Esophagoscp guide wire dilat 43196 at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
not published by hospital
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.
not published by hospital
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 United Healthcare 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $1,119.26 | — |
| Cook Childrens | Managed Medicaid | $1,119.26 | — |
| Blue Cross Blue Shield | Managed Medicaid | $1,119.26 | — |
| Amerigroup | Managed Medicaid | $1,119.26 | — |
| Superior Wellcare | Managed Medicaid | $1,175.22 | — |
| Molina | Managed Medicaid | $1,208.80 | — |
| Aetna | Managed Medicaid | $1,231.19 | — |
| Blue Cross Blue Shield | Medicare Advantage | $1,809.24 | — |
| American Health | Medicare Advantage | $1,809.24 | — |
| HealthSpring | Medicare Advantage | $1,845.42 | — |
| Humana | Medicare Advantage | $1,881.60 | — |
| Superior Wellcare | Medicare Advantage HMO | $1,899.70 | — |
| Molina | Medicare Advantage | $1,899.70 | — |
| Amerigroup | Medicare Advantage | $1,899.70 | — |
| Superior Wellcare | Medicare Advantage MMP | $1,990.16 | — |
| United Healthcare | Medicare Advantage PPO | $2,008.25 | — |
| United Healthcare | Medicare Advantage HMO | $2,044.44 | — |
| Fort Worth Firefighters | Commercial | $2,319.00 | — |
| United Healthcare | All Payer | $2,923.00 | — |
| United Healthcare Options | PPO | $3,751.00 | — |
| Blue Cross Blue Shield | Exchange | $5,998.16 | — |
| Blue Cross Blue Shield | HMO | $7,047.84 | — |
| Blue Cross Blue Shield | PPO | $7,830.60 | — |
| Blue Cross Blue Shield | Traditional | $25,060.31 | — |
Visitor-reported prices
Comments
Esophagoscp guide wire dilat 43196 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Houston Methodist The Woodlands Hospital | The Woodlands | $979.50 | $1,927.65 – $3,855.30 |
| Houston Methodist Cypress Hospital | Cypress | $979.50 | $1,927.65 – $3,758.92 |
| Houston Methodist Willowbrook Hospital | Houston | $979.50 | $1,927.65 – $3,758.92 |
| Houston Methodist Continuing Care Hospital | Katy | $979.50 | $3,894.00 – $7,542.00 |
| Houston Methodist Clear Lake Hospital | Nassau Bay | $979.50 | $1,739.47 – $3,758.92 |
| Houston Methodist Sugar Land Hospital | Sugar Land | $979.50 | $1,927.65 – $3,758.92 |
| Houston Methodist West Hospital | Houston | $979.50 | $1,927.65 – $7,710.61 |
| Houston Methodist Baytown Hospital | Baytown | $979.50 | $1,927.65 – $3,758.92 |