Ghs community re-entry 15 minutes at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
$225.45
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.
$375.75
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.
$30.81 with American Health vs $401.00 with United Healthcare Options — 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 |
|---|---|---|---|
| American Health | Medicare Advantage | $30.81 | ↓ -86% |
| Blue Cross Blue Shield | Medicare Advantage | $30.81 | ↓ -86% |
| HealthSpring | Medicare Advantage | $31.42 | ↓ -86% |
| Humana | Medicare Advantage | $32.04 | ↓ -86% |
| Molina | Medicare Advantage | $32.35 | ↓ -86% |
| Amerigroup | Medicare Advantage | $32.35 | ↓ -86% |
| Superior Wellcare | Medicare Advantage HMO | $32.35 | ↓ -86% |
| Superior Wellcare | Medicare Advantage MMP | $33.89 | ↓ -85% |
| United Healthcare | Medicare Advantage PPO | $34.20 | ↓ -85% |
| United Healthcare | Medicare Advantage HMO | $34.81 | ↓ -85% |
| Blue Cross Blue Shield | Managed Medicaid | $36.41 | ↓ -84% |
| Cook Childrens | Managed Medicaid | $36.41 | ↓ -84% |
| Amerigroup | Managed Medicaid | $36.41 | ↓ -84% |
| United Healthcare | Managed Medicaid | $36.41 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $38.22 | ↓ -83% |
| Molina | Managed Medicaid | $39.34 | ↓ -83% |
| Aetna | Managed Medicaid | $40.06 | ↓ -82% |
| Blue Cross Blue Shield | Exchange | $62.68 | ↓ -72% |
| Blue Cross Blue Shield | HMO | $84.10 | ↓ -63% |
| Blue Cross Blue Shield | PPO | $93.45 | ↓ -59% |
| Aetna | Whole Health | $148.33 | ↓ -34% |
| City of Fort Worth | Commercial | $169.79 | ↓ -25% |
| Aetna | Commercial | $197.78 | ↓ -12% |
| Fort Worth Firefighters | Commercial | $220.54 | ↓ -2% |
| Aetna | Coventry | $253.24 | ↑ +12% |
| Aetna | ASA | $253.24 | ↑ +12% |
| Quick Trip | Commercial | $256.49 | ↑ +14% |
| Blue Cross Blue Shield | Traditional | $275.27 | ↑ +22% |
| PHCS | PPO | $302.01 | ↑ +34% |
| United Healthcare | All Payer | $308.00 | ↑ +37% |
| Healthsmart | Commercial | $314.29 | ↑ +39% |
| Multiplan | Commercial | $314.29 | ↑ +39% |
| Galaxy | Commercial | $317.90 | ↑ +41% |
| USA | MCO | $317.90 | ↑ +41% |
| Cigna | OAP/HMO | $328.00 | ↑ +45% |
| Cigna | Indemnity | $339.94 | ↑ +51% |
| Cigna | PPO | $396.00 | ↑ +76% |
| United Healthcare Options | PPO | $401.00 | ↑ +78% |
Visitor-reported prices
Comments
Ghs community re-entry 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $103.27 | $29.26 – $146.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $104.88 | $21.59 – $157.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $97.36 | $19.47 – $149.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $103.27 | $27.54 – $146.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $104.88 | $33.67 – $157.32 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $104.88 | $54.19 – $253.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $97.36 | $32.45 – $149.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $103.27 | $27.54 – $146.30 |