Calculus analysis qual at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
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.
$9.73 with Cook Childrens vs $22.70 with Fort Worth Firefighters — 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 | Managed Medicaid | $9.73 | — |
| United Healthcare | Managed Medicaid | $9.73 | — |
| Amerigroup | Managed Medicaid | $9.73 | — |
| Blue Cross Blue Shield | Managed Medicaid | $9.73 | — |
| Superior Wellcare | Managed Medicaid | $10.22 | — |
| Molina | Managed Medicaid | $10.51 | — |
| American Health | Medicare Advantage | $11.58 | — |
| Blue Cross Blue Shield | Medicare Advantage | $11.58 | — |
| HealthSpring | Medicare Advantage | $11.81 | — |
| Humana | Medicare Advantage | $12.04 | — |
| Superior Wellcare | Medicare Advantage HMO | $12.16 | — |
| Molina | Medicare Advantage | $12.16 | — |
| Amerigroup | Medicare Advantage | $12.16 | — |
| Superior Wellcare | Medicare Advantage MMP | $12.74 | — |
| United Healthcare | Medicare Advantage PPO | $12.85 | — |
| United Healthcare | Medicare Advantage HMO | $13.09 | — |
| Fort Worth Firefighters | Commercial | $22.70 | — |
Visitor-reported prices
Comments
Calculus analysis qual at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $98.40 | $12.00 – $147.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $98.40 | $9.73 – $123.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $98.40 | $10.41 – $147.60 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $98.40 | $8.00 – $147.60 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $98.40 | $9.73 – $147.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $98.40 | $9.73 – $123.00 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $98.40 | $9.73 – $147.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $98.40 | $9.73 – $147.60 |