Pulse ox multiple at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
$121.35
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.
$202.25
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.
$3.66 with American Health vs $1,042.00 with United Healthcare Options — 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 |
|---|---|---|---|
| American Health | Medicare Advantage | $3.66 | ↓ -97% |
| Blue Cross Blue Shield | Medicare Advantage | $3.66 | ↓ -97% |
| HealthSpring | Medicare Advantage | $3.74 | ↓ -97% |
| Humana | Medicare Advantage | $3.81 | ↓ -97% |
| Molina | Medicare Advantage | $3.85 | ↓ -97% |
| Amerigroup | Medicare Advantage | $3.85 | ↓ -97% |
| Superior Wellcare | Medicare Advantage HMO | $3.85 | ↓ -97% |
| Superior Wellcare | Medicare Advantage MMP | $4.03 | ↓ -97% |
| United Healthcare | Medicare Advantage PPO | $4.07 | ↓ -97% |
| United Healthcare | Medicare Advantage HMO | $4.14 | ↓ -97% |
| Blue Cross Blue Shield | Exchange | $8.08 | ↓ -93% |
| Blue Cross Blue Shield | HMO | $10.84 | ↓ -91% |
| Blue Cross Blue Shield | PPO | $12.04 | ↓ -90% |
| Amerigroup | Managed Medicaid | $20.39 | ↓ -83% |
| Blue Cross Blue Shield | Managed Medicaid | $20.39 | ↓ -83% |
| United Healthcare | Managed Medicaid | $20.39 | ↓ -83% |
| Cook Childrens | Managed Medicaid | $20.39 | ↓ -83% |
| Superior Wellcare | Managed Medicaid | $21.40 | ↓ -82% |
| Molina | Managed Medicaid | $22.03 | ↓ -82% |
| Aetna | Managed Medicaid | $22.43 | ↓ -82% |
| Blue Cross Blue Shield | Traditional | $35.48 | ↓ -71% |
| Aetna | Whole Health | $83.04 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $88.85 | ↓ -27% |
| City of Fort Worth | Commercial | $95.06 | ↓ -22% |
| Aetna | Commercial | $110.73 | ↓ -9% |
| Cigna | OAP/HMO | $111.80 | ↓ -8% |
| Cigna | PPO | $140.97 | ↑ +16% |
| Aetna | Coventry | $141.78 | ↑ +17% |
| Aetna | ASA | $141.78 | ↑ +17% |
| Quick Trip | Commercial | $143.60 | ↑ +18% |
| PHCS | PPO | $169.08 | ↑ +39% |
| Healthsmart | Commercial | $175.96 | ↑ +45% |
| Multiplan | Commercial | $175.96 | ↑ +45% |
| Galaxy | Commercial | $177.98 | ↑ +47% |
| USA | MCO | $177.98 | ↑ +47% |
| Cigna | Indemnity | $190.32 | ↑ +57% |
| United Healthcare | All Payer | $782.00 | ↑ +544% |
| United Healthcare Options | PPO | $1,042.00 | ↑ +759% |
Visitor-reported prices
Comments
Pulse ox multiple at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $476.04 | $16.63 – $16.63 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $194.33 | $13.26 – $275.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $194.33 | $13.05 – $291.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $194.33 | $13.05 – $242.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $194.33 | $10.11 – $275.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $194.33 | $15.94 – $291.49 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $194.33 | $100.40 – $291.49 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $194.33 | $13.05 – $291.49 |