Bx breast perq without image 19100 at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
$1,069.20
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.
$1,782.00
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.
$486.45 with Amerigroup vs $11,469.45 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $486.45 | ↓ -55% |
| Cook Childrens | Managed Medicaid | $486.45 | ↓ -55% |
| Blue Cross Blue Shield | Managed Medicaid | $486.45 | ↓ -55% |
| United Healthcare | Managed Medicaid | $486.45 | ↓ -55% |
| Superior Wellcare | Managed Medicaid | $510.77 | ↓ -52% |
| Molina | Managed Medicaid | $525.37 | ↓ -51% |
| Aetna | Managed Medicaid | $535.10 | ↓ -50% |
| Aetna | Whole Health | $688.21 | ↓ -36% |
| City of Fort Worth | Commercial | $837.54 | ↓ -22% |
| Aetna | Commercial | $917.73 | ↓ -14% |
| Cigna | OAP/HMO | $985.09 | ↓ -8% |
| Fort Worth Firefighters | Commercial | $1,087.91 | ↑ +2% |
| Cigna | PPO | $1,242.05 | ↑ +16% |
| Aetna | Coventry | $1,249.18 | ↑ +17% |
| Aetna | ASA | $1,249.18 | ↑ +17% |
| Quick Trip | Commercial | $1,265.22 | ↑ +18% |
| PHCS | PPO | $1,489.75 | ↑ +39% |
| American Health | Medicare Advantage | $1,545.29 | ↑ +45% |
| Blue Cross Blue Shield | Medicare Advantage | $1,545.29 | ↑ +45% |
| Healthsmart | Commercial | $1,550.34 | ↑ +45% |
| Multiplan | Commercial | $1,550.34 | ↑ +45% |
| Galaxy | Commercial | $1,568.16 | ↑ +47% |
| USA | MCO | $1,568.16 | ↑ +47% |
| HealthSpring | Medicare Advantage | $1,576.19 | ↑ +47% |
| Humana | Medicare Advantage | $1,607.10 | ↑ +50% |
| Superior Wellcare | Medicare Advantage HMO | $1,622.55 | ↑ +52% |
| Amerigroup | Medicare Advantage | $1,622.55 | ↑ +52% |
| Molina | Medicare Advantage | $1,622.55 | ↑ +52% |
| Cigna | Indemnity | $1,676.86 | ↑ +57% |
| Superior Wellcare | Medicare Advantage MMP | $1,699.82 | ↑ +59% |
| United Healthcare | Medicare Advantage PPO | $1,715.27 | ↑ +60% |
| United Healthcare | Medicare Advantage HMO | $1,746.18 | ↑ +63% |
| Blue Cross Blue Shield | Exchange | $2,745.20 | ↑ +157% |
| United Healthcare | All Payer | $2,923.00 | ↑ +173% |
| Blue Cross Blue Shield | HMO | $3,225.61 | ↑ +202% |
| Blue Cross Blue Shield | PPO | $3,583.86 | ↑ +235% |
| United Healthcare Options | PPO | $3,751.00 | ↑ +251% |
| Blue Cross Blue Shield | Traditional | $11,469.45 | ↑ +973% |
Visitor-reported prices
Comments
Bx breast perq without image 19100 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,044.68 | $486.45 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,181.33 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,078.43 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,044.68 | $486.45 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,181.33 | $85.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,181.33 | $486.45 – $4,016.35 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,078.43 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,044.68 | $486.45 – $4,016.35 |