.04 |
| Baylor St Luke's Medical Center | Houston | $168.70 | $82.00 – $482.00 |
| St. Joseph Health Madison Hospital | Madisonville | $148.58 | $22.68 – $160.20 |
| St. Luke's Health Memorial Lufkin | Lufkin | $83.39 | $73.75 – $442.48 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $168.70 | $74.00 – $482.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $168.70 | $74.00 – $482.00 |
| St. Joseph Health College Station Hospital | College Station | $148.58 | $77.00 – $245.98 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $168.70 | $74.00 – $482.00 |