Established Patient Office Visit (level 3) at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
$710.40
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.
$1,184.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$15.78 with Cook Childrens vs $426.20 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 | $15.78 | ↓ -98% |
| Blue Cross Blue Shield | Managed Medicaid | $15.78 | ↓ -98% |
| United Healthcare | Managed Medicaid | $15.78 | ↓ -98% |
| Amerigroup | Managed Medicaid | $15.78 | ↓ -98% |
| Superior Wellcare | Managed Medicaid | $16.56 | ↓ -98% |
| Molina | Managed Medicaid | $17.04 | ↓ -98% |
| Aetna | Managed Medicaid | $17.36 | ↓ -98% |
| Aetna | Whole Health | $64.26 | ↓ -91% |
| Fort Worth Firefighters | Commercial | $68.75 | ↓ -90% |
| City of Fort Worth | Commercial | $73.56 | ↓ -90% |
| United Healthcare | All Payer | $80.94 | ↓ -89% |
| Aetna | Commercial | $85.68 | ↓ -88% |
| United Healthcare Options | PPO | $85.76 | ↓ -88% |
| American Health | Medicare Advantage | $86.34 | ↓ -88% |
| Blue Cross Blue Shield | Medicare Advantage | $86.34 | ↓ -88% |
| Cigna | OAP/HMO | $86.51 | ↓ -88% |
| HealthSpring | Medicare Advantage | $88.06 | ↓ -88% |
| Humana | Medicare Advantage | $89.79 | ↓ -87% |
| Superior Wellcare | Medicare Advantage HMO | $90.65 | ↓ -87% |
| Molina | Medicare Advantage | $90.65 | ↓ -87% |
| Amerigroup | Medicare Advantage | $90.65 | ↓ -87% |
| Superior Wellcare | Medicare Advantage MMP | $94.97 | ↓ -87% |
| United Healthcare | Medicare Advantage PPO | $95.83 | ↓ -87% |
| Blue Cross Blue Shield | Exchange | $97.05 | ↓ -86% |
| United Healthcare | Medicare Advantage HMO | $97.56 | ↓ -86% |
| Cigna | PPO | $109.08 | ↓ -85% |
| Aetna | Coventry | $109.71 | ↓ -85% |
| Aetna | ASA | $109.71 | ↓ -85% |
| Quick Trip | Commercial | $111.12 | ↓ -84% |
| Blue Cross Blue Shield | HMO | $130.22 | ↓ -82% |
| PHCS | PPO | $130.83 | ↓ -82% |
| Healthsmart | Commercial | $136.16 | ↓ -81% |
| Multiplan | Commercial | $136.16 | ↓ -81% |
| Galaxy | Commercial | $137.72 | ↓ -81% |
| USA | MCO | $137.72 | ↓ -81% |
| Blue Cross Blue Shield | PPO | $144.70 | ↓ -80% |
| Cigna | Indemnity | $147.27 | ↓ -79% |
| Blue Cross Blue Shield | Traditional | $426.20 | ↓ -40% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 3) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $361.22 | $199.82 – $199.82 |
| Baylor St Luke's Medical Center | Houston | $148.40 | $61.24 – $424.00 |
| St. Joseph Health Madison Hospital | Madisonville | $214.20 | $15.42 – $108.90 |
| St. Luke's Health Memorial Lufkin | Lufkin | $66.87 | $20.50 – $100.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $148.40 | $74.00 – $424.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $148.40 | $74.00 – $424.00 |
| St. Joseph Health College Station Hospital | College Station | $214.20 | $66.55 – $190.12 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $148.40 | $74.00 – $424.00 |