Tte w or without fol w/con,stres at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
$1,375.35
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.
$2,292.25
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.
$222.16 with United Healthcare vs $5,031.94 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $222.16 | ↓ -84% |
| Cook Childrens | Managed Medicaid | $222.16 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $222.16 | ↓ -84% |
| Amerigroup | Managed Medicaid | $222.16 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $233.18 | ↓ -83% |
| Molina | Managed Medicaid | $240.02 | ↓ -83% |
| Aetna | Managed Medicaid | $244.42 | ↓ -82% |
| Blue Cross Blue Shield | Medicare Advantage | $753.51 | ↓ -45% |
| American Health | Medicare Advantage | $753.51 | ↓ -45% |
| HealthSpring | Medicare Advantage | $768.58 | ↓ -44% |
| Humana | Medicare Advantage | $783.65 | ↓ -43% |
| Molina | Medicare Advantage | $791.19 | ↓ -42% |
| Amerigroup | Medicare Advantage | $791.19 | ↓ -42% |
| Superior Wellcare | Medicare Advantage HMO | $791.19 | ↓ -42% |
| Superior Wellcare | Medicare Advantage MMP | $828.86 | ↓ -40% |
| United Healthcare | Medicare Advantage PPO | $836.40 | ↓ -39% |
| Aetna | Whole Health | $851.18 | ↓ -38% |
| United Healthcare | Medicare Advantage HMO | $851.47 | ↓ -38% |
| Fort Worth Firefighters | Commercial | $968.22 | ↓ -30% |
| City of Fort Worth | Commercial | $1,035.88 | ↓ -25% |
| Aetna | Commercial | $1,135.06 | ↓ -17% |
| Cigna | OAP/HMO | $1,218.37 | ↓ -11% |
| Blue Cross Blue Shield | Exchange | $1,273.13 | ↓ -7% |
| Cigna | PPO | $1,536.19 | ↑ +12% |
| Aetna | Coventry | $1,545.00 | ↑ +12% |
| Aetna | ASA | $1,545.00 | ↑ +12% |
| Quick Trip | Commercial | $1,564.84 | ↑ +14% |
| Blue Cross Blue Shield | HMO | $1,708.18 | ↑ +24% |
| PHCS | PPO | $1,842.54 | ↑ +34% |
| Blue Cross Blue Shield | PPO | $1,898.13 | ↑ +38% |
| Multiplan | Commercial | $1,917.48 | ↑ +39% |
| Healthsmart | Commercial | $1,917.48 | ↑ +39% |
| Galaxy | Commercial | $1,939.52 | ↑ +41% |
| USA | MCO | $1,939.52 | ↑ +41% |
| Cigna | Indemnity | $2,073.96 | ↑ +51% |
| United Healthcare | All Payer | $3,009.00 | ↑ +119% |
| United Healthcare Options | PPO | $4,003.00 | ↑ +191% |
| Blue Cross Blue Shield | Traditional | $5,031.94 | ↑ +266% |
Visitor-reported prices
Comments
Tte w or without fol w/con,stres at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $1,204.56 | $2,321.60 – $2,321.60 |
| St. Luke's Health Memorial Lufkin | Lufkin | $392.40 | $100.00 – $2,354.40 |
| HCA HOUSTON SOUTHEAST | PASADENA | $15,345.88 | $1,593.12 – $1,593.12 |
| Texas Health Presbyterian Hospital Allen | Allen | $1,375.35 | $828.56 – $828.56 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $1,375.35 | $828.56 – $828.56 |
| Texas Health Arlington Memorial Hospital | Arlington | $1,375.35 | $828.56 – $828.56 |
| Texas Health Presbyterian Hospital Denton | Denton | $1,375.35 | $828.56 – $828.56 |
| St. Luke's Health Memorial Livingston | Livingston | $392.40 | $100.00 – $2,354.40 |