Established Patient Office Visit (level 1) at Texas Health Harris Methodist Hospital Stephenville
411 N Belknap St, Stephenville, TX · Texashealth · · NPI 1922031541
$387.00
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.
$645.00
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.
$17.52 with Blue Cross Blue Shield vs $83.75 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 | Exchange | $17.52 | ↓ -95% |
| United Healthcare | Managed Medicaid | $22.43 | ↓ -94% |
| Amerigroup | Managed Medicaid | $22.43 | ↓ -94% |
| Blue Cross Blue Shield | Managed Medicaid | $22.43 | ↓ -94% |
| Blue Cross Blue Shield | Medicare Advantage | $23.43 | ↓ -94% |
| American Health | Medicare Advantage | $23.43 | ↓ -94% |
| Blue Cross Blue Shield | HMO | $23.51 | ↓ -94% |
| Superior Wellcare | Managed Medicaid | $23.55 | ↓ -94% |
| HealthSpring | Medicare Advantage | $23.90 | ↓ -94% |
| Molina | Managed Medicaid | $24.23 | ↓ -94% |
| Humana | Medicare Advantage | $24.37 | ↓ -94% |
| Molina | Medicare Advantage | $24.60 | ↓ -94% |
| Amerigroup | Medicare Advantage | $24.60 | ↓ -94% |
| Superior Wellcare | Medicare Advantage HMO | $24.60 | ↓ -94% |
| Superior Wellcare | Medicare Advantage MMP | $25.77 | ↓ -93% |
| United Healthcare | Medicare Advantage PPO | $26.01 | ↓ -93% |
| Blue Cross Blue Shield | PPO | $26.12 | ↓ -93% |
| United Healthcare | Medicare Advantage HMO | $26.48 | ↓ -93% |
| Aetna | Whole Health | $36.54 | ↓ -91% |
| Fort Worth Firefighters | Commercial | $39.10 | ↓ -90% |
| City of Fort Worth | Commercial | $41.83 | ↓ -89% |
| United Healthcare | All Payer | $46.03 | ↓ -88% |
| Aetna | Commercial | $48.73 | ↓ -87% |
| United Healthcare Options | PPO | $48.77 | ↓ -87% |
| Cigna | OAP/HMO | $49.20 | ↓ -87% |
| Cigna | PPO | $62.03 | ↓ -84% |
| Aetna | ASA | $62.39 | ↓ -84% |
| Aetna | Coventry | $62.39 | ↓ -84% |
| Quick Trip | Commercial | $63.19 | ↓ -84% |
| PHCS | PPO | $74.40 | ↓ -81% |
| Blue Cross Blue Shield | Traditional | $76.95 | ↓ -80% |
| Multiplan | Commercial | $77.43 | ↓ -80% |
| Healthsmart | Commercial | $77.43 | ↓ -80% |
| Galaxy | Commercial | $78.32 | ↓ -80% |
| USA | MCO | $78.32 | ↓ -80% |
| Cigna | Indemnity | $83.75 | ↓ -78% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $256.64 | $36.07 – $36.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $134.02 | $15.44 – $112.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $96.94 | $15.00 – $93.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $134.02 | $24.07 – $112.50 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $134.02 | $38.75 – $112.50 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $96.94 | $25.00 – $112.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $134.02 | $15.00 – $106.25 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $134.02 | $8.82 – $112.50 |