Removal sutr or stapl no anes at Texas Health Presbyterian Hospital Allen
1105 Central Expressway North, Allen, TX · Texashealth · · NPI 1548291883
$88.80
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.
$148.00
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.
$12.66 with American Health vs $139.27 with Cigna — 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 |
|---|---|---|---|
| American Health | Medicare Advantage | $12.66 | ↓ -86% |
| Blue Cross Blue Shield | Medicare Advantage | $12.66 | ↓ -86% |
| HealthSpring | Medicare Advantage | $12.92 | ↓ -85% |
| Humana | Medicare Advantage | $13.17 | ↓ -85% |
| Molina | Medicare Advantage | $13.30 | ↓ -85% |
| Amerigroup | Medicare Advantage | $13.30 | ↓ -85% |
| Superior Wellcare | Medicare Advantage HMO | $13.30 | ↓ -85% |
| Superior Wellcare | Medicare Advantage MMP | $13.93 | ↓ -84% |
| United Healthcare | Medicare Advantage PPO | $14.06 | ↓ -84% |
| United Healthcare | Medicare Advantage HMO | $14.31 | ↓ -84% |
| Amerigroup | Managed Medicaid | $17.05 | ↓ -81% |
| Parkland | Managed Medicaid | $17.05 | ↓ -81% |
| Blue Cross Blue Shield | Managed Medicaid | $17.05 | ↓ -81% |
| United Healthcare | Managed Medicaid | $17.05 | ↓ -81% |
| Superior Wellcare | Managed Medicaid | $17.91 | ↓ -80% |
| Molina | Managed Medicaid | $18.41 | ↓ -79% |
| Blue Cross Blue Shield | Exchange | $59.50 | ↓ -33% |
| City of Fort Worth | Commercial | $69.56 | ↓ -22% |
| Aetna | Whole Health | $75.94 | ↓ -14% |
| Fort Worth Firefighters | Commercial | $77.32 | ↓ -13% |
| Cigna | OAP/HMO | $81.81 | ↓ -8% |
| Blue Cross Blue Shield | HMO | $93.98 | ↑ +6% |
| Aetna | Commercial | $101.25 | ↑ +14% |
| Cigna | PPO | $103.16 | ↑ +16% |
| Aetna | ASA | $103.75 | ↑ +17% |
| Aetna | Coventry | $103.75 | ↑ +17% |
| Blue Cross Blue Shield | PPO | $104.34 | ↑ +18% |
| Quick Trip | Commercial | $105.08 | ↑ +18% |
| Healthsmart | Commercial | $111.00 | ↑ +25% |
| PHCS | PPO | $123.73 | ↑ +39% |
| Blue Cross Blue Shield | Traditional | $127.13 | ↑ +43% |
| Multiplan | Commercial | $128.76 | ↑ +45% |
| Galaxy | Commercial | $130.24 | ↑ +47% |
| USA | MCO | $130.24 | ↑ +47% |
| Cigna | Indemnity | $139.27 | ↑ +57% |
| United Healthcare Options | PPO | not published by hospital | — |
| United Healthcare | All Payer | not published by hospital | — |
Visitor-reported prices
Comments
Removal sutr or stapl no anes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $869.70 | $246.41 – $1,232.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $869.70 | $231.92 – $1,232.08 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $869.70 | $231.92 – $1,232.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $869.70 | $217.43 – $1,232.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $869.70 | $159.44 – $1,232.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $869.70 | $159.44 – $1,232.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $869.70 | $246.41 – $1,232.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $869.70 | $405.86 – $1,232.08 |