Knee X-ray at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
$425.55
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.
$709.25
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.
$47.45 with United Healthcare vs $884.54 with Blue Cross Blue Shield — 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 | $47.45 | ↓ -89% |
| Cook Childrens | Managed Medicaid | $47.45 | ↓ -89% |
| Blue Cross Blue Shield | Managed Medicaid | $47.45 | ↓ -89% |
| Amerigroup | Managed Medicaid | $47.45 | ↓ -89% |
| Superior Wellcare | Managed Medicaid | $49.82 | ↓ -88% |
| Molina | Managed Medicaid | $51.25 | ↓ -88% |
| Aetna | Managed Medicaid | $52.20 | ↓ -88% |
| Blue Cross Blue Shield | Medicare Advantage | $101.42 | ↓ -76% |
| American Health | Medicare Advantage | $101.42 | ↓ -76% |
| HealthSpring | Medicare Advantage | $103.45 | ↓ -76% |
| Humana | Medicare Advantage | $105.48 | ↓ -75% |
| Superior Wellcare | Medicare Advantage HMO | $106.49 | ↓ -75% |
| Molina | Medicare Advantage | $106.49 | ↓ -75% |
| Amerigroup | Medicare Advantage | $106.49 | ↓ -75% |
| Superior Wellcare | Medicare Advantage MMP | $111.56 | ↓ -74% |
| United Healthcare | Medicare Advantage PPO | $112.58 | ↓ -74% |
| United Healthcare | Medicare Advantage HMO | $114.61 | ↓ -73% |
| Aetna | Whole Health | $291.22 | ↓ -32% |
| Blue Cross Blue Shield | HMO | $294.43 | ↓ -31% |
| Fort Worth Firefighters | Commercial | $311.57 | ↓ -27% |
| Blue Cross Blue Shield | Exchange | $323.91 | ↓ -24% |
| Blue Cross Blue Shield | PPO | $327.16 | ↓ -23% |
| City of Fort Worth | Commercial | $333.35 | ↓ -22% |
| Aetna | Commercial | $388.31 | ↓ -9% |
| Cigna | OAP/HMO | $392.07 | ↓ -8% |
| Cigna | PPO | $494.35 | ↑ +16% |
| Aetna | Coventry | $497.18 | ↑ +17% |
| Aetna | ASA | $497.18 | ↑ +17% |
| Quick Trip | Commercial | $503.57 | ↑ +18% |
| United Healthcare | All Payer | $551.00 | ↑ +29% |
| PHCS | PPO | $592.93 | ↑ +39% |
| Healthsmart | Commercial | $617.05 | ↑ +45% |
| Multiplan | Commercial | $617.05 | ↑ +45% |
| Galaxy | Commercial | $624.14 | ↑ +47% |
| USA | MCO | $624.14 | ↑ +47% |
| Cigna | Indemnity | $667.40 | ↑ +57% |
| United Healthcare Options | PPO | $722.00 | ↑ +70% |
| Blue Cross Blue Shield | Traditional | $884.54 | ↑ +108% |
Visitor-reported prices
Comments
Knee X-ray at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $679.13 | $431.51 – $431.51 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $357.20 | $47.45 – $446.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $500.23 | $102.96 – $750.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $518.08 | $47.45 – $647.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $357.20 | $47.45 – $446.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $500.23 | $50.77 – $750.35 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $500.23 | $47.45 – $750.35 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $518.08 | $47.45 – $777.12 |