Pt evaluation low complexity patient/family at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
$327.15
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.
$545.25
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.
$20.82 with Amerigroup vs $710.26 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $20.82 | ↓ -94% |
| United Healthcare | Managed Medicaid | $20.82 | ↓ -94% |
| Blue Cross Blue Shield | Managed Medicaid | $20.82 | ↓ -94% |
| Cook Childrens | Managed Medicaid | $20.82 | ↓ -94% |
| Superior Wellcare | Managed Medicaid | $21.85 | ↓ -93% |
| Molina | Managed Medicaid | $22.49 | ↓ -93% |
| Aetna | Managed Medicaid | $22.90 | ↓ -93% |
| Aetna | Whole Health | $84.79 | ↓ -74% |
| Blue Cross Blue Shield | Medicare Advantage | $95.34 | ↓ -71% |
| American Health | Medicare Advantage | $95.34 | ↓ -71% |
| City of Fort Worth | Commercial | $97.06 | ↓ -70% |
| HealthSpring | Medicare Advantage | $97.25 | ↓ -70% |
| Humana | Medicare Advantage | $99.16 | ↓ -70% |
| Molina | Medicare Advantage | $100.11 | ↓ -69% |
| Amerigroup | Medicare Advantage | $100.11 | ↓ -69% |
| Superior Wellcare | Medicare Advantage HMO | $100.11 | ↓ -69% |
| Superior Wellcare | Medicare Advantage MMP | $104.88 | ↓ -68% |
| United Healthcare | Medicare Advantage PPO | $105.83 | ↓ -68% |
| United Healthcare | Medicare Advantage HMO | $107.74 | ↓ -67% |
| Aetna | Commercial | $113.06 | ↓ -65% |
| Fort Worth Firefighters | Commercial | $126.07 | ↓ -61% |
| Aetna | ASA | $144.76 | ↓ -56% |
| Aetna | Coventry | $144.76 | ↓ -56% |
| Quick Trip | Commercial | $146.62 | ↓ -55% |
| Blue Cross Blue Shield | Exchange | $161.74 | ↓ -51% |
| PHCS | PPO | $172.63 | ↓ -47% |
| Healthsmart | Commercial | $179.66 | ↓ -45% |
| Multiplan | Commercial | $179.66 | ↓ -45% |
| USA | MCO | $181.72 | ↓ -44% |
| Galaxy | Commercial | $181.72 | ↓ -44% |
| Cigna | Indemnity | $194.32 | ↓ -41% |
| Blue Cross Blue Shield | HMO | $217.00 | ↓ -34% |
| Blue Cross Blue Shield | PPO | $241.13 | ↓ -26% |
| United Healthcare | All Payer | $308.00 | ↓ -6% |
| Cigna | OAP/HMO | $328.00 | ↑ +0% |
| Cigna | PPO | $396.00 | ↑ +21% |
| United Healthcare Options | PPO | $401.00 | ↑ +23% |
| Blue Cross Blue Shield | Traditional | $710.26 | ↑ +117% |
Visitor-reported prices
Comments
Pt evaluation low complexity patient/family at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $554.20 | $332.99 – $332.99 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $237.28 | $67.23 – $336.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $304.19 | $62.61 – $456.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $351.47 | $70.29 – $439.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $237.28 | $63.28 – $336.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $304.19 | $97.64 – $456.28 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $304.19 | $155.00 – $456.28 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $351.47 | $108.00 – $527.21 |