Lung Function Test (Spirometry) at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
$356.85
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.
$594.75
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.
$59.95 with Blue Cross Blue Shield vs $1,136.13 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $59.95 | ↓ -83% |
| Cook Childrens | Managed Medicaid | $59.95 | ↓ -83% |
| Amerigroup | Managed Medicaid | $59.95 | ↓ -83% |
| United Healthcare | Managed Medicaid | $59.95 | ↓ -83% |
| Superior Wellcare | Managed Medicaid | $62.92 | ↓ -82% |
| Molina | Managed Medicaid | $64.77 | ↓ -82% |
| Aetna | Managed Medicaid | $65.96 | ↓ -82% |
| Blue Cross Blue Shield | Medicare Advantage | $149.22 | ↓ -58% |
| American Health | Medicare Advantage | $149.22 | ↓ -58% |
| HealthSpring | Medicare Advantage | $152.21 | ↓ -57% |
| Humana | Medicare Advantage | $155.19 | ↓ -57% |
| Molina | Medicare Advantage | $156.68 | ↓ -56% |
| Superior Wellcare | Medicare Advantage HMO | $156.68 | ↓ -56% |
| Amerigroup | Medicare Advantage | $156.68 | ↓ -56% |
| Superior Wellcare | Medicare Advantage MMP | $164.14 | ↓ -54% |
| United Healthcare | Medicare Advantage PPO | $165.64 | ↓ -54% |
| United Healthcare | Medicare Advantage HMO | $168.62 | ↓ -53% |
| Aetna | Whole Health | $244.20 | ↓ -32% |
| Blue Cross Blue Shield | Exchange | $258.71 | ↓ -28% |
| Fort Worth Firefighters | Commercial | $261.27 | ↓ -27% |
| City of Fort Worth | Commercial | $279.53 | ↓ -22% |
| Aetna | Commercial | $325.63 | ↓ -9% |
| Cigna | OAP/HMO | $328.78 | ↓ -8% |
| Blue Cross Blue Shield | HMO | $347.12 | ↓ -3% |
| Blue Cross Blue Shield | PPO | $385.72 | ↑ +8% |
| Cigna | PPO | $414.54 | ↑ +16% |
| Aetna | ASA | $416.92 | ↑ +17% |
| Aetna | Coventry | $416.92 | ↑ +17% |
| Quick Trip | Commercial | $422.27 | ↑ +18% |
| PHCS | PPO | $497.21 | ↑ +39% |
| Healthsmart | Commercial | $517.43 | ↑ +45% |
| Multiplan | Commercial | $517.43 | ↑ +45% |
| Galaxy | Commercial | $523.38 | ↑ +47% |
| USA | MCO | $523.38 | ↑ +47% |
| Cigna | Indemnity | $559.66 | ↑ +57% |
| United Healthcare | All Payer | $782.00 | ↑ +119% |
| United Healthcare Options | PPO | $1,042.00 | ↑ +192% |
| Blue Cross Blue Shield | Traditional | $1,136.13 | ↑ +218% |
Visitor-reported prices
Comments
Lung Function Test (Spirometry) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $405.67 | $114.94 – $507.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $539.93 | $111.14 – $809.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $600.80 | $120.16 – $751.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $405.67 | $108.18 – $507.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $539.93 | $173.32 – $809.89 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $539.93 | $278.96 – $3,235.82 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $600.80 | $200.27 – $901.20 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $405.67 | $108.18 – $507.09 |