Ghs i and d perirectal abscess 46040 at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
$1,915.20
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.
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What you pay up front if you don't use insurance.
$3,192.00
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.
$429.26 with United Healthcare vs $3,751.00 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $429.26 | ↓ -78% |
| Cook Childrens | Managed Medicaid | $429.26 | ↓ -78% |
| Blue Cross Blue Shield | Managed Medicaid | $429.26 | ↓ -78% |
| Amerigroup | Managed Medicaid | $429.26 | ↓ -78% |
| Superior Wellcare | Managed Medicaid | $450.72 | ↓ -76% |
| Molina | Managed Medicaid | $463.60 | ↓ -76% |
| Aetna | Managed Medicaid | $472.19 | ↓ -75% |
| Blue Cross Blue Shield | Medicare Advantage | $1,124.54 | ↓ -41% |
| American Health | Medicare Advantage | $1,124.54 | ↓ -41% |
| HealthSpring | Medicare Advantage | $1,147.03 | ↓ -40% |
| Humana | Medicare Advantage | $1,169.52 | ↓ -39% |
| Superior Wellcare | Medicare Advantage HMO | $1,180.76 | ↓ -38% |
| Molina | Medicare Advantage | $1,180.76 | ↓ -38% |
| Amerigroup | Medicare Advantage | $1,180.76 | ↓ -38% |
| Superior Wellcare | Medicare Advantage MMP | $1,236.99 | ↓ -35% |
| United Healthcare | Medicare Advantage PPO | $1,248.23 | ↓ -35% |
| United Healthcare | Medicare Advantage HMO | $1,270.73 | ↓ -34% |
| Blue Cross Blue Shield | Exchange | $1,283.18 | ↓ -33% |
| City of Fort Worth | Commercial | $1,500.24 | ↓ -22% |
| Aetna | Whole Health | $1,637.82 | ↓ -14% |
| Fort Worth Firefighters | Commercial | $1,667.50 | ↓ -13% |
| Cigna | OAP/HMO | $1,764.54 | ↓ -8% |
| Blue Cross Blue Shield | HMO | $2,145.02 | ↑ +12% |
| Aetna | Commercial | $2,183.65 | ↑ +14% |
| Cigna | PPO | $2,224.82 | ↑ +16% |
| Aetna | Coventry | $2,237.59 | ↑ +17% |
| Aetna | ASA | $2,237.59 | ↑ +17% |
| Quick Trip | Commercial | $2,266.32 | ↑ +18% |
| Blue Cross Blue Shield | PPO | $2,384.42 | ↑ +24% |
| PHCS | PPO | $2,668.51 | ↑ +39% |
| Blue Cross Blue Shield | Traditional | $2,741.93 | ↑ +43% |
| Healthsmart | Commercial | $2,777.04 | ↑ +45% |
| Multiplan | Commercial | $2,777.04 | ↑ +45% |
| USA | MCO | $2,808.96 | ↑ +47% |
| Galaxy | Commercial | $2,808.96 | ↑ +47% |
| United Healthcare | All Payer | $2,923.00 | ↑ +53% |
| Cigna | Indemnity | $3,003.67 | ↑ +57% |
| United Healthcare Options | PPO | $3,751.00 | ↑ +96% |
Visitor-reported prices
Comments
Ghs i and d perirectal abscess 46040 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $6,545.71 | $1,255.28 – $2,991.88 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,267.70 | $429.26 – $4,084.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,078.12 | $459.31 – $6,117.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,668.87 | $429.26 – $4,586.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,267.70 | $429.26 – $4,084.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $4,078.12 | $459.31 – $6,117.17 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $4,078.12 | $429.26 – $6,117.17 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,668.87 | $429.26 – $5,503.31 |