Established Patient Office Visit (level 2) at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
$508.20
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.
?
What you pay up front if you don't use insurance.
$847.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$12.37 with United Healthcare vs $213.10 with Blue Cross Blue Shield — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $12.37 | ↓ -98% |
| Cook Childrens | Managed Medicaid | $12.37 | ↓ -98% |
| Amerigroup | Managed Medicaid | $12.37 | ↓ -98% |
| Blue Cross Blue Shield | Managed Medicaid | $12.37 | ↓ -98% |
| Superior Wellcare | Managed Medicaid | $12.99 | ↓ -97% |
| Molina | Managed Medicaid | $13.37 | ↓ -97% |
| Aetna | Managed Medicaid | $13.61 | ↓ -97% |
| Blue Cross Blue Shield | Exchange | $48.53 | ↓ -90% |
| Aetna | Whole Health | $50.40 | ↓ -90% |
| American Health | Medicare Advantage | $53.19 | ↓ -90% |
| Blue Cross Blue Shield | Medicare Advantage | $53.19 | ↓ -90% |
| Fort Worth Firefighters | Commercial | $53.92 | ↓ -89% |
| HealthSpring | Medicare Advantage | $54.26 | ↓ -89% |
| Humana | Medicare Advantage | $55.32 | ↓ -89% |
| Amerigroup | Medicare Advantage | $55.85 | ↓ -89% |
| Superior Wellcare | Medicare Advantage HMO | $55.85 | ↓ -89% |
| Molina | Medicare Advantage | $55.85 | ↓ -89% |
| City of Fort Worth | Commercial | $57.69 | ↓ -89% |
| Superior Wellcare | Medicare Advantage MMP | $58.51 | ↓ -88% |
| United Healthcare | Medicare Advantage PPO | $59.04 | ↓ -88% |
| United Healthcare | Medicare Advantage HMO | $60.11 | ↓ -88% |
| United Healthcare | All Payer | $63.49 | ↓ -88% |
| Blue Cross Blue Shield | HMO | $65.11 | ↓ -87% |
| Aetna | Commercial | $67.21 | ↓ -87% |
| United Healthcare Options | PPO | $67.27 | ↓ -87% |
| Cigna | OAP/HMO | $67.86 | ↓ -87% |
| Blue Cross Blue Shield | PPO | $72.35 | ↓ -86% |
| Cigna | PPO | $85.56 | ↓ -83% |
| Aetna | ASA | $86.05 | ↓ -83% |
| Aetna | Coventry | $86.05 | ↓ -83% |
| Quick Trip | Commercial | $87.15 | ↓ -83% |
| PHCS | PPO | $102.62 | ↓ -80% |
| Multiplan | Commercial | $106.79 | ↓ -79% |
| Healthsmart | Commercial | $106.79 | ↓ -79% |
| Galaxy | Commercial | $108.02 | ↓ -79% |
| USA | MCO | $108.02 | ↓ -79% |
| Cigna | Indemnity | $115.51 | ↓ -77% |
| Blue Cross Blue Shield | Traditional | $213.10 | ↓ -58% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 2) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $314.35 | $99.91 – $99.91 |
| Baylor St Luke's Medical Center | Houston | $118.65 | $30.62 – $339.00 |
| St. Joseph Health Madison Hospital | Madisonville | $190.05 | $9.18 – $104.64 |
| St. Luke's Health Memorial Lufkin | Lufkin | $57.53 | $50.95 – $305.70 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $118.65 | $37.89 – $339.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $118.65 | $37.89 – $339.00 |
| St. Joseph Health College Station Hospital | College Station | $190.05 | $39.60 – $213.64 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $118.65 | $37.89 – $339.00 |