Manipulation chest wall initial demonstration/evaluation at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
$188.70
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.
$314.50
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.
$31.70 with United Healthcare vs $895.35 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 | $31.70 | ↓ -83% |
| Cook Childrens | Managed Medicaid | $31.70 | ↓ -83% |
| Blue Cross Blue Shield | Managed Medicaid | $31.70 | ↓ -83% |
| Amerigroup | Managed Medicaid | $31.70 | ↓ -83% |
| Superior Wellcare | Managed Medicaid | $33.27 | ↓ -82% |
| Molina | Managed Medicaid | $34.25 | ↓ -82% |
| Aetna | Managed Medicaid | $34.88 | ↓ -82% |
| Blue Cross Blue Shield | Medicare Advantage | $122.94 | ↓ -35% |
| American Health | Medicare Advantage | $122.94 | ↓ -35% |
| HealthSpring | Medicare Advantage | $125.40 | ↓ -34% |
| Humana | Medicare Advantage | $127.85 | ↓ -32% |
| Molina | Medicare Advantage | $129.08 | ↓ -32% |
| Amerigroup | Medicare Advantage | $129.08 | ↓ -32% |
| Superior Wellcare | Medicare Advantage HMO | $129.08 | ↓ -32% |
| Aetna | Whole Health | $129.13 | ↓ -32% |
| Superior Wellcare | Medicare Advantage MMP | $135.23 | ↓ -28% |
| United Healthcare | Medicare Advantage PPO | $136.46 | ↓ -28% |
| Fort Worth Firefighters | Commercial | $138.16 | ↓ -27% |
| United Healthcare | Medicare Advantage HMO | $138.92 | ↓ -26% |
| City of Fort Worth | Commercial | $147.82 | ↓ -22% |
| Aetna | Commercial | $172.19 | ↓ -9% |
| Cigna | OAP/HMO | $173.86 | ↓ -8% |
| Blue Cross Blue Shield | Exchange | $203.89 | ↑ +8% |
| Cigna | PPO | $219.21 | ↑ +16% |
| Aetna | Coventry | $220.46 | ↑ +17% |
| Aetna | ASA | $220.46 | ↑ +17% |
| Quick Trip | Commercial | $223.30 | ↑ +18% |
| PHCS | PPO | $262.92 | ↑ +39% |
| Blue Cross Blue Shield | HMO | $273.56 | ↑ +45% |
| Multiplan | Commercial | $273.62 | ↑ +45% |
| Healthsmart | Commercial | $273.62 | ↑ +45% |
| Galaxy | Commercial | $276.76 | ↑ +47% |
| USA | MCO | $276.76 | ↑ +47% |
| Cigna | Indemnity | $295.94 | ↑ +57% |
| Blue Cross Blue Shield | PPO | $303.98 | ↑ +61% |
| United Healthcare | All Payer | $577.00 | ↑ +206% |
| United Healthcare Options | PPO | $764.00 | ↑ +305% |
| Blue Cross Blue Shield | Traditional | $895.35 | ↑ +374% |
Visitor-reported prices
Comments
Manipulation chest wall initial demonstration/evaluation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $572.01 | $419.77 – $419.77 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $226.54 | $64.19 – $316.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $216.95 | $44.66 – $325.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $202.10 | $40.42 – $316.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $226.54 | $60.41 – $316.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $216.95 | $69.64 – $325.43 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $216.95 | $112.09 – $3,235.82 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $202.10 | $67.37 – $316.45 |