Ghs musc tst done w/nerv tst lim at Texas Health Presbyterian Hospital Allen
1105 Central Expressway North, Allen, TX · Texashealth · · NPI 1548291883
$272.25
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.
?
What you pay up front if you don't use insurance.
$453.75
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.
?
The hospital's undiscounted list price — almost no one pays this.
$52.20 with Blue Cross Blue Shield vs $1,021.00 with United Healthcare Options — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Blue Cross Blue Shield | Exchange | $52.20 | ↓ -81% |
| Parkland | Managed Medicaid | $52.27 | ↓ -81% |
| United Healthcare | Managed Medicaid | $52.27 | ↓ -81% |
| Blue Cross Blue Shield | Managed Medicaid | $52.27 | ↓ -81% |
| Amerigroup | Managed Medicaid | $52.27 | ↓ -81% |
| Superior Wellcare | Managed Medicaid | $54.90 | ↓ -80% |
| Molina | Managed Medicaid | $56.45 | ↓ -79% |
| Blue Cross Blue Shield | Medicare Advantage | $61.74 | ↓ -77% |
| American Health | Medicare Advantage | $61.74 | ↓ -77% |
| HealthSpring | Medicare Advantage | $62.97 | ↓ -77% |
| Humana | Medicare Advantage | $64.21 | ↓ -76% |
| Molina | Medicare Advantage | $64.83 | ↓ -76% |
| Amerigroup | Medicare Advantage | $64.83 | ↓ -76% |
| Superior Wellcare | Medicare Advantage HMO | $64.83 | ↓ -76% |
| Superior Wellcare | Medicare Advantage MMP | $67.91 | ↓ -75% |
| United Healthcare | Medicare Advantage PPO | $68.53 | ↓ -75% |
| United Healthcare | Medicare Advantage HMO | $69.77 | ↓ -74% |
| Blue Cross Blue Shield | HMO | $107.61 | ↓ -60% |
| Blue Cross Blue Shield | PPO | $119.58 | ↓ -56% |
| Aetna | Whole Health | $186.31 | ↓ -32% |
| City of Fort Worth | Commercial | $213.26 | ↓ -22% |
| Aetna | Commercial | $248.43 | ↓ -9% |
| Cigna | OAP/HMO | $250.83 | ↓ -8% |
| Fort Worth Firefighters | Commercial | $277.01 | ↑ +2% |
| Cigna | PPO | $316.26 | ↑ +16% |
| Blue Cross Blue Shield | Traditional | $317.00 | ↑ +16% |
| Aetna | ASA | $318.08 | ↑ +17% |
| Aetna | Coventry | $318.08 | ↑ +17% |
| Quick Trip | Commercial | $322.16 | ↑ +18% |
| Healthsmart | Commercial | $340.31 | ↑ +25% |
| PHCS | PPO | $379.34 | ↑ +39% |
| Multiplan | Commercial | $394.76 | ↑ +45% |
| USA | MCO | $399.30 | ↑ +47% |
| Galaxy | Commercial | $399.30 | ↑ +47% |
| Cigna | Indemnity | $426.98 | ↑ +57% |
| United Healthcare | All Payer | $767.00 | ↑ +182% |
| United Healthcare Options | PPO | $1,021.00 | ↑ +275% |
Visitor-reported prices
Comments
Ghs musc tst done w/nerv tst lim at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $277.25 | $78.55 – $392.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $243.43 | $50.11 – $365.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $300.96 | $60.19 – $376.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $277.25 | $73.93 – $392.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $243.43 | $78.14 – $365.15 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $243.43 | $125.77 – $365.15 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $300.96 | $100.32 – $451.44 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $277.25 | $73.93 – $392.77 |