Pr moderate sedation same physician >= 5 years initial 15 minutes at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
$228.45
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.
?
What you pay up front if you don't use insurance.
$380.75
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.
?
The hospital's undiscounted list price — almost no one pays this.
$23.58 with Blue Cross Blue Shield vs $358.29 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | Exchange | $23.58 | ↓ -90% |
| Blue Cross Blue Shield | HMO | $31.64 | ↓ -86% |
| Blue Cross Blue Shield | PPO | $35.16 | ↓ -85% |
| United Healthcare | Managed Medicaid | $38.38 | ↓ -83% |
| Amerigroup | Managed Medicaid | $38.38 | ↓ -83% |
| Blue Cross Blue Shield | Managed Medicaid | $38.38 | ↓ -83% |
| Cook Childrens | Managed Medicaid | $38.38 | ↓ -83% |
| Superior Wellcare | Managed Medicaid | $40.28 | ↓ -82% |
| Molina | Managed Medicaid | $41.46 | ↓ -82% |
| Aetna | Managed Medicaid | $42.23 | ↓ -82% |
| Blue Cross Blue Shield | Medicare Advantage | $46.29 | ↓ -80% |
| American Health | Medicare Advantage | $46.29 | ↓ -80% |
| HealthSpring | Medicare Advantage | $47.21 | ↓ -79% |
| Humana | Medicare Advantage | $48.14 | ↓ -79% |
| Molina | Medicare Advantage | $48.60 | ↓ -79% |
| Amerigroup | Medicare Advantage | $48.60 | ↓ -79% |
| Superior Wellcare | Medicare Advantage HMO | $48.60 | ↓ -79% |
| Superior Wellcare | Medicare Advantage MMP | $50.91 | ↓ -78% |
| United Healthcare | Medicare Advantage PPO | $51.38 | ↓ -78% |
| United Healthcare | Medicare Advantage HMO | $52.30 | ↓ -77% |
| Blue Cross Blue Shield | Traditional | $93.20 | ↓ -59% |
| Aetna | Whole Health | $156.34 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $167.26 | ↓ -27% |
| City of Fort Worth | Commercial | $178.95 | ↓ -22% |
| United Healthcare | All Payer | $196.92 | ↓ -14% |
| Aetna | Commercial | $208.46 | ↓ -9% |
| United Healthcare Options | PPO | $208.65 | ↓ -9% |
| Cigna | OAP/HMO | $210.48 | ↓ -8% |
| Cigna | PPO | $265.38 | ↑ +16% |
| Aetna | Coventry | $266.91 | ↑ +17% |
| Aetna | ASA | $266.91 | ↑ +17% |
| Quick Trip | Commercial | $270.33 | ↑ +18% |
| PHCS | PPO | $318.31 | ↑ +39% |
| Multiplan | Commercial | $331.25 | ↑ +45% |
| Healthsmart | Commercial | $331.25 | ↑ +45% |
| Galaxy | Commercial | $335.06 | ↑ +47% |
| USA | MCO | $335.06 | ↑ +47% |
| Cigna | Indemnity | $358.29 | ↑ +57% |
Visitor-reported prices
Comments
Pr moderate sedation same physician >= 5 years initial 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,290.89 | $48.55 – $48.55 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $232.42 | $38.71 – $329.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $232.42 | $38.08 – $348.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $232.42 | $38.08 – $290.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $232.42 | $29.51 – $329.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $232.42 | $46.53 – $348.63 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $232.42 | $120.08 – $348.63 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $232.42 | $38.08 – $348.63 |