Pretreat rbc w chem/drugs reference at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
$222.75
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.
$371.25
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.
$19.53 with Fort Worth Firefighters vs $234.31 with Cigna — 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 |
|---|---|---|---|
| Fort Worth Firefighters | Commercial | $19.53 | ↓ -91% |
| Cook Childrens | Managed Medicaid | $25.10 | ↓ -89% |
| Blue Cross Blue Shield | Managed Medicaid | $25.10 | ↓ -89% |
| United Healthcare | Managed Medicaid | $25.10 | ↓ -89% |
| Amerigroup | Managed Medicaid | $25.10 | ↓ -89% |
| Superior Wellcare | Managed Medicaid | $26.34 | ↓ -88% |
| Molina | Managed Medicaid | $27.12 | ↓ -88% |
| Aetna | Managed Medicaid | $27.61 | ↓ -88% |
| United Healthcare | All Payer | $33.43 | ↓ -85% |
| United Healthcare Options | PPO | $33.43 | ↓ -85% |
| Aetna | Whole Health | $36.07 | ↓ -84% |
| Cigna | PPO | $43.37 | ↓ -81% |
| Cigna | OAP/HMO | $43.37 | ↓ -81% |
| Blue Cross Blue Shield | Exchange | $47.60 | ↓ -79% |
| Aetna | Commercial | $48.09 | ↓ -78% |
| American Health | Medicare Advantage | $56.65 | ↓ -75% |
| Blue Cross Blue Shield | Medicare Advantage | $56.65 | ↓ -75% |
| HealthSpring | Medicare Advantage | $57.79 | ↓ -74% |
| Humana | Medicare Advantage | $58.92 | ↓ -74% |
| Superior Wellcare | Medicare Advantage HMO | $59.48 | ↓ -73% |
| Molina | Medicare Advantage | $59.48 | ↓ -73% |
| Amerigroup | Medicare Advantage | $59.48 | ↓ -73% |
| Superior Wellcare | Medicare Advantage MMP | $62.32 | ↓ -72% |
| United Healthcare | Medicare Advantage PPO | $62.88 | ↓ -72% |
| United Healthcare | Medicare Advantage HMO | $64.02 | ↓ -71% |
| Blue Cross Blue Shield | HMO | $66.19 | ↓ -70% |
| Blue Cross Blue Shield | PPO | $73.55 | ↓ -67% |
| City of Fort Worth | Commercial | $117.03 | ↓ -47% |
| Aetna | Coventry | $174.55 | ↓ -22% |
| Aetna | ASA | $174.55 | ↓ -22% |
| Quick Trip | Commercial | $176.79 | ↓ -21% |
| Blue Cross Blue Shield | Traditional | $195.93 | ↓ -12% |
| PHCS | PPO | $208.16 | ↓ -7% |
| Multiplan | Commercial | $216.63 | ↓ -3% |
| Healthsmart | Commercial | $216.63 | ↓ -3% |
| USA | MCO | $219.12 | ↓ -2% |
| Galaxy | Commercial | $219.12 | ↓ -2% |
| Cigna | Indemnity | $234.31 | ↑ +5% |
Visitor-reported prices
Comments
Pretreat rbc w chem/drugs reference at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $132.48 | $10.00 – $165.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $106.00 | $12.00 – $159.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $80.03 | $12.00 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $132.48 | $10.00 – $165.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $106.00 | $12.00 – $159.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $106.00 | $8.00 – $159.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $80.03 | $12.00 – $151.53 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $132.48 | $10.00 – $165.60 |