CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Texas Health Harris Methodist Hospital Alliance

Billing Code: G0279 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0279
Insurance Median: $71
Cash Discount Price: $71
vs. Medicare Baseline: 1.76x Medicare

The contracted insurance negotiated median rate for a Diagnostic procedure preparation at Texas Health Harris Methodist Hospital Alliance is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.76x the Medicare baseline. Located in 10864 Texas Health Trail, Fort Worth, TX.

Cash / Self-Pay

$71

Average discount available for prompt cash payment at this facility.

Insurance Median

$71

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$40.41

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $40.41 (100%)

Cash / Self-Pay: $71 (176%)

Insurance Median: $71 (176%)

Cash: $71 (176% of Medicare)

Ins. Median: $71 (176% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $40.41 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$39 - $199	97%
Aetna	$40 - $83	99%
American Health	$40	99%
Healthspring	$41	101%
Amerigroup	$42 - $47	104%
Humana	$42	104%
Molina	$42 - $51	104%
Superior Wellcare	$42 - $50	104%
UnitedHealthcare	$45 - $276	111%
Cook Childrens	$47	116%
City of Fort Worth	$56	139%
Quick Trip	$71 - $75	176%
Fort Worth Firefighters	$73 - $181	181%
PHCS	$83 - $89	205%
Healthsmart	$89 - $100	220%
Multiplan	$104	257%
Galaxy	$105	260%
USA	$105	260%
Cigna	$112 - $266	277%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $71.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0279.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Texas Health Harris Methodist Hospital Alliance is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0279.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.