Echo exam of eye at Texas Health Presbyterian Hospital Dallas
8200 Walnut Hill Lane, Dallas, TX · Texashealth · · NPI 1396779948
$460.50
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.
$767.50
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.
$85.88 with Blue Cross Blue Shield vs $722.22 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $85.88 | ↓ -81% |
| United Healthcare | Managed Medicaid | $85.88 | ↓ -81% |
| Parkland | Managed Medicaid | $85.88 | ↓ -81% |
| Amerigroup | Managed Medicaid | $85.88 | ↓ -81% |
| Blue Cross Blue Shield | Medicare Advantage | $87.42 | ↓ -81% |
| American Health | Medicare Advantage | $87.42 | ↓ -81% |
| HealthSpring | Medicare Advantage | $89.17 | ↓ -81% |
| Superior Wellcare | Managed Medicaid | $90.17 | ↓ -80% |
| Humana | Medicare Advantage | $90.92 | ↓ -80% |
| Superior Wellcare | Medicare Advantage HMO | $91.79 | ↓ -80% |
| Molina | Medicare Advantage | $91.79 | ↓ -80% |
| Amerigroup | Medicare Advantage | $91.79 | ↓ -80% |
| Molina | Managed Medicaid | $92.75 | ↓ -80% |
| Superior Wellcare | Medicare Advantage MMP | $96.16 | ↓ -79% |
| United Healthcare | Medicare Advantage PPO | $97.04 | ↓ -79% |
| United Healthcare | Medicare Advantage HMO | $98.79 | ↓ -79% |
| Blue Cross Blue Shield | Exchange | $123.31 | ↓ -73% |
| Blue Cross Blue Shield | HMO | $209.66 | ↓ -54% |
| Blue Cross Blue Shield | PPO | $232.97 | ↓ -49% |
| Aetna | Whole Health | $315.14 | ↓ -32% |
| City of Fort Worth | Commercial | $360.73 | ↓ -22% |
| Fort Worth Firefighters | Commercial | $378.00 | ↓ -18% |
| Aetna | Commercial | $420.21 | ↓ -9% |
| Cigna | OAP/HMO | $424.27 | ↓ -8% |
| United Healthcare | All Payer | $440.00 | ↓ -4% |
| Quick Trip | Commercial | $460.50 | ↑ +0% |
| PHCS | PPO | $533.41 | ↑ +16% |
| Cigna | PPO | $534.95 | ↑ +16% |
| Aetna | ASA | $538.02 | ↑ +17% |
| Aetna | Coventry | $538.02 | ↑ +17% |
| Healthsmart | Commercial | $575.63 | ↑ +25% |
| United Healthcare Options | PPO | $578.00 | ↑ +26% |
| Blue Cross Blue Shield | Traditional | $629.86 | ↑ +37% |
| Multiplan | Commercial | $667.73 | ↑ +45% |
| USA | MCO | $675.40 | ↑ +47% |
| Galaxy | Commercial | $675.40 | ↑ +47% |
| Cigna | Indemnity | $722.22 | ↑ +57% |
| United Behavioral Health | Commercial | not published by hospital | — |
| United Behavioral Health | Medicare Advantage | not published by hospital | — |
| United Behavioral Health | Managed Medicaid | not published by hospital | — |
| Carelon | Behavioral Health | not published by hospital | — |
| Cigna (EverNorth) | Behavioral Health | not published by hospital | — |
Visitor-reported prices
Comments
Echo exam of eye at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MEDICAL CITY DALLAS HOSPITAL | Dallas | not published | $83.86 – $208.93 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $190.65 – $190.65 |
| Texas Health Presbyterian Hospital Allen | Allen | $460.50 | $85.88 – $92.75 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $460.50 | $85.88 – $94.47 |
| Texas Health Presbyterian Hospital Plano | Plano | $460.50 | $85.88 – $92.75 |
| Texas Health Hospital Rockwall | Rockwall | $460.50 | $85.88 – $92.75 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $116.46 | $49.16 – $533.79 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $460.50 | $85.88 – $92.75 |