Cardiac perf spect sgl/ef/wm rst/strs at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
$3,905.10
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.
$6,508.50
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.
$315.75 with United Healthcare vs $6,124.50 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $315.75 | ↓ -92% |
| Cook Childrens | Managed Medicaid | $315.75 | ↓ -92% |
| Blue Cross Blue Shield | Managed Medicaid | $315.75 | ↓ -92% |
| Amerigroup | Managed Medicaid | $315.75 | ↓ -92% |
| Superior Wellcare | Managed Medicaid | $331.54 | ↓ -92% |
| Molina | Managed Medicaid | $341.01 | ↓ -91% |
| Aetna | Managed Medicaid | $347.33 | ↓ -91% |
| Blue Cross Blue Shield | HMO | $744.15 | ↓ -81% |
| Blue Cross Blue Shield | Exchange | $818.65 | ↓ -79% |
| Blue Cross Blue Shield | PPO | $826.87 | ↓ -79% |
| United Healthcare Options | PPO | $1,004.00 | ↓ -74% |
| United Healthcare | All Payer | $1,008.00 | ↓ -74% |
| Blue Cross Blue Shield | Medicare Advantage | $1,245.09 | ↓ -68% |
| American Health | Medicare Advantage | $1,245.09 | ↓ -68% |
| HealthSpring | Medicare Advantage | $1,269.99 | ↓ -67% |
| Humana | Medicare Advantage | $1,294.89 | ↓ -67% |
| Amerigroup | Medicare Advantage | $1,307.34 | ↓ -67% |
| Molina | Medicare Advantage | $1,307.34 | ↓ -67% |
| Superior Wellcare | Medicare Advantage HMO | $1,307.34 | ↓ -67% |
| Superior Wellcare | Medicare Advantage MMP | $1,369.60 | ↓ -65% |
| United Healthcare | Medicare Advantage PPO | $1,382.05 | ↓ -65% |
| United Healthcare | Medicare Advantage HMO | $1,406.95 | ↓ -64% |
| Blue Cross Blue Shield | Traditional | $2,235.57 | ↓ -43% |
| Aetna | Whole Health | $2,672.39 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $2,859.18 | ↓ -27% |
| City of Fort Worth | Commercial | $3,059.00 | ↓ -22% |
| Aetna | Commercial | $3,563.40 | ↓ -9% |
| Cigna | OAP/HMO | $3,597.90 | ↓ -8% |
| Cigna | PPO | $4,536.42 | ↑ +16% |
| Aetna | Coventry | $4,562.46 | ↑ +17% |
| Aetna | ASA | $4,562.46 | ↑ +17% |
| Quick Trip | Commercial | $4,621.04 | ↑ +18% |
| PHCS | PPO | $5,441.11 | ↑ +39% |
| Healthsmart | Commercial | $5,662.40 | ↑ +45% |
| Multiplan | Commercial | $5,662.40 | ↑ +45% |
| USA | MCO | $5,727.48 | ↑ +47% |
| Galaxy | Commercial | $5,727.48 | ↑ +47% |
| Cigna | Indemnity | $6,124.50 | ↑ +57% |
Visitor-reported prices
Comments
Cardiac perf spect sgl/ef/wm rst/strs at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,064.87 | $306.74 – $3,831.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,104.72 | $639.05 – $4,657.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,699.01 | $306.74 – $4,623.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,064.87 | $306.74 – $3,831.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,104.72 | $328.21 – $4,657.08 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,104.72 | $306.74 – $4,657.08 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,699.01 | $306.74 – $5,548.51 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $3,064.87 | $306.74 – $3,831.08 |