Hand orthosis metacarpal fracture orthosis prefa l3918 at Texas Health Harris Methodist Hospital Stephenville
411 N Belknap St, Stephenville, TX · Texashealth · · NPI 1922031541
$43.05
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.
$71.75
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.
$17.07 with Blue Cross Blue Shield vs $159.02 with United Healthcare — 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 | Managed Medicaid | $17.07 | ↓ -60% |
| Amerigroup | Managed Medicaid | $17.07 | ↓ -60% |
| United Healthcare | Managed Medicaid | $17.07 | ↓ -60% |
| Superior Wellcare | Managed Medicaid | $17.92 | ↓ -58% |
| Molina | Managed Medicaid | $18.44 | ↓ -57% |
| Blue Cross Blue Shield | Exchange | $21.00 | ↓ -51% |
| Aetna | Whole Health | $27.81 | ↓ -35% |
| Fort Worth Firefighters | Commercial | $29.75 | ↓ -31% |
| City of Fort Worth | Commercial | $31.83 | ↓ -26% |
| Blue Cross Blue Shield | HMO | $33.87 | ↓ -21% |
| Aetna | Commercial | $37.08 | ↓ -14% |
| Cigna | OAP/HMO | $37.44 | ↓ -13% |
| Blue Cross Blue Shield | PPO | $37.66 | ↓ -13% |
| Blue Cross Blue Shield | Traditional | $37.66 | ↓ -13% |
| United Healthcare | All Payer | $42.69 | ↓ -1% |
| United Healthcare Options | PPO | $45.16 | ↑ +5% |
| Cigna | PPO | $47.21 | ↑ +10% |
| Aetna | ASA | $47.48 | ↑ +10% |
| Aetna | Coventry | $47.48 | ↑ +10% |
| Quick Trip | Commercial | $48.09 | ↑ +12% |
| PHCS | PPO | $56.62 | ↑ +32% |
| Multiplan | Commercial | $58.93 | ↑ +37% |
| Healthsmart | Commercial | $58.93 | ↑ +37% |
| USA | MCO | $59.60 | ↑ +38% |
| Galaxy | Commercial | $59.60 | ↑ +38% |
| Cigna | Indemnity | $63.73 | ↑ +48% |
| Blue Cross Blue Shield | Medicare Advantage | $140.73 | ↑ +227% |
| American Health | Medicare Advantage | $140.73 | ↑ +227% |
| HealthSpring | Medicare Advantage | $143.54 | ↑ +233% |
| Humana | Medicare Advantage | $146.36 | ↑ +240% |
| Amerigroup | Medicare Advantage | $147.77 | ↑ +243% |
| Superior Wellcare | Medicare Advantage HMO | $147.77 | ↑ +243% |
| Molina | Medicare Advantage | $147.77 | ↑ +243% |
| Superior Wellcare | Medicare Advantage MMP | $154.80 | ↑ +260% |
| United Healthcare | Medicare Advantage PPO | $156.21 | ↑ +263% |
| United Healthcare | Medicare Advantage HMO | $159.02 | ↑ +269% |
Visitor-reported prices
Comments
Hand orthosis metacarpal fracture orthosis prefa l3918 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Allen | Allen | $43.05 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $43.05 | not published |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $43.05 | not published |
| Texas Health Arlington Memorial Hospital | Arlington | $43.05 | not published |
| Texas Health Presbyterian Hospital Denton | Denton | $43.05 | not published |
| Texas Health Presbyterian Hospital Plano | Plano | $43.05 | not published |
| Texas Health Hospital Rockwall | Rockwall | $43.05 | not published |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $43.05 | not published |