Crtj pericardial window/prtl resecj w/drg/bx at Texas Health Presbyterian Hospital Allen
1105 Central Expressway North, Allen, TX · Texashealth · · NPI 1548291883
$3,249.30
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.
$5,415.50
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.
$623.87 with Amerigroup vs $12,195.00 with United Healthcare Options — 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 | $623.87 | ↓ -81% |
| Parkland | Managed Medicaid | $623.87 | ↓ -81% |
| United Healthcare | Managed Medicaid | $623.87 | ↓ -81% |
| Blue Cross Blue Shield | Managed Medicaid | $623.87 | ↓ -81% |
| Superior Wellcare | Managed Medicaid | $655.28 | ↓ -80% |
| Molina | Managed Medicaid | $673.69 | ↓ -79% |
| Blue Cross Blue Shield | Medicare Advantage | $719.45 | ↓ -78% |
| American Health | Medicare Advantage | $719.45 | ↓ -78% |
| HealthSpring | Medicare Advantage | $733.84 | ↓ -77% |
| Humana | Medicare Advantage | $748.23 | ↓ -77% |
| Molina | Medicare Advantage | $755.43 | ↓ -77% |
| Amerigroup | Medicare Advantage | $755.43 | ↓ -77% |
| Superior Wellcare | Medicare Advantage HMO | $755.43 | ↓ -77% |
| Superior Wellcare | Medicare Advantage MMP | $791.40 | ↓ -76% |
| United Healthcare | Medicare Advantage PPO | $798.59 | ↓ -75% |
| United Healthcare | Medicare Advantage HMO | $812.98 | ↓ -75% |
| Blue Cross Blue Shield | Exchange | $1,042.83 | ↓ -68% |
| Blue Cross Blue Shield | HMO | $1,949.61 | ↓ -40% |
| Aetna | Whole Health | $2,091.47 | ↓ -36% |
| Blue Cross Blue Shield | PPO | $2,166.14 | ↓ -33% |
| City of Fort Worth | Commercial | $2,545.29 | ↓ -22% |
| Aetna | Commercial | $2,788.98 | ↓ -14% |
| Cigna | OAP/HMO | $2,993.69 | ↓ -8% |
| Fort Worth Firefighters | Commercial | $3,306.16 | ↑ +2% |
| Cigna | PPO | $3,774.60 | ↑ +16% |
| Aetna | Coventry | $3,796.27 | ↑ +17% |
| Aetna | ASA | $3,796.27 | ↑ +17% |
| Quick Trip | Commercial | $3,845.01 | ↑ +18% |
| Healthsmart | Commercial | $4,061.63 | ↑ +25% |
| PHCS | PPO | $4,527.36 | ↑ +39% |
| Multiplan | Commercial | $4,711.49 | ↑ +45% |
| USA | MCO | $4,765.64 | ↑ +47% |
| Galaxy | Commercial | $4,765.64 | ↑ +47% |
| Cigna | Indemnity | $5,095.99 | ↑ +57% |
| Blue Cross Blue Shield | Traditional | $6,932.30 | ↑ +113% |
| United Healthcare | All Payer | $9,586.00 | ↑ +195% |
| United Healthcare Options | PPO | $12,195.00 | ↑ +275% |
Visitor-reported prices
Comments
Crtj pericardial window/prtl resecj w/drg/bx at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,161.89 | $895.87 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,649.05 | $545.26 – $5,388.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,522.88 | $504.58 – $5,388.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,161.89 | $843.17 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,649.05 | $850.35 – $5,388.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,649.05 | $1,368.68 – $3,973.58 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,522.88 | $840.96 – $5,388.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $3,161.89 | $843.17 – $7,038.00 |