Egd w/thrml txmnt gerd at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
$2,282.85
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.
$3,804.75
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.
$383.52 with Cook Childrens vs $25,060.31 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 |
|---|---|---|---|
| Cook Childrens | Managed Medicaid | $383.52 | ↓ -83% |
| Blue Cross Blue Shield | Managed Medicaid | $383.52 | ↓ -83% |
| United Healthcare | Managed Medicaid | $383.52 | ↓ -83% |
| Amerigroup | Managed Medicaid | $383.52 | ↓ -83% |
| Superior Wellcare | Managed Medicaid | $402.54 | ↓ -82% |
| Molina | Managed Medicaid | $414.34 | ↓ -82% |
| Aetna | Managed Medicaid | $421.95 | ↓ -82% |
| Aetna | Whole Health | $1,469.39 | ↓ -36% |
| City of Fort Worth | Commercial | $1,788.23 | ↓ -22% |
| Aetna | Commercial | $1,959.45 | ↓ -14% |
| Cigna | OAP/HMO | $2,103.27 | ↓ -8% |
| Fort Worth Firefighters | Commercial | $2,322.80 | ↑ +2% |
| Cigna | PPO | $2,651.91 | ↑ +16% |
| Aetna | ASA | $2,667.13 | ↑ +17% |
| Aetna | Coventry | $2,667.13 | ↑ +17% |
| Quick Trip | Commercial | $2,701.37 | ↑ +18% |
| PHCS | PPO | $3,180.77 | ↑ +39% |
| Healthsmart | Commercial | $3,310.13 | ↑ +45% |
| Multiplan | Commercial | $3,310.13 | ↑ +45% |
| USA | MCO | $3,348.18 | ↑ +47% |
| Galaxy | Commercial | $3,348.18 | ↑ +47% |
| Cigna | Indemnity | $3,580.27 | ↑ +57% |
| Blue Cross Blue Shield | Medicare Advantage | $3,628.53 | ↑ +59% |
| American Health | Medicare Advantage | $3,628.53 | ↑ +59% |
| HealthSpring | Medicare Advantage | $3,701.10 | ↑ +62% |
| Humana | Medicare Advantage | $3,773.67 | ↑ +65% |
| Amerigroup | Medicare Advantage | $3,809.96 | ↑ +67% |
| Molina | Medicare Advantage | $3,809.96 | ↑ +67% |
| Superior Wellcare | Medicare Advantage HMO | $3,809.96 | ↑ +67% |
| Superior Wellcare | Medicare Advantage MMP | $3,991.39 | ↑ +75% |
| United Healthcare | Medicare Advantage PPO | $4,027.67 | ↑ +76% |
| United Healthcare | Medicare Advantage HMO | $4,100.24 | ↑ +80% |
| United Healthcare | All Payer | $5,023.00 | ↑ +120% |
| Blue Cross Blue Shield | Exchange | $5,998.16 | ↑ +163% |
| United Healthcare Options | PPO | $6,494.00 | ↑ +184% |
| Blue Cross Blue Shield | HMO | $7,047.84 | ↑ +209% |
| Blue Cross Blue Shield | PPO | $7,830.60 | ↑ +243% |
| Blue Cross Blue Shield | Traditional | $25,060.31 | ↑ +998% |
Visitor-reported prices
Comments
Egd w/thrml txmnt gerd at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $2,282.85 | not published |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth | $2,282.85 | not published |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford | $2,282.85 | not published |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio | $3,451.14 | $1,737.00 – $7,144.76 |
| Houston Methodist The Woodlands Hospital | The Woodlands | $2,463.00 | $3,416.00 – $7,746.08 |
| Houston Methodist Cypress Hospital | Cypress | $2,463.00 | $3,416.00 – $7,552.43 |
| Houston Methodist Willowbrook Hospital | Houston | $2,463.00 | $3,416.00 – $7,552.43 |
| Houston Methodist Continuing Care Hospital | Katy | $2,463.00 | $3,522.00 – $5,860.00 |