Duplex scan unilateral study 93986 at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
$256.35
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.
$427.25
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.
$43.07 with United Healthcare vs $1,040.95 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $43.07 | ↓ -83% |
| Cook Childrens | Managed Medicaid | $43.07 | ↓ -83% |
| Blue Cross Blue Shield | Managed Medicaid | $43.07 | ↓ -83% |
| Amerigroup | Managed Medicaid | $43.07 | ↓ -83% |
| Superior Wellcare | Managed Medicaid | $45.20 | ↓ -82% |
| Molina | Managed Medicaid | $46.53 | ↓ -82% |
| Aetna | Managed Medicaid | $47.38 | ↓ -82% |
| Blue Cross Blue Shield | Medicare Advantage | $101.42 | ↓ -60% |
| American Health | Medicare Advantage | $101.42 | ↓ -60% |
| HealthSpring | Medicare Advantage | $103.45 | ↓ -60% |
| Humana | Medicare Advantage | $105.48 | ↓ -59% |
| Superior Wellcare | Medicare Advantage HMO | $106.49 | ↓ -58% |
| Amerigroup | Medicare Advantage | $106.49 | ↓ -58% |
| Molina | Medicare Advantage | $106.49 | ↓ -58% |
| Superior Wellcare | Medicare Advantage MMP | $111.56 | ↓ -56% |
| United Healthcare | Medicare Advantage PPO | $112.58 | ↓ -56% |
| United Healthcare | Medicare Advantage HMO | $114.61 | ↓ -55% |
| Aetna | Whole Health | $175.43 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $187.69 | ↓ -27% |
| City of Fort Worth | Commercial | $200.81 | ↓ -22% |
| Aetna | Commercial | $233.92 | ↓ -9% |
| Cigna | OAP/HMO | $236.18 | ↓ -8% |
| Cigna | PPO | $297.79 | ↑ +16% |
| Aetna | Coventry | $299.50 | ↑ +17% |
| Aetna | ASA | $299.50 | ↑ +17% |
| Quick Trip | Commercial | $303.35 | ↑ +18% |
| Blue Cross Blue Shield | HMO | $346.50 | ↑ +35% |
| PHCS | PPO | $357.18 | ↑ +39% |
| Healthsmart | Commercial | $371.71 | ↑ +45% |
| Multiplan | Commercial | $371.71 | ↑ +45% |
| Galaxy | Commercial | $375.98 | ↑ +47% |
| USA | MCO | $375.98 | ↑ +47% |
| Blue Cross Blue Shield | Exchange | $381.19 | ↑ +49% |
| Blue Cross Blue Shield | PPO | $385.02 | ↑ +50% |
| Cigna | Indemnity | $402.04 | ↑ +57% |
| United Healthcare | All Payer | $588.00 | ↑ +129% |
| United Healthcare Options | PPO | $784.00 | ↑ +206% |
| Blue Cross Blue Shield | Traditional | $1,040.95 | ↑ +306% |
Visitor-reported prices
Comments
Duplex scan unilateral study 93986 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $181.18 | $51.33 – $272.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $134.48 | $27.68 – $1,117.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $134.48 | $26.90 – $1,117.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $181.18 | $48.31 – $1,117.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $134.48 | $43.17 – $1,117.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $134.48 | $69.48 – $272.35 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $134.48 | $44.83 – $272.35 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $181.18 | $48.31 – $272.35 |