App high cost ss t/a/l >100sq cm 1st 100sq cm at Texas Health Presbyterian Hospital Allen
1105 Central Expressway North, Allen, TX · Texashealth · · NPI 1548291883
$3,840.60
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.
$6,401.00
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.
$1,565.86 with Amerigroup vs $6,023.34 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 | $1,565.86 | ↓ -59% |
| Parkland | Managed Medicaid | $1,565.86 | ↓ -59% |
| United Healthcare | Managed Medicaid | $1,565.86 | ↓ -59% |
| Blue Cross Blue Shield | Managed Medicaid | $1,565.86 | ↓ -59% |
| Superior Wellcare | Managed Medicaid | $1,644.15 | ↓ -57% |
| Molina | Managed Medicaid | $1,691.13 | ↓ -56% |
| Blue Cross Blue Shield | Exchange | $1,856.29 | ↓ -52% |
| Blue Cross Blue Shield | Medicare Advantage | $2,072.68 | ↓ -46% |
| American Health | Medicare Advantage | $2,072.68 | ↓ -46% |
| HealthSpring | Medicare Advantage | $2,114.14 | ↓ -45% |
| Humana | Medicare Advantage | $2,155.59 | ↓ -44% |
| Molina | Medicare Advantage | $2,176.32 | ↓ -43% |
| Amerigroup | Medicare Advantage | $2,176.32 | ↓ -43% |
| Superior Wellcare | Medicare Advantage HMO | $2,176.32 | ↓ -43% |
| Superior Wellcare | Medicare Advantage MMP | $2,279.95 | ↓ -41% |
| United Healthcare | Medicare Advantage PPO | $2,300.68 | ↓ -40% |
| United Healthcare | Medicare Advantage HMO | $2,342.13 | ↓ -39% |
| Aetna | Whole Health | $2,628.25 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $2,811.96 | ↓ -27% |
| Blue Cross Blue Shield | HMO | $2,957.26 | ↓ -23% |
| City of Fort Worth | Commercial | $3,008.47 | ↓ -22% |
| Blue Cross Blue Shield | PPO | $3,290.11 | ↓ -14% |
| United Healthcare | All Payer | $3,310.60 | ↓ -14% |
| Aetna | Commercial | $3,504.55 | ↓ -9% |
| United Healthcare Options | PPO | $3,507.75 | ↓ -9% |
| Cigna | OAP/HMO | $3,538.47 | ↓ -8% |
| Cigna | PPO | $4,461.50 | ↑ +16% |
| Aetna | ASA | $4,487.10 | ↑ +17% |
| Aetna | Coventry | $4,487.10 | ↑ +17% |
| Quick Trip | Commercial | $4,544.71 | ↑ +18% |
| Healthsmart | Commercial | $4,800.75 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $5,280.83 | ↑ +38% |
| PHCS | PPO | $5,351.24 | ↑ +39% |
| Multiplan | Commercial | $5,568.87 | ↑ +45% |
| Galaxy | Commercial | $5,632.88 | ↑ +47% |
| USA | MCO | $5,632.88 | ↑ +47% |
| Cigna | Indemnity | $6,023.34 | ↑ +57% |
Visitor-reported prices
Comments
App high cost ss t/a/l >100sq cm 1st 100sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,033.56 | $1,220.13 – $8,887.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,108.85 | $71.00 – $8,887.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,168.39 | $71.00 – $8,887.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,033.56 | $1,254.03 – $8,887.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,108.85 | $85.00 – $8,887.48 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,108.85 | $1,565.86 – $8,887.48 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,168.39 | $71.00 – $8,887.48 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,033.56 | $1,254.03 – $8,887.48 |