Phlebotomy therapeutic at Texas Health Presbyterian Hospital Allen
1105 Central Expressway North, Allen, TX · Texashealth · · NPI 1548291883
$174.45
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.
$290.75
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.
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The hospital's undiscounted list price — almost no one pays this.
$33.49 with Blue Cross Blue Shield vs $895.35 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $33.49 | ↓ -81% |
| Amerigroup | Managed Medicaid | $33.49 | ↓ -81% |
| Parkland | Managed Medicaid | $33.49 | ↓ -81% |
| United Healthcare | Managed Medicaid | $33.49 | ↓ -81% |
| Superior Wellcare | Managed Medicaid | $35.18 | ↓ -80% |
| Molina | Managed Medicaid | $36.17 | ↓ -79% |
| Aetna | Whole Health | $119.38 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $127.73 | ↓ -27% |
| Blue Cross Blue Shield | Medicare Advantage | $133.65 | ↓ -23% |
| American Health | Medicare Advantage | $133.65 | ↓ -23% |
| HealthSpring | Medicare Advantage | $136.33 | ↓ -22% |
| City of Fort Worth | Commercial | $136.65 | ↓ -22% |
| Humana | Medicare Advantage | $139.00 | ↓ -20% |
| Molina | Medicare Advantage | $140.34 | ↓ -20% |
| Amerigroup | Medicare Advantage | $140.34 | ↓ -20% |
| Superior Wellcare | Medicare Advantage HMO | $140.34 | ↓ -20% |
| Superior Wellcare | Medicare Advantage MMP | $147.02 | ↓ -16% |
| Blue Cross Blue Shield | Exchange | $148.06 | ↓ -15% |
| United Healthcare | Medicare Advantage PPO | $148.36 | ↓ -15% |
| United Healthcare | All Payer | $150.38 | ↓ -14% |
| United Healthcare | Medicare Advantage HMO | $151.03 | ↓ -13% |
| Aetna | Commercial | $159.19 | ↓ -9% |
| United Healthcare Options | PPO | $159.33 | ↓ -9% |
| Cigna | OAP/HMO | $160.73 | ↓ -8% |
| Cigna | PPO | $202.65 | ↑ +16% |
| Aetna | ASA | $203.82 | ↑ +17% |
| Aetna | Coventry | $203.82 | ↑ +17% |
| Quick Trip | Commercial | $206.43 | ↑ +18% |
| Healthsmart | Commercial | $218.06 | ↑ +25% |
| PHCS | PPO | $243.07 | ↑ +39% |
| Multiplan | Commercial | $252.95 | ↑ +45% |
| Galaxy | Commercial | $255.86 | ↑ +47% |
| USA | MCO | $255.86 | ↑ +47% |
| Cigna | Indemnity | $273.60 | ↑ +57% |
| Blue Cross Blue Shield | HMO | $304.08 | ↑ +74% |
| Blue Cross Blue Shield | PPO | $337.88 | ↑ +94% |
| Blue Cross Blue Shield | Traditional | $895.35 | ↑ +413% |
Visitor-reported prices
Comments
Phlebotomy therapeutic at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $275.15 | $77.96 – $343.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $238.04 | $49.00 – $357.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $275.15 | $55.03 – $343.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $275.15 | $73.37 – $343.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $238.04 | $76.41 – $357.07 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $238.04 | $122.99 – $357.07 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $275.15 | $91.72 – $412.73 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $275.15 | $73.37 – $343.94 |