Biliary endoscopy thru skin at Texas Health Presbyterian Hospital Allen
1105 Central Expressway North, Allen, TX · Texashealth · · NPI 1548291883
$8,456.40
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.
$14,094.00
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.
$2,819.34 with Parkland vs $40,390.48 with Blue Cross Blue Shield — 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 |
|---|---|---|---|
| Parkland | Managed Medicaid | $2,819.34 | ↓ -67% |
| Amerigroup | Managed Medicaid | $2,819.34 | ↓ -67% |
| Blue Cross Blue Shield | Managed Medicaid | $2,819.34 | ↓ -67% |
| United Healthcare | Managed Medicaid | $2,819.34 | ↓ -67% |
| Superior Wellcare | Managed Medicaid | $2,960.31 | ↓ -65% |
| Molina | Managed Medicaid | $3,044.89 | ↓ -64% |
| Aetna | Whole Health | $5,443.10 | ↓ -36% |
| Blue Cross Blue Shield | Exchange | $6,075.97 | ↓ -28% |
| City of Fort Worth | Commercial | $6,624.18 | ↓ -22% |
| Aetna | Commercial | $7,258.41 | ↓ -14% |
| Cigna | OAP/HMO | $7,791.16 | ↓ -8% |
| Fort Worth Firefighters | Commercial | $8,604.39 | ↑ +2% |
| Cigna | PPO | $9,823.52 | ↑ +16% |
| Aetna | Coventry | $9,879.89 | ↑ +17% |
| Aetna | ASA | $9,879.89 | ↑ +17% |
| Quick Trip | Commercial | $10,006.74 | ↑ +18% |
| Healthsmart | Commercial | $10,570.50 | ↑ +25% |
| Blue Cross Blue Shield | Medicare Advantage | $10,678.27 | ↑ +26% |
| American Health | Medicare Advantage | $10,678.27 | ↑ +26% |
| HealthSpring | Medicare Advantage | $10,891.84 | ↑ +29% |
| Humana | Medicare Advantage | $11,105.40 | ↑ +31% |
| Molina | Medicare Advantage | $11,212.19 | ↑ +33% |
| Amerigroup | Medicare Advantage | $11,212.19 | ↑ +33% |
| Superior Wellcare | Medicare Advantage HMO | $11,212.19 | ↑ +33% |
| Blue Cross Blue Shield | HMO | $11,359.22 | ↑ +34% |
| Superior Wellcare | Medicare Advantage MMP | $11,746.10 | ↑ +39% |
| PHCS | PPO | $11,782.58 | ↑ +39% |
| United Healthcare | Medicare Advantage PPO | $11,852.88 | ↑ +40% |
| United Healthcare | Medicare Advantage HMO | $12,066.45 | ↑ +43% |
| Multiplan | Commercial | $12,261.78 | ↑ +45% |
| Galaxy | Commercial | $12,402.72 | ↑ +47% |
| USA | MCO | $12,402.72 | ↑ +47% |
| Blue Cross Blue Shield | PPO | $12,620.82 | ↑ +49% |
| Cigna | Indemnity | $13,262.45 | ↑ +57% |
| United Healthcare | All Payer | $16,982.00 | ↑ +101% |
| United Healthcare Options | PPO | $21,607.00 | ↑ +156% |
| Blue Cross Blue Shield | Traditional | $40,390.48 | ↑ +378% |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $5,961.90 | $4,833.48 – $10,295.80 |
| HCA HOUSTON KINGWOOD | HUMBLE | $12,366.52 | $2,762.95 – $10,731.66 |
| Baylor St Luke's Medical Center | Houston | $8,487.50 | $5,460.00 – $24,250.00 |
| St. Joseph Health Madison Hospital | Madisonville | $1,594.60 | $1,160.87 – $9,112.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $8,487.50 | $5,460.00 – $24,250.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $8,487.50 | $5,460.00 – $24,250.00 |
| St. Joseph Health College Station Hospital | College Station | $1,594.60 | $5,011.60 – $9,112.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $8,487.50 | $6,547.50 – $24,250.00 |