Ins/rplcmt prq eltrd ra pn 1 at Texas Health Harris Methodist Hospital Southlake
1545 E Southlake Blvd, Southlake, TX · Texashealth · · NPI 1629064928
$28,346.25
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.
$47,243.75
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.
$5,173.19 with United Healthcare vs $108,452.11 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 | $5,173.19 | ↓ -82% |
| Cook Childrens | Managed Medicaid | $5,173.19 | ↓ -82% |
| Blue Cross Blue Shield | Managed Medicaid | $5,173.19 | ↓ -82% |
| Amerigroup | Managed Medicaid | $5,173.19 | ↓ -82% |
| Superior Wellcare | Managed Medicaid | $5,433.03 | ↓ -81% |
| Molina | Managed Medicaid | $5,588.94 | ↓ -80% |
| Aetna | Managed Medicaid | $5,692.87 | ↓ -80% |
| Blue Cross Blue Shield | Medicare Advantage | $11,211.91 | ↓ -60% |
| American Health | Medicare Advantage | $11,211.91 | ↓ -60% |
| HealthSpring | Medicare Advantage | $11,436.15 | ↓ -60% |
| Humana | Medicare Advantage | $11,660.39 | ↓ -59% |
| Molina | Medicare Advantage | $11,772.51 | ↓ -58% |
| Superior Wellcare | Medicare Advantage HMO | $11,772.51 | ↓ -58% |
| Amerigroup | Medicare Advantage | $11,772.51 | ↓ -58% |
| Superior Wellcare | Medicare Advantage MMP | $12,333.10 | ↓ -56% |
| United Healthcare | Medicare Advantage PPO | $12,445.22 | ↓ -56% |
| United Healthcare | Medicare Advantage HMO | $12,669.46 | ↓ -55% |
| Fort Worth Firefighters | Commercial | $14,351.00 | ↓ -49% |
| Blue Cross Blue Shield | Exchange | $14,925.79 | ↓ -47% |
| Aetna | Whole Health | $19,488.05 | ↓ -31% |
| United Healthcare | All Payer | $19,497.00 | ↓ -31% |
| City of Fort Worth | Commercial | $22,204.56 | ↓ -22% |
| United Healthcare Options | PPO | $24,806.00 | ↓ -12% |
| Aetna | Commercial | $25,984.06 | ↓ -8% |
| Cigna | OAP/HMO | $26,116.35 | ↓ -8% |
| Quick Trip | Commercial | $28,346.25 | ↑ +0% |
| Blue Cross Blue Shield | HMO | $30,500.53 | ↑ +8% |
| PHCS | PPO | $32,834.41 | ↑ +16% |
| Cigna | PPO | $32,928.89 | ↑ +16% |
| Aetna | Coventry | $33,117.87 | ↑ +17% |
| Aetna | ASA | $33,117.87 | ↑ +17% |
| Blue Cross Blue Shield | PPO | $33,888.04 | ↑ +20% |
| Healthsmart | Commercial | $35,432.81 | ↑ +25% |
| Multiplan | Commercial | $41,102.06 | ↑ +45% |
| Galaxy | Commercial | $41,574.50 | ↑ +47% |
| USA | MCO | $41,574.50 | ↑ +47% |
| Cigna | Indemnity | $44,456.37 | ↑ +57% |
| Blue Cross Blue Shield | Traditional | $108,452.11 | ↑ +283% |
Visitor-reported prices
Comments
Ins/rplcmt prq eltrd ra pn 1 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Allen | Allen | $28,346.25 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $28,346.25 | not published |
| Texas Health Hospital Rockwall | Rockwall | $28,346.25 | not published |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $28,346.25 | not published |
| Texas Health Hospital Frisco | Frisco | $28,346.25 | not published |
| Adventhealth Rollins Brook | Lampasas | not published | $4,826.69 – $16,223.69 |
| CHRISTUS Children's Hospital | San Antonio | not published | $3,381.00 – $3,381.00 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $20,766.32 – $20,766.32 |