Ghs simple repair 5.1 - 7.5 cm - 12014 at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
$312.90
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.
$521.50
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.
$52.57 with Amerigroup 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $52.57 | ↓ -83% |
| Cook Childrens | Managed Medicaid | $52.57 | ↓ -83% |
| Blue Cross Blue Shield | Managed Medicaid | $52.57 | ↓ -83% |
| United Healthcare | Managed Medicaid | $52.57 | ↓ -83% |
| Superior Wellcare | Managed Medicaid | $55.17 | ↓ -82% |
| Molina | Managed Medicaid | $56.79 | ↓ -82% |
| Aetna | Managed Medicaid | $57.83 | ↓ -82% |
| Blue Cross Blue Shield | Medicare Advantage | $189.51 | ↓ -39% |
| American Health | Medicare Advantage | $189.51 | ↓ -39% |
| HealthSpring | Medicare Advantage | $193.30 | ↓ -38% |
| Humana | Medicare Advantage | $197.09 | ↓ -37% |
| Amerigroup | Medicare Advantage | $198.98 | ↓ -36% |
| Superior Wellcare | Medicare Advantage HMO | $198.98 | ↓ -36% |
| Molina | Medicare Advantage | $198.98 | ↓ -36% |
| Superior Wellcare | Medicare Advantage MMP | $208.46 | ↓ -33% |
| Blue Cross Blue Shield | Exchange | $209.64 | ↓ -33% |
| United Healthcare | Medicare Advantage PPO | $210.35 | ↓ -33% |
| United Healthcare | Medicare Advantage HMO | $214.14 | ↓ -32% |
| City of Fort Worth | Commercial | $245.11 | ↓ -22% |
| Aetna | Whole Health | $267.58 | ↓ -14% |
| Fort Worth Firefighters | Commercial | $272.43 | ↓ -13% |
| Cigna | OAP/HMO | $288.29 | ↓ -8% |
| Blue Cross Blue Shield | HMO | $350.45 | ↑ +12% |
| Aetna | Commercial | $356.76 | ↑ +14% |
| Cigna | PPO | $363.49 | ↑ +16% |
| Aetna | Coventry | $365.57 | ↑ +17% |
| Aetna | ASA | $365.57 | ↑ +17% |
| Quick Trip | Commercial | $370.27 | ↑ +18% |
| Blue Cross Blue Shield | PPO | $389.56 | ↑ +24% |
| PHCS | PPO | $435.97 | ↑ +39% |
| Blue Cross Blue Shield | Traditional | $447.97 | ↑ +43% |
| Healthsmart | Commercial | $453.71 | ↑ +45% |
| Multiplan | Commercial | $453.71 | ↑ +45% |
| Galaxy | Commercial | $458.92 | ↑ +47% |
| USA | MCO | $458.92 | ↑ +47% |
| Cigna | Indemnity | $490.73 | ↑ +57% |
| United Healthcare | All Payer | $1,247.00 | ↑ +299% |
| United Healthcare Options | PPO | $1,568.00 | ↑ +401% |
Visitor-reported prices
Comments
Ghs simple repair 5.1 - 7.5 cm - 12014 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $644.19 | $182.52 – $805.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $538.64 | $71.00 – $807.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $624.34 | $71.00 – $780.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $644.19 | $171.78 – $805.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $538.64 | $85.00 – $807.97 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $538.64 | $278.30 – $807.97 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $624.34 | $71.00 – $936.51 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $644.19 | $171.78 – $805.24 |