Hearing loss dup/del analys at MEDICAL CITY WEATHERFORD HOSPITAL
713 East Anderson Street, Weatherford, TX · Medicalcityhealthcare · · NPI 1417471467
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.
$407.74 with Cook Childrens Health Plan vs $6,114.97 with Humana — 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 |
|---|---|---|---|
| Cook Childrens Health Plan | CHIP | $407.74 | — |
| Cook Childrens Health Plan | STAR | $407.74 | — |
| BCBS | TriWestGOV | $665.98 | — |
| WellMed | MGMCR | $676.17 | — |
| Devoted Health | MCR | $679.57 | — |
| Devoted Health | MME | $679.57 | — |
| TriWest Veterans | FED | $679.57 | — |
| Humana | MGMCR | $679.57 | — |
| Devoted Health | PPO | $679.57 | — |
| BCBS | MGMCRHMO | $679.57 | — |
| BCBS | MCRPPO | $679.57 | — |
| Mutual of Omaha | MGMCR | $679.57 | — |
| Amerigroup | DualEligible | $679.57 | — |
| United | SmallGroup | $679.57 | — |
| United | NarrowNetworkIndivExchange | $679.57 | — |
| United | AllPayerAppendix | $679.57 | — |
| Devoted Health | SNP | $679.57 | — |
| Devoted Health | HMO | $679.57 | — |
| Devoted Health | POS | $679.57 | — |
| United | MGMCR | $682.97 | — |
| Care N Care | MGMCR | $686.37 | — |
| Cigna Healthspring | MGMCR | $693.16 | — |
| Integranet | MGMCR | $699.96 | — |
| WellCare | MGMCR | $699.96 | — |
| Superior Health Plan | MGMCRPFFS | $713.55 | — |
| Superior Health Plan | MGMCRDualEligible | $713.55 | — |
| Superior Health Plan | MGMCRHMO | $713.55 | — |
| Superior Health Plan | MGMCRPPO | $713.55 | — |
| American Health Plan of Texas, Inc. | MGMCR | $713.55 | — |
| Superior Health Plan | MGMCRPOS | $713.55 | — |
| Superior Health Plan | MGMCRSNP | $713.55 | — |
| ProCare Advantge | MCR | $713.55 | — |
| Texas Independent Health Plan | MGMCR | $720.34 | — |
| Provider Partners Health Plan | MCR | $720.34 | — |
| Imperial Insurance Company | MCR | $747.53 | — |
| Aetna | QHPHIX | $864.41 | — |
| Verda Health Plan | MGMCR | $883.44 | — |
| Molina | MME | $1,080.52 | — |
| Molina | MMP | $1,080.52 | — |
| Molina | MCR | $1,080.52 | — |
| BCBS | BluePremier | $1,162.06 | — |
| BCBS | BlueAdvantageHMO | $1,189.25 | — |
| Aetna | NewBusiness | $1,190.60 | — |
| Superior | ValueHMO | $1,216.43 | — |
| Aetna | COMM | $1,268.07 | — |
| Aetna | Meritain | $1,268.07 | — |
| Aetna | OON | $1,492.33 | — |
| Superior | HMO | $1,522.24 | — |
| Superior | EPO | $1,522.24 | — |
| BCBS | BlueEssentialsAccess | $1,678.54 | — |
| BCBS | BlueEssentials | $1,678.54 | — |
| BCBS | EPOSOA | $1,760.09 | — |
| Oscar | HIX | $1,766.88 | — |
| Molina Healthcare | HIX | $1,780.47 | — |
| BCBS | PPO | $1,841.63 | — |
| Cigna | LocalPlus | $2,588.98 | — |
| Cigna | NewBusiness | $2,591.56 | — |
| Cigna | OpenAccessPlus | $2,891.71 | — |
| Cigna | HMO | $2,891.71 | — |
| Cigna | NetworkBenefit | $2,891.71 | — |
| Cigna | AllOther | $3,659.81 | — |
| Humana | COMM | $6,114.97 | — |
Visitor-reported prices
Comments
Hearing loss dup/del analys at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MEDICAL CITY DALLAS HOSPITAL | Dallas | $4,568.63 | $407.74 – $2,588.98 |
| Adventhealth Rollins Brook | Lampasas | not published | $611.61 – $2,616.34 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $665.98 – $2,794.89 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $665.98 – $2,794.89 |
| Covenant Children's Hospital | Lubbock | not published | $1,484.18 – $2,962.93 |
| HCA HOUSTON CONROE | CONROE | not published | $665.98 – $2,794.89 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $665.98 – $2,794.89 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $665.98 – $2,794.89 |