Closed tx orbit w/manipulj 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$548.63 with Amerigroup vs $11,275.09 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $548.63 | — |
| Parkland | Managed Medicaid | $548.63 | — |
| United Healthcare | Managed Medicaid | $548.63 | — |
| Blue Cross Blue Shield | Managed Medicaid | $548.63 | — |
| Superior Wellcare | Managed Medicaid | $576.06 | — |
| Molina | Managed Medicaid | $592.52 | — |
| Blue Cross Blue Shield | Medicare Advantage | $1,558.65 | — |
| American Health | Medicare Advantage | $1,558.65 | — |
| HealthSpring | Medicare Advantage | $1,589.83 | — |
| Humana | Medicare Advantage | $1,621.00 | — |
| Amerigroup | Medicare Advantage | $1,636.59 | — |
| Superior Wellcare | Medicare Advantage HMO | $1,636.59 | — |
| Molina | Medicare Advantage | $1,636.59 | — |
| Blue Cross Blue Shield | Exchange | $1,696.12 | — |
| Superior Wellcare | Medicare Advantage MMP | $1,714.52 | — |
| United Healthcare | Medicare Advantage PPO | $1,730.11 | — |
| United Healthcare | Medicare Advantage HMO | $1,761.28 | — |
| Fort Worth Firefighters | Commercial | $2,319.00 | — |
| United Healthcare | All Payer | $2,923.00 | — |
| Blue Cross Blue Shield | HMO | $3,170.95 | — |
| Blue Cross Blue Shield | PPO | $3,523.13 | — |
| United Healthcare Options | PPO | $3,751.00 | — |
| Blue Cross Blue Shield | Traditional | $11,275.09 | — |
Visitor-reported prices
Comments
Closed tx orbit w/manipulj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MEDICAL CITY DALLAS HOSPITAL | Dallas | not published | $540.40 – $1,754.14 |
| Covenant Children's Hospital | Lubbock | $1,955.10 | $763.11 – $11,141.85 |
| Covenant Medical Center | Lubbock | $1,955.10 | $775.99 – $10,027.66 |
| Covenant Hospital Plainview | Plainview | $1,850.94 | $1,511.89 – $2,300.00 |
| Texas Health Hospital Mansfield | Mansfield | $8,243.52 | $1,558.65 – $3,117.31 |
| Covenant Hospital Levelland | Levelland | $1,845.90 | $1,511.89 – $2,747.88 |
| Covenant Specialty Hospital | Lubbock | $1,955.10 | not published |
| Adventhealth Rollins Brook | Lampasas | not published | $1,686.68 – $2,991.88 |