Observation direct referral from physician office for admission at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
$384.00
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.
$640.00
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.
$37.75 with Blue Cross Blue Shield vs $1,044.73 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 | $37.75 | ↓ -90% |
| Cook Childrens | Managed Medicaid | $37.75 | ↓ -90% |
| Amerigroup | Managed Medicaid | $37.75 | ↓ -90% |
| United Healthcare | Managed Medicaid | $37.75 | ↓ -90% |
| Superior Wellcare | Managed Medicaid | $39.62 | ↓ -90% |
| Molina | Managed Medicaid | $40.78 | ↓ -89% |
| Aetna | Managed Medicaid | $41.53 | ↓ -89% |
| Aetna | Whole Health | $147.55 | ↓ -62% |
| Fort Worth Firefighters | Commercial | $164.52 | ↓ -57% |
| City of Fort Worth | Commercial | $176.02 | ↓ -54% |
| United Healthcare | All Payer | $192.19 | ↓ -50% |
| Aetna | Commercial | $196.72 | ↓ -49% |
| Cigna | OAP/HMO | $207.02 | ↓ -46% |
| United Healthcare Options | PPO | $208.60 | ↓ -46% |
| Blue Cross Blue Shield | Exchange | $237.90 | ↓ -38% |
| Cigna | PPO | $261.03 | ↓ -32% |
| Aetna | ASA | $262.52 | ↓ -32% |
| Aetna | Coventry | $262.52 | ↓ -32% |
| Quick Trip | Commercial | $265.90 | ↓ -31% |
| PHCS | PPO | $313.08 | ↓ -18% |
| Blue Cross Blue Shield | HMO | $319.19 | ↓ -17% |
| Multiplan | Commercial | $325.82 | ↓ -15% |
| Healthsmart | Commercial | $325.82 | ↓ -15% |
| USA | MCO | $329.56 | ↓ -14% |
| Galaxy | Commercial | $329.56 | ↓ -14% |
| Cigna | Indemnity | $352.40 | ↓ -8% |
| Blue Cross Blue Shield | PPO | $354.69 | ↓ -8% |
| Blue Cross Blue Shield | Medicare Advantage | $584.74 | ↑ +52% |
| American Health | Medicare Advantage | $584.74 | ↑ +52% |
| HealthSpring | Medicare Advantage | $596.43 | ↑ +55% |
| Humana | Medicare Advantage | $608.13 | ↑ +58% |
| Amerigroup | Medicare Advantage | $613.97 | ↑ +60% |
| Superior Wellcare | Medicare Advantage HMO | $613.97 | ↑ +60% |
| Molina | Medicare Advantage | $613.97 | ↑ +60% |
| Superior Wellcare | Medicare Advantage MMP | $643.21 | ↑ +68% |
| United Healthcare | Medicare Advantage PPO | $649.06 | ↑ +69% |
| United Healthcare | Medicare Advantage HMO | $660.75 | ↑ +72% |
| Blue Cross Blue Shield | Traditional | $1,044.73 | ↑ +172% |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $162.54 | $489.80 – $489.80 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $554.33 | $157.06 – $1,591.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $527.99 | $71.00 – $1,591.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $602.45 | $71.00 – $1,591.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $554.33 | $147.82 – $1,591.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $527.99 | $169.48 – $1,591.17 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $527.99 | $272.79 – $1,591.17 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $602.45 | $71.00 – $1,591.17 |