New Patient Office Visit (level 5) at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
$1,216.80
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.
$2,028.00
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.
$48.11 with Blue Cross Blue Shield vs $1,405.81 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 | $48.11 | ↓ -96% |
| Cook Childrens | Managed Medicaid | $48.11 | ↓ -96% |
| Amerigroup | Managed Medicaid | $48.11 | ↓ -96% |
| United Healthcare | Managed Medicaid | $48.11 | ↓ -96% |
| Superior Wellcare | Managed Medicaid | $50.49 | ↓ -96% |
| Molina | Managed Medicaid | $51.97 | ↓ -96% |
| Aetna | Managed Medicaid | $52.93 | ↓ -96% |
| Aetna | Whole Health | $195.96 | ↓ -84% |
| Fort Worth Firefighters | Commercial | $209.66 | ↓ -83% |
| American Health | Medicare Advantage | $209.99 | ↓ -83% |
| Blue Cross Blue Shield | Medicare Advantage | $209.99 | ↓ -83% |
| HealthSpring | Medicare Advantage | $214.19 | ↓ -82% |
| Humana | Medicare Advantage | $218.39 | ↓ -82% |
| Molina | Medicare Advantage | $220.49 | ↓ -82% |
| Superior Wellcare | Medicare Advantage HMO | $220.49 | ↓ -82% |
| Amerigroup | Medicare Advantage | $220.49 | ↓ -82% |
| City of Fort Worth | Commercial | $224.31 | ↓ -82% |
| Superior Wellcare | Medicare Advantage MMP | $230.99 | ↓ -81% |
| United Healthcare | Medicare Advantage PPO | $233.09 | ↓ -81% |
| United Healthcare | Medicare Advantage HMO | $237.29 | ↓ -80% |
| United Healthcare | All Payer | $246.83 | ↓ -80% |
| Aetna | Commercial | $261.29 | ↓ -79% |
| United Healthcare Options | PPO | $261.53 | ↓ -79% |
| Cigna | OAP/HMO | $263.82 | ↓ -78% |
| Blue Cross Blue Shield | Exchange | $320.13 | ↓ -74% |
| Cigna | PPO | $332.64 | ↓ -73% |
| Aetna | Coventry | $334.55 | ↓ -73% |
| Aetna | ASA | $334.55 | ↓ -73% |
| Quick Trip | Commercial | $338.85 | ↓ -72% |
| PHCS | PPO | $398.98 | ↓ -67% |
| Multiplan | Commercial | $415.21 | ↓ -66% |
| Healthsmart | Commercial | $415.21 | ↓ -66% |
| Galaxy | Commercial | $419.98 | ↓ -65% |
| USA | MCO | $419.98 | ↓ -65% |
| Blue Cross Blue Shield | HMO | $429.52 | ↓ -65% |
| Cigna | Indemnity | $449.09 | ↓ -63% |
| Blue Cross Blue Shield | PPO | $477.28 | ↓ -61% |
| Blue Cross Blue Shield | Traditional | $1,405.81 | ↑ +16% |
Visitor-reported prices
Comments
New Patient Office Visit (level 5) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,075.78 | $659.08 – $659.08 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $1,210.66 | $351.91 – $400.58 |
| Baylor St Luke's Medical Center | Houston | $251.65 | $82.00 – $719.00 |
| St. Joseph Health Madison Hospital | Madisonville | $208.78 | $37.59 – $295.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $246.90 | $100.00 – $671.98 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $251.65 | $74.00 – $719.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $251.65 | $74.00 – $719.00 |
| St. Joseph Health College Station Hospital | College Station | $208.78 | $77.00 – $363.58 |