Ins/rpl pm gen exist sgl lead at Texas Health Harris Methodist Hospital Southlake
1545 E Southlake Blvd, Southlake, TX · Texashealth · · NPI 1629064928
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.
$5,499.92 with United Healthcare vs $63,855.30 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 | $5,499.92 | — |
| Cook Childrens | Managed Medicaid | $5,499.92 | — |
| Blue Cross Blue Shield | Managed Medicaid | $5,499.92 | — |
| Amerigroup | Managed Medicaid | $5,499.92 | — |
| Superior Wellcare | Managed Medicaid | $5,774.92 | — |
| Molina | Managed Medicaid | $5,939.91 | — |
| Aetna | Managed Medicaid | $6,049.91 | — |
| Blue Cross Blue Shield | Medicare Advantage | $8,326.80 | — |
| American Health | Medicare Advantage | $8,326.80 | — |
| HealthSpring | Medicare Advantage | $8,493.33 | — |
| Humana | Medicare Advantage | $8,659.87 | — |
| Molina | Medicare Advantage | $8,743.14 | — |
| Superior Wellcare | Medicare Advantage HMO | $8,743.14 | — |
| Amerigroup | Medicare Advantage | $8,743.14 | — |
| Blue Cross Blue Shield | Exchange | $8,788.13 | — |
| Superior Wellcare | Medicare Advantage MMP | $9,159.48 | — |
| United Healthcare | Medicare Advantage PPO | $9,242.74 | — |
| United Healthcare | Medicare Advantage HMO | $9,409.28 | — |
| Fort Worth Firefighters | Commercial | $14,351.00 | — |
| Blue Cross Blue Shield | HMO | $17,958.35 | — |
| United Healthcare | All Payer | $19,497.00 | — |
| Blue Cross Blue Shield | PPO | $19,952.87 | — |
| United Healthcare Options | PPO | $24,806.00 | — |
| Blue Cross Blue Shield | Traditional | $63,855.30 | — |
Visitor-reported prices
Comments
Ins/rpl pm gen exist sgl lead at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $10,687.75 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $7,336.78 | $1,510.15 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $11,030.18 | $5,499.92 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $10,687.75 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $7,336.78 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $7,336.78 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $11,030.18 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $10,687.75 | $2,763.00 – $21,045.99 |