Whfo nontorsion joint prefab at Texas Health Harris Methodist Hospital Cleburne
201 Walls Drive, Cleburne, TX · Texashealth · · NPI 1396778064
$124.50
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.
$207.50
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.
$20.51 with United Healthcare vs $255.89 with United Healthcare — 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 | $20.51 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $20.51 | ↓ -84% |
| Amerigroup | Managed Medicaid | $20.51 | ↓ -84% |
| Cook Childrens | Managed Medicaid | $20.51 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $21.53 | ↓ -83% |
| Molina | Managed Medicaid | $22.16 | ↓ -82% |
| Aetna | Managed Medicaid | $22.57 | ↓ -82% |
| Blue Cross Blue Shield | Exchange | $63.08 | ↓ -49% |
| Aetna | Whole Health | $83.55 | ↓ -33% |
| Fort Worth Firefighters | Commercial | $89.39 | ↓ -28% |
| City of Fort Worth | Commercial | $95.64 | ↓ -23% |
| Blue Cross Blue Shield | HMO | $101.74 | ↓ -18% |
| Aetna | Commercial | $111.41 | ↓ -11% |
| Cigna | OAP/HMO | $112.48 | ↓ -10% |
| Blue Cross Blue Shield | Traditional | $113.13 | ↓ -9% |
| Blue Cross Blue Shield | PPO | $113.13 | ↓ -9% |
| United Healthcare | All Payer | $128.25 | ↑ +3% |
| United Healthcare Options | PPO | $135.66 | ↑ +9% |
| Cigna | PPO | $141.83 | ↑ +14% |
| Aetna | ASA | $142.64 | ↑ +15% |
| Aetna | Coventry | $142.64 | ↑ +15% |
| Quick Trip | Commercial | $144.47 | ↑ +16% |
| PHCS | PPO | $170.11 | ↑ +37% |
| Multiplan | Commercial | $177.03 | ↑ +42% |
| Healthsmart | Commercial | $177.03 | ↑ +42% |
| USA | MCO | $179.06 | ↑ +44% |
| Galaxy | Commercial | $179.06 | ↑ +44% |
| Cigna | Indemnity | $191.47 | ↑ +54% |
| Blue Cross Blue Shield | Medicare Advantage | $226.45 | ↑ +82% |
| American Health | Medicare Advantage | $226.45 | ↑ +82% |
| HealthSpring | Medicare Advantage | $230.98 | ↑ +86% |
| Humana | Medicare Advantage | $235.51 | ↑ +89% |
| Superior Wellcare | Medicare Advantage HMO | $237.77 | ↑ +91% |
| Amerigroup | Medicare Advantage | $237.77 | ↑ +91% |
| Molina | Medicare Advantage | $237.77 | ↑ +91% |
| Superior Wellcare | Medicare Advantage MMP | $249.10 | ↑ +100% |
| United Healthcare | Medicare Advantage PPO | $251.36 | ↑ +102% |
| United Healthcare | Medicare Advantage HMO | $255.89 | ↑ +106% |
Visitor-reported prices
Comments
Whfo nontorsion joint prefab at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $193.67 | $16.83 – $122.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $193.67 | $16.35 – $109.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $193.67 | $26.24 – $122.63 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $193.67 | $42.24 – $122.63 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $193.67 | $27.25 – $122.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $193.67 | $16.35 – $109.01 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $193.67 | $20.44 – $122.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $193.67 | $14.99 – $122.63 |