Brace fx hum ovr shldr sm at Texas Health Harris Methodist Hospital Stephenville
411 N Belknap St, Stephenville, TX · Texashealth · · NPI 1922031541
$874.04
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.
$1,456.73
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.
$43.25 with Blue Cross Blue Shield vs $523.76 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $43.25 | ↓ -95% |
| Amerigroup | Managed Medicaid | $43.25 | ↓ -95% |
| United Healthcare | Managed Medicaid | $43.25 | ↓ -95% |
| Superior Wellcare | Managed Medicaid | $45.41 | ↓ -95% |
| Molina | Managed Medicaid | $46.72 | ↓ -95% |
| Blue Cross Blue Shield | Exchange | $53.21 | ↓ -94% |
| Aetna | Whole Health | $70.47 | ↓ -92% |
| Fort Worth Firefighters | Commercial | $75.40 | ↓ -91% |
| City of Fort Worth | Commercial | $80.67 | ↓ -91% |
| Blue Cross Blue Shield | HMO | $85.82 | ↓ -90% |
| Aetna | Commercial | $93.97 | ↓ -89% |
| Cigna | OAP/HMO | $94.88 | ↓ -89% |
| Blue Cross Blue Shield | PPO | $95.43 | ↓ -89% |
| Blue Cross Blue Shield | Traditional | $95.43 | ↓ -89% |
| United Healthcare | All Payer | $108.18 | ↓ -88% |
| United Healthcare Options | PPO | $114.43 | ↓ -87% |
| Cigna | PPO | $119.63 | ↓ -86% |
| Aetna | ASA | $120.31 | ↓ -86% |
| Aetna | Coventry | $120.31 | ↓ -86% |
| Quick Trip | Commercial | $121.86 | ↓ -86% |
| PHCS | PPO | $143.48 | ↓ -84% |
| Multiplan | Commercial | $149.32 | ↓ -83% |
| Healthsmart | Commercial | $149.32 | ↓ -83% |
| USA | MCO | $151.03 | ↓ -83% |
| Galaxy | Commercial | $151.03 | ↓ -83% |
| Cigna | Indemnity | $161.50 | ↓ -82% |
| Blue Cross Blue Shield | Medicare Advantage | $463.50 | ↓ -47% |
| American Health | Medicare Advantage | $463.50 | ↓ -47% |
| HealthSpring | Medicare Advantage | $472.77 | ↓ -46% |
| Humana | Medicare Advantage | $482.04 | ↓ -45% |
| Amerigroup | Medicare Advantage | $486.68 | ↓ -44% |
| Superior Wellcare | Medicare Advantage HMO | $486.68 | ↓ -44% |
| Molina | Medicare Advantage | $486.68 | ↓ -44% |
| Superior Wellcare | Medicare Advantage MMP | $509.85 | ↓ -42% |
| United Healthcare | Medicare Advantage PPO | $514.49 | ↓ -41% |
| United Healthcare | Medicare Advantage HMO | $523.76 | ↓ -40% |
Visitor-reported prices
Comments
Brace fx hum ovr shldr sm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $229.02 | $23.49 – $171.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $229.02 | $22.83 – $152.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $229.02 | $36.64 – $171.21 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $229.02 | $58.97 – $171.21 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $229.02 | $38.05 – $171.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $229.02 | $22.83 – $152.18 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $229.02 | $28.53 – $171.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $229.02 | $20.93 – $171.21 |