In situ hybridization per specimen each additional single probe stain at Texas Health Presbyterian Hospital Dallas
8200 Walnut Hill Lane, Dallas, TX · Texashealth · · NPI 1396779948
$416.40
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.
$694.00
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.
$49.30 with Amerigroup vs $576.66 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 | $49.30 | ↓ -88% |
| United Healthcare | Managed Medicaid | $49.30 | ↓ -88% |
| Blue Cross Blue Shield | Managed Medicaid | $49.30 | ↓ -88% |
| Parkland | Managed Medicaid | $49.30 | ↓ -88% |
| Superior Wellcare | Managed Medicaid | $51.78 | ↓ -88% |
| Molina | Managed Medicaid | $53.25 | ↓ -87% |
| United Healthcare | All Payer | $104.30 | ↓ -75% |
| United Healthcare Options | PPO | $104.30 | ↓ -75% |
| Blue Cross Blue Shield | Exchange | $109.41 | ↓ -74% |
| American Health | Medicare Advantage | $126.29 | ↓ -70% |
| Blue Cross Blue Shield | Medicare Advantage | $126.29 | ↓ -70% |
| HealthSpring | Medicare Advantage | $128.81 | ↓ -69% |
| Humana | Medicare Advantage | $131.34 | ↓ -68% |
| Superior Wellcare | Medicare Advantage HMO | $132.60 | ↓ -68% |
| Molina | Medicare Advantage | $132.60 | ↓ -68% |
| Amerigroup | Medicare Advantage | $132.60 | ↓ -68% |
| Superior Wellcare | Medicare Advantage MMP | $138.91 | ↓ -67% |
| United Healthcare | Medicare Advantage PPO | $140.18 | ↓ -66% |
| United Healthcare | Medicare Advantage HMO | $142.70 | ↓ -66% |
| Blue Cross Blue Shield | HMO | $194.81 | ↓ -53% |
| Blue Cross Blue Shield | PPO | $216.46 | ↓ -48% |
| Fort Worth Firefighters | Commercial | $231.40 | ↓ -44% |
| City of Fort Worth | Commercial | $247.57 | ↓ -41% |
| Cigna | OAP/HMO | $291.19 | ↓ -30% |
| Aetna | Whole Health | $305.04 | ↓ -27% |
| Quick Trip | Commercial | $316.05 | ↓ -24% |
| PHCS | PPO | $366.09 | ↓ -12% |
| Cigna | PPO | $367.14 | ↓ -12% |
| Aetna | ASA | $369.25 | ↓ -11% |
| Aetna | Coventry | $369.25 | ↓ -11% |
| Healthsmart | Commercial | $395.06 | ↓ -5% |
| Aetna | Commercial | $406.72 | ↓ -2% |
| Multiplan | Commercial | $458.27 | ↑ +10% |
| USA | MCO | $463.54 | ↑ +11% |
| Galaxy | Commercial | $463.54 | ↑ +11% |
| Cigna | Indemnity | $495.67 | ↑ +19% |
| Blue Cross Blue Shield | Traditional | $576.66 | ↑ +38% |
| United Behavioral Health | Commercial | not published by hospital | — |
| Carelon | Behavioral Health | not published by hospital | — |
| United Behavioral Health | Medicare Advantage | 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
In situ hybridization per specimen each additional single probe stain at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $361.60 | $35.00 – $512.26 |
| Methodist Charlton Medical Center | Dallas | $154.50 | $98.28 – $423.32 |
| Methodist Dallas Medical Center | Dallas | $154.50 | $98.28 – $493.38 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $829.10 – $829.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $164.98 | $33.96 – $247.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $164.98 | $33.00 – $508.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $361.60 | $35.00 – $512.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $164.98 | $36.00 – $620.84 |