Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time at Texas Health Presbyterian Hospital Allen
1105 Central Expressway North, Allen, TX · Texashealth · · NPI 1548291883
$219.60
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.
$366.00
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.
$7.84 with Blue Cross Blue Shield vs $344.41 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Exchange | $7.84 | ↓ -96% |
| Blue Cross Blue Shield | HMO | $16.09 | ↓ -93% |
| Blue Cross Blue Shield | PPO | $17.88 | ↓ -92% |
| Amerigroup | Managed Medicaid | $42.16 | ↓ -81% |
| Blue Cross Blue Shield | Managed Medicaid | $42.16 | ↓ -81% |
| Parkland | Managed Medicaid | $42.16 | ↓ -81% |
| United Healthcare | Managed Medicaid | $42.16 | ↓ -81% |
| Superior Wellcare | Managed Medicaid | $44.29 | ↓ -80% |
| Molina | Managed Medicaid | $45.53 | ↓ -79% |
| Blue Cross Blue Shield | Traditional | $47.38 | ↓ -78% |
| Blue Cross Blue Shield | Medicare Advantage | $63.20 | ↓ -71% |
| American Health | Medicare Advantage | $63.20 | ↓ -71% |
| HealthSpring | Medicare Advantage | $64.47 | ↓ -71% |
| Humana | Medicare Advantage | $65.73 | ↓ -70% |
| Molina | Medicare Advantage | $66.36 | ↓ -70% |
| Amerigroup | Medicare Advantage | $66.36 | ↓ -70% |
| Superior Wellcare | Medicare Advantage HMO | $66.36 | ↓ -70% |
| Superior Wellcare | Medicare Advantage MMP | $69.52 | ↓ -68% |
| United Healthcare | Medicare Advantage PPO | $70.15 | ↓ -68% |
| United Healthcare | Medicare Advantage HMO | $71.42 | ↓ -67% |
| Aetna | Whole Health | $150.28 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $160.78 | ↓ -27% |
| City of Fort Worth | Commercial | $172.02 | ↓ -22% |
| United Healthcare | All Payer | $189.30 | ↓ -14% |
| Aetna | Commercial | $200.39 | ↓ -9% |
| United Healthcare Options | PPO | $200.57 | ↓ -9% |
| Cigna | OAP/HMO | $202.32 | ↓ -8% |
| Cigna | PPO | $255.10 | ↑ +16% |
| Aetna | ASA | $256.57 | ↑ +17% |
| Aetna | Coventry | $256.57 | ↑ +17% |
| Quick Trip | Commercial | $259.86 | ↑ +18% |
| Healthsmart | Commercial | $274.50 | ↑ +25% |
| PHCS | PPO | $305.98 | ↑ +39% |
| Multiplan | Commercial | $318.42 | ↑ +45% |
| Galaxy | Commercial | $322.08 | ↑ +47% |
| USA | MCO | $322.08 | ↑ +47% |
| Cigna | Indemnity | $344.41 | ↑ +57% |
Visitor-reported prices
Comments
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $375.34 | $17.71 – $531.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $244.52 | $17.43 – $366.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $244.52 | $17.43 – $305.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $375.34 | $13.50 – $531.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $244.52 | $21.29 – $366.79 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $244.52 | $126.34 – $366.79 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $244.52 | $17.43 – $366.79 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $375.34 | $17.71 – $531.73 |