Ins cath ren art 2nd+ uni at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
$5,395.20
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.
$8,992.00
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.
$906.39 with Amerigroup vs $21,607.00 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 | $906.39 | ↓ -83% |
| Cook Childrens | Managed Medicaid | $906.39 | ↓ -83% |
| United Healthcare | Managed Medicaid | $906.39 | ↓ -83% |
| Blue Cross Blue Shield | Managed Medicaid | $906.39 | ↓ -83% |
| Superior Wellcare | Managed Medicaid | $951.35 | ↓ -82% |
| Molina | Managed Medicaid | $979.23 | ↓ -82% |
| Aetna | Managed Medicaid | $997.21 | ↓ -82% |
| Blue Cross Blue Shield | Exchange | $2,607.68 | ↓ -52% |
| Aetna | Whole Health | $3,542.85 | ↓ -34% |
| Blue Cross Blue Shield | HMO | $4,154.30 | ↓ -23% |
| City of Fort Worth | Commercial | $4,226.24 | ↓ -22% |
| Blue Cross Blue Shield | PPO | $4,621.89 | ↓ -14% |
| Aetna | Commercial | $4,723.50 | ↓ -12% |
| Cigna | OAP/HMO | $4,970.78 | ↓ -8% |
| American Health | Medicare Advantage | $5,155.63 | ↓ -4% |
| Blue Cross Blue Shield | Medicare Advantage | $5,155.63 | ↓ -4% |
| HealthSpring | Medicare Advantage | $5,258.74 | ↓ -3% |
| Humana | Medicare Advantage | $5,361.86 | ↓ -1% |
| Superior Wellcare | Medicare Advantage HMO | $5,413.41 | ↑ +0% |
| Molina | Medicare Advantage | $5,413.41 | ↑ +0% |
| Amerigroup | Medicare Advantage | $5,413.41 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $5,489.62 | ↑ +2% |
| Superior Wellcare | Medicare Advantage MMP | $5,671.20 | ↑ +5% |
| United Healthcare | Medicare Advantage PPO | $5,722.75 | ↑ +6% |
| United Healthcare | Medicare Advantage HMO | $5,825.86 | ↑ +8% |
| Cigna | PPO | $6,267.42 | ↑ +16% |
| Aetna | ASA | $6,303.39 | ↑ +17% |
| Aetna | Coventry | $6,303.39 | ↑ +17% |
| Quick Trip | Commercial | $6,384.32 | ↑ +18% |
| Blue Cross Blue Shield | Traditional | $7,418.40 | ↑ +38% |
| PHCS | PPO | $7,517.31 | ↑ +39% |
| Healthsmart | Commercial | $7,823.04 | ↑ +45% |
| Multiplan | Commercial | $7,823.04 | ↑ +45% |
| USA | MCO | $7,912.96 | ↑ +47% |
| Galaxy | Commercial | $7,912.96 | ↑ +47% |
| Cigna | Indemnity | $8,461.47 | ↑ +57% |
| United Healthcare | All Payer | $16,982.00 | ↑ +215% |
| United Healthcare Options | PPO | $21,607.00 | ↑ +300% |
Visitor-reported prices
Comments
Ins cath ren art 2nd+ uni at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $5,528.94 | $1,566.53 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $5,797.66 | $71.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5,034.14 | $71.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $5,528.94 | $1,474.38 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $5,797.66 | $85.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $5,797.66 | $2,995.46 – $13,613.39 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $5,034.14 | $71.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $5,528.94 | $1,474.38 – $13,613.39 |