Dlyd plmt xtn prosth ea addl at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
$3,793.50
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.
$6,322.50
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.
$273.34 with American Health vs $12,195.00 with United Healthcare Options — 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 |
|---|---|---|---|
| American Health | Medicare Advantage | $273.34 | ↓ -93% |
| Blue Cross Blue Shield | Medicare Advantage | $273.34 | ↓ -93% |
| HealthSpring | Medicare Advantage | $278.81 | ↓ -93% |
| Humana | Medicare Advantage | $284.27 | ↓ -93% |
| Molina | Medicare Advantage | $287.01 | ↓ -92% |
| Amerigroup | Medicare Advantage | $287.01 | ↓ -92% |
| Superior Wellcare | Medicare Advantage HMO | $287.01 | ↓ -92% |
| Superior Wellcare | Medicare Advantage MMP | $300.67 | ↓ -92% |
| United Healthcare | Medicare Advantage PPO | $303.41 | ↓ -92% |
| United Healthcare | Medicare Advantage HMO | $308.87 | ↓ -92% |
| Blue Cross Blue Shield | Exchange | $624.20 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $637.31 | ↓ -83% |
| Cook Childrens | Managed Medicaid | $637.31 | ↓ -83% |
| United Healthcare | Managed Medicaid | $637.31 | ↓ -83% |
| Amerigroup | Managed Medicaid | $637.31 | ↓ -83% |
| Superior Wellcare | Managed Medicaid | $668.92 | ↓ -82% |
| Molina | Managed Medicaid | $688.52 | ↓ -82% |
| Aetna | Managed Medicaid | $701.17 | ↓ -82% |
| Blue Cross Blue Shield | HMO | $733.44 | ↓ -81% |
| Blue Cross Blue Shield | PPO | $814.89 | ↓ -79% |
| Aetna | Whole Health | $2,441.75 | ↓ -36% |
| Blue Cross Blue Shield | Traditional | $2,607.91 | ↓ -31% |
| City of Fort Worth | Commercial | $2,971.58 | ↓ -22% |
| Aetna | Commercial | $3,256.09 | ↓ -14% |
| Cigna | OAP/HMO | $3,495.08 | ↓ -8% |
| Fort Worth Firefighters | Commercial | $3,859.89 | ↑ +2% |
| Cigna | PPO | $4,406.78 | ↑ +16% |
| Aetna | Coventry | $4,432.07 | ↑ +17% |
| Aetna | ASA | $4,432.07 | ↑ +17% |
| Quick Trip | Commercial | $4,488.98 | ↑ +18% |
| PHCS | PPO | $5,285.61 | ↑ +39% |
| Healthsmart | Commercial | $5,500.58 | ↑ +45% |
| Multiplan | Commercial | $5,500.58 | ↑ +45% |
| Galaxy | Commercial | $5,563.80 | ↑ +47% |
| USA | MCO | $5,563.80 | ↑ +47% |
| Cigna | Indemnity | $5,949.47 | ↑ +57% |
| United Healthcare | All Payer | $9,586.00 | ↑ +153% |
| United Healthcare Options | PPO | $12,195.00 | ↑ +221% |
Visitor-reported prices
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Dlyd plmt xtn prosth ea addl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,380.35 | $391.10 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,380.35 | $368.09 – $7,038.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,380.35 | $368.09 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $1,380.35 | $345.09 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $1,380.35 | $253.06 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $1,380.35 | $253.06 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $1,380.35 | $391.10 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $1,380.35 | $527.45 – $7,038.00 |