Afo rig ant tib tcf/= custom at Texas Health Presbyterian Hospital Allen
1105 Central Expressway North, Allen, TX · Texashealth · · NPI 1548291883
$1,883.09
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.
$3,138.47
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.
$339.65 with Amerigroup vs $2,774.36 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 | $339.65 | ↓ -82% |
| Parkland | Managed Medicaid | $339.65 | ↓ -82% |
| United Healthcare | Managed Medicaid | $339.65 | ↓ -82% |
| Blue Cross Blue Shield | Managed Medicaid | $339.65 | ↓ -82% |
| Superior Wellcare | Managed Medicaid | $356.75 | ↓ -81% |
| Molina | Managed Medicaid | $366.77 | ↓ -81% |
| Blue Cross Blue Shield | Exchange | $913.98 | ↓ -51% |
| Blue Cross Blue Shield | Medicare Advantage | $1,102.55 | ↓ -41% |
| American Health | Medicare Advantage | $1,102.55 | ↓ -41% |
| HealthSpring | Medicare Advantage | $1,124.60 | ↓ -40% |
| Humana | Medicare Advantage | $1,146.65 | ↓ -39% |
| Molina | Medicare Advantage | $1,157.68 | ↓ -39% |
| Amerigroup | Medicare Advantage | $1,157.68 | ↓ -39% |
| Superior Wellcare | Medicare Advantage HMO | $1,157.68 | ↓ -39% |
| Aetna | Whole Health | $1,210.58 | ↓ -36% |
| Superior Wellcare | Medicare Advantage MMP | $1,212.81 | ↓ -36% |
| United Healthcare | Medicare Advantage PPO | $1,223.83 | ↓ -35% |
| United Healthcare | Medicare Advantage HMO | $1,245.88 | ↓ -34% |
| Fort Worth Firefighters | Commercial | $1,295.19 | ↓ -31% |
| City of Fort Worth | Commercial | $1,385.71 | ↓ -26% |
| Blue Cross Blue Shield | HMO | $1,474.16 | ↓ -22% |
| Aetna | Commercial | $1,614.20 | ↓ -14% |
| Cigna | OAP/HMO | $1,629.83 | ↓ -13% |
| Blue Cross Blue Shield | Traditional | $1,639.26 | ↓ -13% |
| Blue Cross Blue Shield | PPO | $1,639.26 | ↓ -13% |
| United Healthcare | All Payer | $1,858.32 | ↓ -1% |
| United Healthcare Options | PPO | $1,965.64 | ↑ +4% |
| Cigna | PPO | $2,054.97 | ↑ +9% |
| Aetna | Coventry | $2,066.77 | ↑ +10% |
| Aetna | ASA | $2,066.77 | ↑ +10% |
| Quick Trip | Commercial | $2,093.30 | ↑ +11% |
| Healthsmart | Commercial | $2,211.23 | ↑ +17% |
| PHCS | PPO | $2,464.79 | ↑ +31% |
| Multiplan | Commercial | $2,565.03 | ↑ +36% |
| USA | MCO | $2,594.51 | ↑ +38% |
| Galaxy | Commercial | $2,594.51 | ↑ +38% |
| Cigna | Indemnity | $2,774.36 | ↑ +47% |
Visitor-reported prices
Comments
Afo rig ant tib tcf/= custom at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,225.69 | $252.29 – $1,838.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,225.69 | $245.14 – $1,634.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,225.69 | $393.45 – $1,838.53 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,225.69 | $633.27 – $1,838.53 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,225.69 | $408.56 – $1,838.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $1,225.69 | $245.14 – $1,634.25 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $1,225.69 | $306.42 – $1,838.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $1,225.69 | $224.71 – $1,838.53 |