Immunoassay tumor antigen quantitative ca 125 at Texas Health Presbyterian Hospital Dallas
8200 Walnut Hill Lane, Dallas, TX · Texashealth · · NPI 1396779948
$330.45
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.
$550.75
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.
$17.48 with Parkland vs $251.72 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 |
|---|---|---|---|
| Parkland | Managed Medicaid | $17.48 | ↓ -95% |
| Amerigroup | Managed Medicaid | $17.48 | ↓ -95% |
| United Healthcare | Managed Medicaid | $17.48 | ↓ -95% |
| Blue Cross Blue Shield | Managed Medicaid | $17.48 | ↓ -95% |
| Superior Wellcare | Managed Medicaid | $18.35 | ↓ -94% |
| Molina | Managed Medicaid | $18.88 | ↓ -94% |
| Blue Cross Blue Shield | Medicare Advantage | $20.81 | ↓ -94% |
| United Healthcare Options | PPO | $20.81 | ↓ -94% |
| United Healthcare | All Payer | $20.81 | ↓ -94% |
| American Health | Medicare Advantage | $20.81 | ↓ -94% |
| HealthSpring | Medicare Advantage | $21.23 | ↓ -94% |
| Humana | Medicare Advantage | $21.64 | ↓ -93% |
| Superior Wellcare | Medicare Advantage HMO | $21.85 | ↓ -93% |
| Molina | Medicare Advantage | $21.85 | ↓ -93% |
| Amerigroup | Medicare Advantage | $21.85 | ↓ -93% |
| Superior Wellcare | Medicare Advantage MMP | $22.89 | ↓ -93% |
| United Healthcare | Medicare Advantage PPO | $23.10 | ↓ -93% |
| Blue Cross Blue Shield | Exchange | $23.14 | ↓ -93% |
| United Healthcare | Medicare Advantage HMO | $23.52 | ↓ -93% |
| Fort Worth Firefighters | Commercial | $40.82 | ↓ -88% |
| Blue Cross Blue Shield | HMO | $41.20 | ↓ -88% |
| Blue Cross Blue Shield | PPO | $45.78 | ↓ -86% |
| Aetna | Whole Health | $69.37 | ↓ -79% |
| Cigna | OAP/HMO | $85.69 | ↓ -74% |
| Cigna | PPO | $85.69 | ↓ -74% |
| Aetna | Commercial | $92.49 | ↓ -72% |
| Blue Cross Blue Shield | Traditional | $121.97 | ↓ -63% |
| City of Fort Worth | Commercial | $125.73 | ↓ -62% |
| Quick Trip | Commercial | $160.50 | ↓ -51% |
| PHCS | PPO | $185.91 | ↓ -44% |
| Aetna | Coventry | $187.52 | ↓ -43% |
| Aetna | ASA | $187.52 | ↓ -43% |
| Healthsmart | Commercial | $200.63 | ↓ -39% |
| Multiplan | Commercial | $232.73 | ↓ -30% |
| USA | MCO | $235.40 | ↓ -29% |
| Galaxy | Commercial | $235.40 | ↓ -29% |
| Cigna | Indemnity | $251.72 | ↓ -24% |
| United Behavioral Health | Medicare Advantage | not published by hospital | — |
| Cigna (EverNorth) | Behavioral Health | not published by hospital | — |
| United Behavioral Health | Managed Medicaid | not published by hospital | — |
| Carelon | Behavioral Health | not published by hospital | — |
| United Behavioral Health | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Immunoassay tumor antigen quantitative ca 125 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $190.18 | $10.00 – $93.75 |
| Methodist Charlton Medical Center | Dallas | $173.50 | $16.61 – $71.53 |
| Methodist Dallas Medical Center | Dallas | $173.50 | $16.61 – $94.67 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | not published | $12.49 – $78.78 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $20.81 – $54.52 |
| Adventhealth Rollins Brook | Lampasas | $337.27 | $18.73 – $80.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $139.88 | $12.00 – $112.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $169.05 | $12.00 – $93.75 |