Etanercept injection at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
$3,172.86
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.
$5,288.09
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.
$293.11 with Blue Cross Blue Shield vs $5,070.94 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $293.11 | ↓ -91% |
| Cook Childrens | Managed Medicaid | $293.11 | ↓ -91% |
| United Healthcare | Managed Medicaid | $293.11 | ↓ -91% |
| Amerigroup | Managed Medicaid | $293.11 | ↓ -91% |
| Superior Wellcare | Managed Medicaid | $307.65 | ↓ -90% |
| Molina | Managed Medicaid | $316.67 | ↓ -90% |
| Aetna | Managed Medicaid | $322.48 | ↓ -90% |
| Aetna | Whole Health | $1,005.54 | ↓ -68% |
| Blue Cross Blue Shield | Medicare Advantage | $1,080.88 | ↓ -66% |
| American Health | Medicare Advantage | $1,080.88 | ↓ -66% |
| HealthSpring | Medicare Advantage | $1,102.50 | ↓ -65% |
| Blue Cross Blue Shield | HMO | $1,115.26 | ↓ -65% |
| Humana | Medicare Advantage | $1,124.12 | ↓ -65% |
| Molina | Medicare Advantage | $1,134.93 | ↓ -64% |
| Superior Wellcare | Medicare Advantage HMO | $1,134.93 | ↓ -64% |
| Amerigroup | Medicare Advantage | $1,134.93 | ↓ -64% |
| Blue Cross Blue Shield | Exchange | $1,143.58 | ↓ -64% |
| Superior Wellcare | Medicare Advantage MMP | $1,188.97 | ↓ -63% |
| United Healthcare | Medicare Advantage PPO | $1,199.78 | ↓ -62% |
| United Healthcare | Medicare Advantage HMO | $1,221.40 | ↓ -62% |
| Blue Cross Blue Shield | PPO | $1,239.42 | ↓ -61% |
| Fort Worth Firefighters | Commercial | $1,277.43 | ↓ -60% |
| Aetna | Commercial | $1,340.53 | ↓ -58% |
| City of Fort Worth | Commercial | $1,366.70 | ↓ -57% |
| Cigna | OAP/HMO | $1,607.47 | ↓ -49% |
| Cigna | PPO | $2,026.79 | ↓ -36% |
| Aetna | ASA | $2,038.42 | ↓ -36% |
| Aetna | Coventry | $2,038.42 | ↓ -36% |
| Quick Trip | Commercial | $2,064.59 | ↓ -35% |
| PHCS | PPO | $2,430.98 | ↓ -23% |
| Multiplan | Commercial | $2,529.85 | ↓ -20% |
| Healthsmart | Commercial | $2,529.85 | ↓ -20% |
| Galaxy | Commercial | $2,558.93 | ↓ -19% |
| USA | MCO | $2,558.93 | ↓ -19% |
| Cigna | Indemnity | $2,736.31 | ↓ -14% |
| United Healthcare | All Payer | $3,056.48 | ↓ -4% |
| United Healthcare Options | PPO | $3,056.48 | ↓ -4% |
| Blue Cross Blue Shield | Traditional | $5,070.94 | ↑ +60% |
Visitor-reported prices
Comments
Etanercept injection at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $1,341.52 | $490.10 – $3,085.38 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $1,341.52 | $593.57 – $3,085.38 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $1,341.52 | $593.57 – $3,085.38 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $1,341.52 | $593.57 – $3,085.38 |
| Texas Health Presbyterian Hospital Allen | Allen | $3,172.86 | $710.65 – $3,056.48 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $3,172.86 | $1,115.26 – $3,056.48 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $3,172.86 | $710.65 – $3,056.48 |
| Texas Health Arlington Memorial Hospital | Arlington | $3,172.86 | $710.65 – $3,056.48 |