Ghs excision ingrown nail at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
$829.80
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.
$1,383.00
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.
$75.47 with United Healthcare vs $757.88 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $75.47 | ↓ -91% |
| Cook Childrens | Managed Medicaid | $75.47 | ↓ -91% |
| Blue Cross Blue Shield | Managed Medicaid | $75.47 | ↓ -91% |
| Amerigroup | Managed Medicaid | $75.47 | ↓ -91% |
| Superior Wellcare | Managed Medicaid | $79.22 | ↓ -90% |
| Molina | Managed Medicaid | $81.54 | ↓ -90% |
| Aetna | Managed Medicaid | $83.04 | ↓ -90% |
| Blue Cross Blue Shield | Exchange | $301.00 | ↓ -64% |
| City of Fort Worth | Commercial | $351.91 | ↓ -58% |
| American Health | Medicare Advantage | $381.05 | ↓ -54% |
| Blue Cross Blue Shield | Medicare Advantage | $381.05 | ↓ -54% |
| Aetna | Whole Health | $384.18 | ↓ -54% |
| HealthSpring | Medicare Advantage | $388.67 | ↓ -53% |
| Fort Worth Firefighters | Commercial | $391.15 | ↓ -53% |
| Humana | Medicare Advantage | $396.29 | ↓ -52% |
| Amerigroup | Medicare Advantage | $400.10 | ↓ -52% |
| Superior Wellcare | Medicare Advantage HMO | $400.10 | ↓ -52% |
| Molina | Medicare Advantage | $400.10 | ↓ -52% |
| Cigna | OAP/HMO | $413.91 | ↓ -50% |
| Superior Wellcare | Medicare Advantage MMP | $419.15 | ↓ -49% |
| United Healthcare | Medicare Advantage PPO | $422.96 | ↓ -49% |
| United Healthcare | Medicare Advantage HMO | $430.58 | ↓ -48% |
| Blue Cross Blue Shield | HMO | $503.16 | ↓ -39% |
| Aetna | Commercial | $512.22 | ↓ -38% |
| Cigna | PPO | $521.88 | ↓ -37% |
| Aetna | ASA | $524.87 | ↓ -37% |
| Aetna | Coventry | $524.87 | ↓ -37% |
| Quick Trip | Commercial | $531.61 | ↓ -36% |
| Blue Cross Blue Shield | PPO | $559.32 | ↓ -33% |
| PHCS | PPO | $625.96 | ↓ -25% |
| Blue Cross Blue Shield | Traditional | $643.18 | ↓ -22% |
| Healthsmart | Commercial | $651.41 | ↓ -21% |
| Multiplan | Commercial | $651.41 | ↓ -21% |
| USA | MCO | $658.90 | ↓ -21% |
| Galaxy | Commercial | $658.90 | ↓ -21% |
| Cigna | Indemnity | $704.57 | ↓ -15% |
| United Healthcare | All Payer | $715.29 | ↓ -14% |
| United Healthcare Options | PPO | $757.88 | ↓ -9% |
Visitor-reported prices
Comments
Ghs excision ingrown nail at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $810.79 | $399.39 – $4,826.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $376.93 | $71.00 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $376.93 | $71.00 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $376.93 | $85.00 – $987.79 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $376.93 | $194.75 – $987.79 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $376.93 | $71.00 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $376.93 | $71.00 – $987.79 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $376.93 | $71.00 – $987.79 |