Arthrd glenohumeral jt w/grf at Texas Health Presbyterian Hospital Dallas
8200 Walnut Hill Lane, Dallas, TX · Texashealth · · NPI 1396779948
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$4,811.02 with United Healthcare vs $99,442.33 with Blue Cross Blue Shield — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $4,811.02 | — |
| Parkland | Managed Medicaid | $4,811.02 | — |
| Amerigroup | Managed Medicaid | $4,811.02 | — |
| Blue Cross Blue Shield | Managed Medicaid | $4,811.02 | — |
| Superior Wellcare | Managed Medicaid | $5,051.57 | — |
| Molina | Managed Medicaid | $5,195.90 | — |
| Fort Worth Firefighters | Commercial | $10,576.00 | — |
| Blue Cross Blue Shield | Medicare Advantage | $12,897.19 | — |
| American Health | Medicare Advantage | $12,897.19 | — |
| HealthSpring | Medicare Advantage | $13,155.13 | — |
| Humana | Medicare Advantage | $13,413.07 | — |
| Superior Wellcare | Medicare Advantage HMO | $13,542.04 | — |
| Molina | Medicare Advantage | $13,542.04 | — |
| Amerigroup | Medicare Advantage | $13,542.04 | — |
| Superior Wellcare | Medicare Advantage MMP | $14,186.90 | — |
| United Healthcare | Medicare Advantage PPO | $14,315.88 | — |
| United Healthcare | Medicare Advantage HMO | $14,573.82 | — |
| Blue Cross Blue Shield | Exchange | $14,959.19 | — |
| United Healthcare | All Payer | $16,982.00 | — |
| United Healthcare Options | PPO | $21,607.00 | — |
| Blue Cross Blue Shield | HMO | $27,966.67 | — |
| Blue Cross Blue Shield | PPO | $31,072.75 | — |
| Blue Cross Blue Shield | Traditional | $99,442.33 | — |
Visitor-reported prices
Comments
Arthrd glenohumeral jt w/grf at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MEDICAL CITY DALLAS HOSPITAL | Dallas | not published | $4,738.85 – $15,470.92 |
| Adventhealth Rollins Brook | Lampasas | not published | $8,715.36 – $14,875.89 |
| CHRISTUS Children's Hospital | San Antonio | not published | $4,811.02 – $5,340.00 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $4,714.80 – $19,041.14 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $5,162.41 – $24,396.46 |
| Covenant Children's Hospital | Lubbock | not published | $3,300.00 – $25,348.51 |
| HCA HOUSTON CONROE | CONROE | not published | $4,714.80 – $20,707.24 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $4,714.80 – $21,183.26 |