Change of ureter tube/stent at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
$2,017.80
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.
$3,363.00
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.
$652.80 with Amerigroup vs $3,042.72 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $652.80 | ↓ -68% |
| Cook Childrens | Managed Medicaid | $652.80 | ↓ -68% |
| United Healthcare | Managed Medicaid | $652.80 | ↓ -68% |
| Blue Cross Blue Shield | Managed Medicaid | $652.80 | ↓ -68% |
| Superior Wellcare | Managed Medicaid | $685.44 | ↓ -66% |
| Molina | Managed Medicaid | $705.02 | ↓ -65% |
| Aetna | Managed Medicaid | $718.08 | ↓ -64% |
| Blue Cross Blue Shield | Exchange | $937.72 | ↓ -54% |
| Aetna | Whole Health | $1,298.79 | ↓ -36% |
| Fort Worth Firefighters | Commercial | $1,420.48 | ↓ -30% |
| Blue Cross Blue Shield | HMO | $1,493.88 | ↓ -26% |
| City of Fort Worth | Commercial | $1,519.75 | ↓ -25% |
| Blue Cross Blue Shield | PPO | $1,662.02 | ↓ -18% |
| United Healthcare | All Payer | $1,672.37 | ↓ -17% |
| Aetna | Commercial | $1,731.95 | ↓ -14% |
| United Healthcare Options | PPO | $1,771.96 | ↓ -12% |
| Cigna | OAP/HMO | $1,787.48 | ↓ -11% |
| Blue Cross Blue Shield | Medicare Advantage | $1,953.75 | ↓ -3% |
| American Health | Medicare Advantage | $1,953.75 | ↓ -3% |
| HealthSpring | Medicare Advantage | $1,992.82 | ↓ -1% |
| Humana | Medicare Advantage | $2,031.90 | ↑ +1% |
| Molina | Medicare Advantage | $2,051.43 | ↑ +2% |
| Amerigroup | Medicare Advantage | $2,051.43 | ↑ +2% |
| Superior Wellcare | Medicare Advantage HMO | $2,051.43 | ↑ +2% |
| Superior Wellcare | Medicare Advantage MMP | $2,149.12 | ↑ +7% |
| United Healthcare | Medicare Advantage PPO | $2,168.66 | ↑ +7% |
| United Healthcare | Medicare Advantage HMO | $2,207.73 | ↑ +9% |
| Cigna | PPO | $2,253.75 | ↑ +12% |
| Aetna | Coventry | $2,266.68 | ↑ +12% |
| Aetna | ASA | $2,266.68 | ↑ +12% |
| Quick Trip | Commercial | $2,295.79 | ↑ +14% |
| Blue Cross Blue Shield | Traditional | $2,667.64 | ↑ +32% |
| PHCS | PPO | $2,703.21 | ↑ +34% |
| Healthsmart | Commercial | $2,813.15 | ↑ +39% |
| Multiplan | Commercial | $2,813.15 | ↑ +39% |
| Galaxy | Commercial | $2,845.48 | ↑ +41% |
| USA | MCO | $2,845.48 | ↑ +41% |
| Cigna | Indemnity | $3,042.72 | ↑ +51% |
Visitor-reported prices
Comments
Change of ureter tube/stent at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,742.61 | $652.80 – $5,045.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,790.55 | $71.00 – $5,045.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,690.90 | $71.00 – $5,045.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,742.61 | $652.80 – $5,045.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,790.55 | $85.00 – $5,045.72 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,790.55 | $652.80 – $5,045.72 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,690.90 | $71.00 – $5,045.72 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,742.61 | $652.80 – $5,045.72 |