Metal frame recipro hip & ca at Texas Health Harris Methodist Hospital Stephenville
411 N Belknap St, Stephenville, TX · Texashealth · · NPI 1922031541
$3,371.60
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.
$5,619.32
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.
$1,416.07 with Amerigroup vs $5,287.78 with Cigna — 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $1,416.07 | ↓ -58% |
| Blue Cross Blue Shield | Managed Medicaid | $1,416.07 | ↓ -58% |
| United Healthcare | Managed Medicaid | $1,416.07 | ↓ -58% |
| Superior Wellcare | Managed Medicaid | $1,486.87 | ↓ -56% |
| Molina | Managed Medicaid | $1,529.58 | ↓ -55% |
| Blue Cross Blue Shield | Exchange | $1,741.99 | ↓ -48% |
| Aetna | Whole Health | $2,307.29 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $2,468.57 | ↓ -27% |
| American Health | Medicare Advantage | $2,566.97 | ↓ -24% |
| Blue Cross Blue Shield | Medicare Advantage | $2,566.97 | ↓ -24% |
| HealthSpring | Medicare Advantage | $2,618.31 | ↓ -22% |
| City of Fort Worth | Commercial | $2,641.08 | ↓ -22% |
| Humana | Medicare Advantage | $2,669.65 | ↓ -21% |
| Molina | Medicare Advantage | $2,695.32 | ↓ -20% |
| Amerigroup | Medicare Advantage | $2,695.32 | ↓ -20% |
| Superior Wellcare | Medicare Advantage HMO | $2,695.32 | ↓ -20% |
| Blue Cross Blue Shield | HMO | $2,809.66 | ↓ -17% |
| Superior Wellcare | Medicare Advantage MMP | $2,823.67 | ↓ -16% |
| United Healthcare | Medicare Advantage PPO | $2,849.34 | ↓ -15% |
| United Healthcare | Medicare Advantage HMO | $2,900.68 | ↓ -14% |
| Aetna | Commercial | $3,076.58 | ↓ -9% |
| Cigna | OAP/HMO | $3,106.36 | ↓ -8% |
| Blue Cross Blue Shield | PPO | $3,124.34 | ↓ -7% |
| Blue Cross Blue Shield | Traditional | $3,124.34 | ↓ -7% |
| United Healthcare | All Payer | $3,541.86 | ↑ +5% |
| United Healthcare Options | PPO | $3,746.40 | ↑ +11% |
| Cigna | PPO | $3,916.67 | ↑ +16% |
| Aetna | Coventry | $3,939.14 | ↑ +17% |
| Aetna | ASA | $3,939.14 | ↑ +17% |
| Quick Trip | Commercial | $3,989.72 | ↑ +18% |
| PHCS | PPO | $4,697.75 | ↑ +39% |
| Healthsmart | Commercial | $4,888.81 | ↑ +45% |
| Multiplan | Commercial | $4,888.81 | ↑ +45% |
| USA | MCO | $4,945.00 | ↑ +47% |
| Galaxy | Commercial | $4,945.00 | ↑ +47% |
| Cigna | Indemnity | $5,287.78 | ↑ +57% |
Visitor-reported prices
Comments
Metal frame recipro hip & ca at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Allen | Allen | $3,371.60 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $3,371.60 | not published |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $3,371.60 | not published |
| Texas Health Arlington Memorial Hospital | Arlington | $3,371.60 | not published |
| Texas Health Presbyterian Hospital Denton | Denton | $3,371.60 | not published |
| Texas Health Presbyterian Hospital Plano | Plano | $3,371.60 | not published |
| Texas Health Hospital Rockwall | Rockwall | $3,371.60 | not published |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $3,371.60 | not published |