Puncture aspiration abscess/hematoma/bulla/cyst at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
$484.50
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.
$807.50
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.
$67.83 with Blue Cross Blue Shield vs $759.86 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $67.83 | ↓ -86% |
| Cook Childrens | Managed Medicaid | $67.83 | ↓ -86% |
| United Healthcare | Managed Medicaid | $67.83 | ↓ -86% |
| Amerigroup | Managed Medicaid | $67.83 | ↓ -86% |
| Superior Wellcare | Managed Medicaid | $71.22 | ↓ -85% |
| Molina | Managed Medicaid | $73.26 | ↓ -85% |
| Aetna | Managed Medicaid | $74.61 | ↓ -85% |
| Blue Cross Blue Shield | Exchange | $166.74 | ↓ -66% |
| Blue Cross Blue Shield | HMO | $195.92 | ↓ -60% |
| Blue Cross Blue Shield | PPO | $217.68 | ↓ -55% |
| Aetna | Whole Health | $311.86 | ↓ -36% |
| Fort Worth Firefighters | Commercial | $354.73 | ↓ -27% |
| City of Fort Worth | Commercial | $379.53 | ↓ -22% |
| Blue Cross Blue Shield | Medicare Advantage | $381.05 | ↓ -21% |
| American Health | Medicare Advantage | $381.05 | ↓ -21% |
| HealthSpring | Medicare Advantage | $388.67 | ↓ -20% |
| Humana | Medicare Advantage | $396.29 | ↓ -18% |
| Amerigroup | Medicare Advantage | $400.10 | ↓ -17% |
| Molina | Medicare Advantage | $400.10 | ↓ -17% |
| Superior Wellcare | Medicare Advantage HMO | $400.10 | ↓ -17% |
| Aetna | Commercial | $415.86 | ↓ -14% |
| United Healthcare | All Payer | $417.64 | ↓ -14% |
| Superior Wellcare | Medicare Advantage MMP | $419.15 | ↓ -13% |
| United Healthcare | Medicare Advantage PPO | $422.96 | ↓ -13% |
| United Healthcare | Medicare Advantage HMO | $430.58 | ↓ -11% |
| United Healthcare Options | PPO | $442.51 | ↓ -9% |
| Cigna | OAP/HMO | $446.39 | ↓ -8% |
| Cigna | PPO | $562.83 | ↑ +16% |
| Aetna | ASA | $566.06 | ↑ +17% |
| Aetna | Coventry | $566.06 | ↑ +17% |
| Quick Trip | Commercial | $573.33 | ↑ +18% |
| Blue Cross Blue Shield | Traditional | $666.19 | ↑ +38% |
| PHCS | PPO | $675.07 | ↑ +39% |
| Healthsmart | Commercial | $702.53 | ↑ +45% |
| Multiplan | Commercial | $702.53 | ↑ +45% |
| Galaxy | Commercial | $710.60 | ↑ +47% |
| USA | MCO | $710.60 | ↑ +47% |
| Cigna | Indemnity | $759.86 | ↑ +57% |
Visitor-reported prices
Comments
Puncture aspiration abscess/hematoma/bulla/cyst at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $645.13 | $67.83 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $581.36 | $71.00 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $673.86 | $67.83 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $645.13 | $67.83 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $581.36 | $72.58 – $987.79 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $581.36 | $67.83 – $987.79 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $673.86 | $67.83 – $1,010.79 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $645.13 | $67.83 – $987.79 |