Factor ix non-recombinant at Texas Health Presbyterian Hospital Allen
1105 Central Expressway North, Allen, TX · Texashealth · · NPI 1548291883
$4.63
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.
$7.71
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.
$0.72 with Amerigroup vs $7.73 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $0.72 | ↓ -84% |
| Parkland | Managed Medicaid | $0.72 | ↓ -84% |
| United Healthcare | Managed Medicaid | $0.72 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $0.72 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $0.76 | ↓ -84% |
| Molina | Managed Medicaid | $0.78 | ↓ -83% |
| Blue Cross Blue Shield | Exchange | $1.08 | ↓ -77% |
| Blue Cross Blue Shield | Medicare Advantage | $1.40 | ↓ -70% |
| American Health | Medicare Advantage | $1.40 | ↓ -70% |
| HealthSpring | Medicare Advantage | $1.42 | ↓ -69% |
| Humana | Medicare Advantage | $1.45 | ↓ -69% |
| Molina | Medicare Advantage | $1.47 | ↓ -68% |
| Amerigroup | Medicare Advantage | $1.47 | ↓ -68% |
| Superior Wellcare | Medicare Advantage HMO | $1.47 | ↓ -68% |
| Superior Wellcare | Medicare Advantage MMP | $1.54 | ↓ -67% |
| United Healthcare | Medicare Advantage PPO | $1.55 | ↓ -67% |
| United Healthcare | Medicare Advantage HMO | $1.58 | ↓ -66% |
| Blue Cross Blue Shield | HMO | $1.70 | ↓ -63% |
| Blue Cross Blue Shield | PPO | $1.89 | ↓ -59% |
| Aetna | Whole Health | $2.18 | ↓ -53% |
| Fort Worth Firefighters | Commercial | $2.76 | ↓ -40% |
| Aetna | Commercial | $2.90 | ↓ -37% |
| City of Fort Worth | Commercial | $2.96 | ↓ -36% |
| Cigna | OAP/HMO | $3.48 | ↓ -25% |
| Cigna | PPO | $4.38 | ↓ -5% |
| Aetna | ASA | $4.41 | ↓ -5% |
| Aetna | Coventry | $4.41 | ↓ -5% |
| Quick Trip | Commercial | $4.47 | ↓ -3% |
| Healthsmart | Commercial | $4.72 | ↑ +2% |
| United Healthcare Options | PPO | $5.03 | ↑ +9% |
| United Healthcare | All Payer | $5.03 | ↑ +9% |
| PHCS | PPO | $5.26 | ↑ +14% |
| Multiplan | Commercial | $5.47 | ↑ +18% |
| Galaxy | Commercial | $5.54 | ↑ +20% |
| USA | MCO | $5.54 | ↑ +20% |
| Cigna | Indemnity | $5.92 | ↑ +28% |
| Blue Cross Blue Shield | Traditional | $7.73 | ↑ +67% |
Visitor-reported prices
Comments
Factor ix non-recombinant at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $4.63 | $1.70 – $5.03 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $4.63 | $1.08 – $5.03 |
| Texas Health Arlington Memorial Hospital | Arlington | $4.63 | $1.08 – $5.03 |
| Texas Health Presbyterian Hospital Denton | Denton | $4.63 | $1.08 – $5.03 |
| Texas Health Presbyterian Hospital Plano | Plano | $4.63 | $1.08 – $5.03 |
| Texas Health Hospital Rockwall | Rockwall | $4.63 | $1.70 – $5.03 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $1.35 | $1.07 – $3.48 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $4.63 | $1.70 – $5.03 |