Absorpt drg <=16 sq in without b at Texas Health Presbyterian Hospital Allen
1105 Central Expressway North, Allen, TX · Texashealth · · NPI 1548291883
$171.02
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.
$285.03
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.
$1.01 with Amerigroup vs $8.21 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $1.01 | ↓ -99% |
| Parkland | Managed Medicaid | $1.01 | ↓ -99% |
| United Healthcare | Managed Medicaid | $1.01 | ↓ -99% |
| Blue Cross Blue Shield | Managed Medicaid | $1.01 | ↓ -99% |
| Superior Wellcare | Managed Medicaid | $1.06 | ↓ -99% |
| Molina | Managed Medicaid | $1.09 | ↓ -99% |
| Blue Cross Blue Shield | Exchange | $2.53 | ↓ -99% |
| Blue Cross Blue Shield | Medicare Advantage | $2.84 | ↓ -98% |
| American Health | Medicare Advantage | $2.84 | ↓ -98% |
| HealthSpring | Medicare Advantage | $2.90 | ↓ -98% |
| Humana | Medicare Advantage | $2.95 | ↓ -98% |
| Molina | Medicare Advantage | $2.98 | ↓ -98% |
| Amerigroup | Medicare Advantage | $2.98 | ↓ -98% |
| Superior Wellcare | Medicare Advantage HMO | $2.98 | ↓ -98% |
| Superior Wellcare | Medicare Advantage MMP | $3.12 | ↓ -98% |
| United Healthcare | Medicare Advantage PPO | $3.15 | ↓ -98% |
| United Healthcare | Medicare Advantage HMO | $3.21 | ↓ -98% |
| Aetna | Whole Health | $3.58 | ↓ -98% |
| Fort Worth Firefighters | Commercial | $3.84 | ↓ -98% |
| Blue Cross Blue Shield | HMO | $4.03 | ↓ -98% |
| City of Fort Worth | Commercial | $4.10 | ↓ -98% |
| Blue Cross Blue Shield | PPO | $4.49 | ↓ -97% |
| United Healthcare | All Payer | $4.52 | ↓ -97% |
| United Healthcare Options | PPO | $4.78 | ↓ -97% |
| Aetna | Commercial | $4.78 | ↓ -97% |
| Cigna | OAP/HMO | $4.83 | ↓ -97% |
| Cigna | PPO | $6.08 | ↓ -96% |
| Aetna | ASA | $6.12 | ↓ -96% |
| Aetna | Coventry | $6.12 | ↓ -96% |
| Quick Trip | Commercial | $6.20 | ↓ -96% |
| Healthsmart | Commercial | $6.55 | ↓ -96% |
| Blue Cross Blue Shield | Traditional | $7.20 | ↓ -96% |
| PHCS | PPO | $7.30 | ↓ -96% |
| Multiplan | Commercial | $7.60 | ↓ -96% |
| Galaxy | Commercial | $7.68 | ↓ -96% |
| USA | MCO | $7.68 | ↓ -96% |
| Cigna | Indemnity | $8.21 | ↓ -95% |
Visitor-reported prices
Comments
Absorpt drg <=16 sq in without b at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHRISTUS Children's Hospital | San Antonio | not published | $6.02 – $6.02 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $2.78 – $6.11 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $2.78 – $6.11 |
| Covenant Children's Hospital | Lubbock | not published | $2.66 – $2.66 |
| HCA HOUSTON CONROE | CONROE | not published | $2.78 – $6.11 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $2.78 – $6.11 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $2.78 – $6.11 |
| HCA HOUSTON PEARLAND | Pearland | not published | $2.78 – $6.11 |