2d tte w or without fol w/con,co at Texas Health Presbyterian Hospital Dallas
8200 Walnut Hill Lane, Dallas, TX · Texashealth · · NPI 1396779948
$1,691.40
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.
$2,819.00
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.
$263.86 with United Healthcare vs $5,031.94 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $263.86 | ↓ -84% |
| Amerigroup | Managed Medicaid | $263.86 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $263.86 | ↓ -84% |
| Parkland | Managed Medicaid | $263.86 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $277.11 | ↓ -84% |
| Molina | Managed Medicaid | $285.00 | ↓ -83% |
| Fort Worth Firefighters | Commercial | $746.00 | ↓ -56% |
| Blue Cross Blue Shield | Medicare Advantage | $787.49 | ↓ -53% |
| American Health | Medicare Advantage | $787.49 | ↓ -53% |
| HealthSpring | Medicare Advantage | $803.24 | ↓ -53% |
| Humana | Medicare Advantage | $818.99 | ↓ -52% |
| Superior Wellcare | Medicare Advantage HMO | $826.87 | ↓ -51% |
| Molina | Medicare Advantage | $826.87 | ↓ -51% |
| Amerigroup | Medicare Advantage | $826.87 | ↓ -51% |
| Blue Cross Blue Shield | Exchange | $828.56 | ↓ -51% |
| Superior Wellcare | Medicare Advantage MMP | $866.24 | ↓ -49% |
| United Healthcare | Medicare Advantage PPO | $874.12 | ↓ -48% |
| United Healthcare | Medicare Advantage HMO | $889.87 | ↓ -47% |
| United Healthcare | All Payer | $896.00 | ↓ -47% |
| Aetna | Whole Health | $1,157.48 | ↓ -32% |
| United Healthcare Options | PPO | $1,192.00 | ↓ -30% |
| City of Fort Worth | Commercial | $1,324.93 | ↓ -22% |
| Aetna | Commercial | $1,543.40 | ↓ -9% |
| Cigna | OAP/HMO | $1,558.34 | ↓ -8% |
| Quick Trip | Commercial | $1,691.40 | ↑ +0% |
| Blue Cross Blue Shield | HMO | $1,708.18 | ↑ +1% |
| Blue Cross Blue Shield | PPO | $1,898.13 | ↑ +12% |
| PHCS | PPO | $1,959.21 | ↑ +16% |
| Cigna | PPO | $1,964.84 | ↑ +16% |
| Aetna | ASA | $1,976.12 | ↑ +17% |
| Aetna | Coventry | $1,976.12 | ↑ +17% |
| Healthsmart | Commercial | $2,114.25 | ↑ +25% |
| Multiplan | Commercial | $2,452.53 | ↑ +45% |
| USA | MCO | $2,480.72 | ↑ +47% |
| Galaxy | Commercial | $2,480.72 | ↑ +47% |
| Cigna | Indemnity | $2,652.68 | ↑ +57% |
| Blue Cross Blue Shield | Traditional | $5,031.94 | ↑ +198% |
| Carelon | Behavioral Health | not published by hospital | — |
| United Behavioral Health | Medicare Advantage | not published by hospital | — |
| United Behavioral Health | Managed Medicaid | not published by hospital | — |
| Cigna (EverNorth) | Behavioral Health | not published by hospital | — |
| United Behavioral Health | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
2d tte w or without fol w/con,co at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $526.75 | $100.00 – $1,505.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $526.75 | $100.00 – $1,505.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $526.75 | $100.00 – $1,505.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $526.75 | $100.00 – $1,505.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $526.75 | $100.00 – $1,505.00 |
| Texas Health Hospital Mansfield | Mansfield | $7,528.72 | $933.40 – $1,574.99 |
| Ascension Seton Cedar Park Hospital | Cedar Park | $1,165.05 | $438.68 – $2,825.40 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $1,031.85 | $438.68 – $2,825.40 |