Prolactin at Texas Health Presbyterian Hospital Allen
1105 Central Expressway North, Allen, TX · Texashealth · · NPI 1548291883
$25.95
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.
$43.25
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.
$16.28 with Parkland vs $113.59 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 | $16.28 | ↓ -37% |
| United Healthcare | Managed Medicaid | $16.28 | ↓ -37% |
| Amerigroup | Managed Medicaid | $16.28 | ↓ -37% |
| Blue Cross Blue Shield | Managed Medicaid | $16.28 | ↓ -37% |
| Superior Wellcare | Managed Medicaid | $17.09 | ↓ -34% |
| Molina | Managed Medicaid | $17.58 | ↓ -32% |
| Blue Cross Blue Shield | Medicare Advantage | $19.38 | ↓ -25% |
| United Healthcare Options | PPO | $19.38 | ↓ -25% |
| United Healthcare | All Payer | $19.38 | ↓ -25% |
| American Health | Medicare Advantage | $19.38 | ↓ -25% |
| HealthSpring | Medicare Advantage | $19.77 | ↓ -24% |
| Humana | Medicare Advantage | $20.16 | ↓ -22% |
| City of Fort Worth | Commercial | $20.33 | ↓ -22% |
| Molina | Medicare Advantage | $20.35 | ↓ -22% |
| Superior Wellcare | Medicare Advantage HMO | $20.35 | ↓ -22% |
| Amerigroup | Medicare Advantage | $20.35 | ↓ -22% |
| Superior Wellcare | Medicare Advantage MMP | $21.32 | ↓ -18% |
| United Healthcare | Medicare Advantage PPO | $21.51 | ↓ -17% |
| Blue Cross Blue Shield | Exchange | $21.55 | ↓ -17% |
| United Healthcare | Medicare Advantage HMO | $21.90 | ↓ -16% |
| Fort Worth Firefighters | Commercial | $26.40 | ↑ +2% |
| Aetna | ASA | $30.32 | ↑ +17% |
| Aetna | Coventry | $30.32 | ↑ +17% |
| Quick Trip | Commercial | $30.71 | ↑ +18% |
| Healthsmart | Commercial | $32.44 | ↑ +25% |
| PHCS | PPO | $36.16 | ↑ +39% |
| Multiplan | Commercial | $37.63 | ↑ +45% |
| USA | MCO | $38.06 | ↑ +47% |
| Galaxy | Commercial | $38.06 | ↑ +47% |
| Blue Cross Blue Shield | HMO | $38.37 | ↑ +48% |
| Cigna | Indemnity | $40.70 | ↑ +57% |
| Blue Cross Blue Shield | PPO | $42.64 | ↑ +64% |
| Aetna | Whole Health | $64.62 | ↑ +149% |
| Cigna | PPO | $79.67 | ↑ +207% |
| Cigna | OAP/HMO | $79.67 | ↑ +207% |
| Aetna | Commercial | $86.16 | ↑ +232% |
| Blue Cross Blue Shield | Traditional | $113.59 | ↑ +338% |
Visitor-reported prices
Comments
Prolactin at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $328.44 | $17.44 – $74.61 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $181.04 | $10.00 – $61.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $171.46 | $10.06 – $73.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $160.92 | $12.00 – $61.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $181.04 | $10.00 – $61.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $171.46 | $12.00 – $73.31 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $171.46 | $8.00 – $73.31 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $160.92 | $12.00 – $73.31 |