Annual Physical, New Patient (age 18-39) at Texas Health Presbyterian Hospital Dallas
8200 Walnut Hill Lane, Dallas, TX · Texashealth · · NPI 1396779948
$134.70
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.
$224.50
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.
$21.01 with United Healthcare vs $816.85 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 | $21.01 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $21.01 | ↓ -84% |
| Parkland | Managed Medicaid | $21.01 | ↓ -84% |
| Amerigroup | Managed Medicaid | $21.01 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $22.07 | ↓ -84% |
| Molina | Managed Medicaid | $22.70 | ↓ -83% |
| Aetna | Whole Health | $92.18 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $98.62 | ↓ -27% |
| City of Fort Worth | Commercial | $105.52 | ↓ -22% |
| United Healthcare | All Payer | $116.11 | ↓ -14% |
| Aetna | Commercial | $122.91 | ↓ -9% |
| United Healthcare Options | PPO | $123.03 | ↓ -9% |
| Cigna | OAP/HMO | $124.10 | ↓ -8% |
| American Health | Medicare Advantage | $134.35 | ↓ -0% |
| Blue Cross Blue Shield | Medicare Advantage | $134.35 | ↓ -0% |
| Quick Trip | Commercial | $134.70 | ↑ +0% |
| Blue Cross Blue Shield | Exchange | $135.08 | ↑ +0% |
| HealthSpring | Medicare Advantage | $137.03 | ↑ +2% |
| Humana | Medicare Advantage | $139.72 | ↑ +4% |
| Superior Wellcare | Medicare Advantage HMO | $141.07 | ↑ +5% |
| Molina | Medicare Advantage | $141.07 | ↑ +5% |
| Amerigroup | Medicare Advantage | $141.07 | ↑ +5% |
| Superior Wellcare | Medicare Advantage MMP | $147.78 | ↑ +10% |
| United Healthcare | Medicare Advantage PPO | $149.13 | ↑ +11% |
| United Healthcare | Medicare Advantage HMO | $151.81 | ↑ +13% |
| PHCS | PPO | $156.03 | ↑ +16% |
| Cigna | PPO | $156.48 | ↑ +16% |
| Aetna | ASA | $157.37 | ↑ +17% |
| Aetna | Coventry | $157.37 | ↑ +17% |
| Healthsmart | Commercial | $168.38 | ↑ +25% |
| Multiplan | Commercial | $195.32 | ↑ +45% |
| Galaxy | Commercial | $197.56 | ↑ +47% |
| USA | MCO | $197.56 | ↑ +47% |
| Cigna | Indemnity | $211.25 | ↑ +57% |
| Blue Cross Blue Shield | HMO | $277.42 | ↑ +106% |
| Blue Cross Blue Shield | PPO | $308.26 | ↑ +129% |
| Blue Cross Blue Shield | Traditional | $816.85 | ↑ +506% |
| United Behavioral Health | Commercial | not published by hospital | — |
| Cigna (EverNorth) | Behavioral Health | not published by hospital | — |
| United Behavioral Health | Managed Medicaid | not published by hospital | — |
| United Behavioral Health | Medicare Advantage | not published by hospital | — |
| Carelon | Behavioral Health | not published by hospital | — |
Visitor-reported prices
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Annual Physical, New Patient (age 18-39) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Hospital Plainview | Plainview | $103.32 | $209.88 – $216.69 |
| Covenant Hospital Levelland | Levelland | $103.32 | $216.69 – $237.73 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth | $184.95 | $135.08 – $135.08 |
| Adventhealth Rollins Brook | Lampasas | not published | $382.96 – $382.96 |
| CHRISTUS Children's Hospital | San Antonio | not published | $345.39 – $345.39 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $79.25 – $312.46 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $79.25 – $312.46 |
| Covenant Children's Hospital | Lubbock | not published | $339.19 – $339.19 |