Bx skin incisnl ea sep/add l les at Texas Health Presbyterian Hospital Dallas
8200 Walnut Hill Lane, Dallas, TX · Texashealth · · NPI 1396779948
$254.70
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.
$424.50
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.
$39.73 with Amerigroup vs $399.45 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $39.73 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $39.73 | ↓ -84% |
| United Healthcare | Managed Medicaid | $39.73 | ↓ -84% |
| Parkland | Managed Medicaid | $39.73 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $41.73 | ↓ -84% |
| Molina | Managed Medicaid | $42.92 | ↓ -83% |
| Blue Cross Blue Shield | Medicare Advantage | $70.48 | ↓ -72% |
| American Health | Medicare Advantage | $70.48 | ↓ -72% |
| HealthSpring | Medicare Advantage | $71.89 | ↓ -72% |
| Humana | Medicare Advantage | $73.30 | ↓ -71% |
| Superior Wellcare | Medicare Advantage HMO | $74.00 | ↓ -71% |
| Molina | Medicare Advantage | $74.00 | ↓ -71% |
| Amerigroup | Medicare Advantage | $74.00 | ↓ -71% |
| Superior Wellcare | Medicare Advantage MMP | $77.53 | ↓ -70% |
| United Healthcare | Medicare Advantage PPO | $78.23 | ↓ -69% |
| United Healthcare | Medicare Advantage HMO | $79.64 | ↓ -69% |
| Aetna | Whole Health | $174.30 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $186.48 | ↓ -27% |
| City of Fort Worth | Commercial | $199.52 | ↓ -22% |
| United Healthcare | All Payer | $219.55 | ↓ -14% |
| Aetna | Commercial | $232.41 | ↓ -9% |
| United Healthcare Options | PPO | $232.63 | ↓ -9% |
| Cigna | OAP/HMO | $234.66 | ↓ -8% |
| Quick Trip | Commercial | $254.70 | ↑ +0% |
| PHCS | PPO | $295.03 | ↑ +16% |
| Cigna | PPO | $295.88 | ↑ +16% |
| Aetna | Coventry | $297.57 | ↑ +17% |
| Aetna | ASA | $297.57 | ↑ +17% |
| Healthsmart | Commercial | $318.38 | ↑ +25% |
| Multiplan | Commercial | $369.32 | ↑ +45% |
| Galaxy | Commercial | $373.56 | ↑ +47% |
| USA | MCO | $373.56 | ↑ +47% |
| Cigna | Indemnity | $399.45 | ↑ +57% |
| Blue Cross Blue Shield | Traditional | not published by hospital | — |
| Blue Cross Blue Shield | HMO | not published by hospital | — |
| Blue Cross Blue Shield | Exchange | not published by hospital | — |
| Blue Cross Blue Shield | PPO | not published by hospital | — |
| United Behavioral Health | Medicare Advantage | not published by hospital | — |
| United Behavioral Health | Commercial | not published by hospital | — |
| Carelon | Behavioral Health | not published by hospital | — |
| United Behavioral Health | Managed Medicaid | not published by hospital | — |
| Cigna (EverNorth) | Behavioral Health | not published by hospital | — |
Visitor-reported prices
Comments
Bx skin incisnl ea sep/add l les at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $199.94 | $56.65 – $283.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $215.93 | $44.45 – $323.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $257.37 | $51.47 – $321.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $199.94 | $53.32 – $283.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $215.93 | $69.31 – $323.90 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $215.93 | $111.57 – $323.90 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $257.37 | $71.00 – $386.06 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $199.94 | $53.32 – $283.25 |