Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at Texas Health Presbyterian Hospital Dallas
8200 Walnut Hill Lane, Dallas, TX · Texashealth · · NPI 1396779948
$271.35
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.
?
What you pay up front if you don't use insurance.
$452.25
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.
?
The hospital's undiscounted list price — almost no one pays this.
$42.33 with Amerigroup vs $1,510.68 with Blue Cross Blue Shield — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $42.33 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $42.33 | ↓ -84% |
| United Healthcare | Managed Medicaid | $42.33 | ↓ -84% |
| Parkland | Managed Medicaid | $42.33 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $44.46 | ↓ -84% |
| Molina | Managed Medicaid | $45.72 | ↓ -83% |
| Aetna | Whole Health | $185.69 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $198.67 | ↓ -27% |
| City of Fort Worth | Commercial | $212.56 | ↓ -22% |
| American Health | Medicare Advantage | $219.97 | ↓ -19% |
| Blue Cross Blue Shield | Medicare Advantage | $219.97 | ↓ -19% |
| HealthSpring | Medicare Advantage | $224.37 | ↓ -17% |
| Humana | Medicare Advantage | $228.77 | ↓ -16% |
| Superior Wellcare | Medicare Advantage HMO | $230.97 | ↓ -15% |
| Molina | Medicare Advantage | $230.97 | ↓ -15% |
| Amerigroup | Medicare Advantage | $230.97 | ↓ -15% |
| Superior Wellcare | Medicare Advantage MMP | $241.97 | ↓ -11% |
| United Healthcare | Medicare Advantage PPO | $244.17 | ↓ -10% |
| Aetna | Commercial | $247.61 | ↓ -9% |
| United Healthcare | Medicare Advantage HMO | $248.57 | ↓ -8% |
| Blue Cross Blue Shield | Exchange | $249.82 | ↓ -8% |
| Cigna | OAP/HMO | $250.00 | ↓ -8% |
| Quick Trip | Commercial | $271.35 | ↑ +0% |
| PHCS | PPO | $314.31 | ↑ +16% |
| Cigna | PPO | $315.22 | ↑ +16% |
| Aetna | ASA | $317.03 | ↑ +17% |
| Aetna | Coventry | $317.03 | ↑ +17% |
| Healthsmart | Commercial | $339.19 | ↑ +25% |
| Multiplan | Commercial | $393.46 | ↑ +45% |
| Galaxy | Commercial | $397.98 | ↑ +47% |
| USA | MCO | $397.98 | ↑ +47% |
| Cigna | Indemnity | $425.57 | ↑ +57% |
| Blue Cross Blue Shield | HMO | $513.06 | ↑ +89% |
| Blue Cross Blue Shield | PPO | $570.09 | ↑ +110% |
| United Healthcare | All Payer | $577.00 | ↑ +113% |
| United Healthcare Options | PPO | $764.00 | ↑ +182% |
| Blue Cross Blue Shield | Traditional | $1,510.68 | ↑ +457% |
| United Behavioral Health | Commercial | 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 | — |
| United Behavioral Health | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $394.10 | $111.66 – $528.37 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | $1,223.03 | $133.56 – $434.15 |
| Methodist Charlton Medical Center | Dallas | $157.00 | $71.96 – $580.92 |
| Methodist Dallas Medical Center | Dallas | $157.00 | $71.96 – $593.93 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $133.56 – $133.56 |
| Adventhealth Rollins Brook | Lampasas | $1,359.99 | $708.25 – $708.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $359.64 | $74.03 – $539.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $357.05 | $71.41 – $528.37 |