Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
$938.70
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.
$1,564.50
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.
$223.75 with United Healthcare vs $1,472.19 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $223.75 | ↓ -76% |
| Cook Childrens | Managed Medicaid | $223.75 | ↓ -76% |
| Blue Cross Blue Shield | Managed Medicaid | $223.75 | ↓ -76% |
| Amerigroup | Managed Medicaid | $223.75 | ↓ -76% |
| Superior Wellcare | Managed Medicaid | $234.94 | ↓ -75% |
| Molina | Managed Medicaid | $241.65 | ↓ -74% |
| Aetna | Managed Medicaid | $246.13 | ↓ -74% |
| Blue Cross Blue Shield | Exchange | $453.71 | ↓ -52% |
| Blue Cross Blue Shield | Medicare Advantage | $589.66 | ↓ -37% |
| American Health | Medicare Advantage | $589.66 | ↓ -37% |
| HealthSpring | Medicare Advantage | $601.45 | ↓ -36% |
| Humana | Medicare Advantage | $613.25 | ↓ -35% |
| Superior Wellcare | Medicare Advantage HMO | $619.14 | ↓ -34% |
| Molina | Medicare Advantage | $619.14 | ↓ -34% |
| Amerigroup | Medicare Advantage | $619.14 | ↓ -34% |
| Aetna | Whole Health | $642.38 | ↓ -32% |
| Superior Wellcare | Medicare Advantage MMP | $648.63 | ↓ -31% |
| United Healthcare | Medicare Advantage PPO | $654.52 | ↓ -30% |
| United Healthcare | Medicare Advantage HMO | $666.32 | ↓ -29% |
| Fort Worth Firefighters | Commercial | $687.28 | ↓ -27% |
| Blue Cross Blue Shield | HMO | $722.80 | ↓ -23% |
| City of Fort Worth | Commercial | $735.32 | ↓ -22% |
| Blue Cross Blue Shield | PPO | $804.15 | ↓ -14% |
| United Healthcare | All Payer | $809.16 | ↓ -14% |
| Aetna | Commercial | $856.56 | ↓ -9% |
| United Healthcare Options | PPO | $857.35 | ↓ -9% |
| Cigna | OAP/HMO | $864.86 | ↓ -8% |
| Cigna | PPO | $1,090.46 | ↑ +16% |
| Aetna | Coventry | $1,096.71 | ↑ +17% |
| Aetna | ASA | $1,096.71 | ↑ +17% |
| Quick Trip | Commercial | $1,110.80 | ↑ +18% |
| Blue Cross Blue Shield | Traditional | $1,290.71 | ↑ +37% |
| PHCS | PPO | $1,307.92 | ↑ +39% |
| Healthsmart | Commercial | $1,361.12 | ↑ +45% |
| Multiplan | Commercial | $1,361.12 | ↑ +45% |
| USA | MCO | $1,376.76 | ↑ +47% |
| Galaxy | Commercial | $1,376.76 | ↑ +47% |
| Cigna | Indemnity | $1,472.19 | ↑ +57% |
Visitor-reported prices
Comments
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $5,692.94 | $788.14 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,410.82 | $223.75 – $1,763.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,298.50 | $71.00 – $1,947.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,110.97 | $71.00 – $1,556.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,410.82 | $223.75 – $1,763.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,298.50 | $85.00 – $1,947.74 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,298.50 | $223.75 – $1,947.74 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,110.97 | $71.00 – $1,666.46 |