Ghs simple repair 12.6 - 20.0 cm - 12016 at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
$607.35
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.
$1,012.25
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.
$143.08 with United Healthcare vs $1,568.00 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 | $143.08 | ↓ -76% |
| Cook Childrens | Managed Medicaid | $143.08 | ↓ -76% |
| Blue Cross Blue Shield | Managed Medicaid | $143.08 | ↓ -76% |
| Amerigroup | Managed Medicaid | $143.08 | ↓ -76% |
| Superior Wellcare | Managed Medicaid | $150.23 | ↓ -75% |
| Molina | Managed Medicaid | $154.53 | ↓ -75% |
| Aetna | Managed Medicaid | $157.39 | ↓ -74% |
| Blue Cross Blue Shield | Medicare Advantage | $381.05 | ↓ -37% |
| American Health | Medicare Advantage | $381.05 | ↓ -37% |
| HealthSpring | Medicare Advantage | $388.67 | ↓ -36% |
| Humana | Medicare Advantage | $396.29 | ↓ -35% |
| Superior Wellcare | Medicare Advantage HMO | $400.10 | ↓ -34% |
| Molina | Medicare Advantage | $400.10 | ↓ -34% |
| Amerigroup | Medicare Advantage | $400.10 | ↓ -34% |
| Blue Cross Blue Shield | Exchange | $406.92 | ↓ -33% |
| Superior Wellcare | Medicare Advantage MMP | $419.15 | ↓ -31% |
| United Healthcare | Medicare Advantage PPO | $422.96 | ↓ -30% |
| United Healthcare | Medicare Advantage HMO | $430.58 | ↓ -29% |
| City of Fort Worth | Commercial | $475.76 | ↓ -22% |
| Aetna | Whole Health | $519.39 | ↓ -14% |
| Fort Worth Firefighters | Commercial | $528.80 | ↓ -13% |
| Cigna | OAP/HMO | $559.57 | ↓ -8% |
| Blue Cross Blue Shield | HMO | $680.23 | ↑ +12% |
| Aetna | Commercial | $692.48 | ↑ +14% |
| Cigna | PPO | $705.54 | ↑ +16% |
| Aetna | Coventry | $709.59 | ↑ +17% |
| Aetna | ASA | $709.59 | ↑ +17% |
| Quick Trip | Commercial | $718.70 | ↑ +18% |
| Blue Cross Blue Shield | PPO | $756.15 | ↑ +24% |
| PHCS | PPO | $846.24 | ↑ +39% |
| Blue Cross Blue Shield | Traditional | $869.52 | ↑ +43% |
| Healthsmart | Commercial | $880.66 | ↑ +45% |
| Multiplan | Commercial | $880.66 | ↑ +45% |
| USA | MCO | $890.78 | ↑ +47% |
| Galaxy | Commercial | $890.78 | ↑ +47% |
| Cigna | Indemnity | $952.53 | ↑ +57% |
| United Healthcare | All Payer | $1,247.00 | ↑ +105% |
| United Healthcare Options | PPO | $1,568.00 | ↑ +158% |
Visitor-reported prices
Comments
Ghs simple repair 12.6 - 20.0 cm - 12016 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $875.44 | $143.08 – $1,094.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $563.75 | $71.00 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $430.77 | $71.00 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $875.44 | $143.08 – $1,094.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $563.75 | $85.00 – $987.79 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $563.75 | $143.08 – $987.79 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $430.77 | $71.00 – $987.79 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $875.44 | $143.08 – $1,094.30 |