Ercp w/specimen collection at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
$4,494.90
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.
$7,491.50
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.
$1,119.26 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 | $1,119.26 | ↓ -75% |
| United Healthcare | Managed Medicaid | $1,119.26 | ↓ -75% |
| Amerigroup | Managed Medicaid | $1,119.26 | ↓ -75% |
| Blue Cross Blue Shield | Managed Medicaid | $1,119.26 | ↓ -75% |
| Superior Wellcare | Managed Medicaid | $1,175.22 | ↓ -74% |
| Molina | Managed Medicaid | $1,208.80 | ↓ -73% |
| Aetna | Managed Medicaid | $1,231.19 | ↓ -73% |
| Aetna | Whole Health | $2,893.22 | ↓ -36% |
| City of Fort Worth | Commercial | $3,521.01 | ↓ -22% |
| Blue Cross Blue Shield | Medicare Advantage | $3,628.53 | ↓ -19% |
| American Health | Medicare Advantage | $3,628.53 | ↓ -19% |
| HealthSpring | Medicare Advantage | $3,701.10 | ↓ -18% |
| Humana | Medicare Advantage | $3,773.67 | ↓ -16% |
| Amerigroup | Medicare Advantage | $3,809.96 | ↓ -15% |
| Superior Wellcare | Medicare Advantage HMO | $3,809.96 | ↓ -15% |
| Molina | Medicare Advantage | $3,809.96 | ↓ -15% |
| Aetna | Commercial | $3,858.12 | ↓ -14% |
| Superior Wellcare | Medicare Advantage MMP | $3,991.39 | ↓ -11% |
| Fort Worth Firefighters | Commercial | $4,013.00 | ↓ -11% |
| United Healthcare | Medicare Advantage PPO | $4,027.67 | ↓ -10% |
| United Healthcare | Medicare Advantage HMO | $4,100.24 | ↓ -9% |
| Cigna | OAP/HMO | $4,141.30 | ↓ -8% |
| United Healthcare | All Payer | $5,023.00 | ↑ +12% |
| Cigna | PPO | $5,221.58 | ↑ +16% |
| Aetna | ASA | $5,251.54 | ↑ +17% |
| Aetna | Coventry | $5,251.54 | ↑ +17% |
| Quick Trip | Commercial | $5,318.97 | ↑ +18% |
| Blue Cross Blue Shield | Exchange | $5,998.16 | ↑ +33% |
| PHCS | PPO | $6,262.89 | ↑ +39% |
| United Healthcare Options | PPO | $6,494.00 | ↑ +44% |
| Multiplan | Commercial | $6,517.61 | ↑ +45% |
| Healthsmart | Commercial | $6,517.61 | ↑ +45% |
| Galaxy | Commercial | $6,592.52 | ↑ +47% |
| USA | MCO | $6,592.52 | ↑ +47% |
| Blue Cross Blue Shield | HMO | $7,047.84 | ↑ +57% |
| Cigna | Indemnity | $7,049.50 | ↑ +57% |
| Blue Cross Blue Shield | PPO | $7,830.60 | ↑ +74% |
| Blue Cross Blue Shield | Traditional | $25,060.31 | ↑ +458% |
Visitor-reported prices
Comments
Ercp w/specimen collection at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $1,998.15 | $3,425.40 – $4,281.75 |
| Texas Health Presbyterian Hospital Allen | Allen | $4,494.90 | $1,119.26 – $1,208.80 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $4,494.90 | $1,119.26 – $1,231.19 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $4,494.90 | $1,119.26 – $1,231.19 |
| Texas Health Arlington Memorial Hospital | Arlington | $4,494.90 | $1,119.26 – $1,231.19 |
| Texas Health Presbyterian Hospital Denton | Denton | $4,494.90 | $1,119.26 – $1,231.19 |
| Texas Health Presbyterian Hospital Plano | Plano | $4,494.90 | $1,119.26 – $1,208.80 |
| Texas Health Hospital Rockwall | Rockwall | $4,494.90 | $1,119.26 – $1,208.80 |