Mayo infectious agent antigen immunoassay direct optical observation cryptococcus at Texas Health Presbyterian Hospital Dallas
8200 Walnut Hill Lane, Dallas, TX · Texashealth · · NPI 1396779948
$237.60
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.
$396.00
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.
$13.50 with Amerigroup vs $94.19 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 | $13.50 | ↓ -94% |
| Parkland | Managed Medicaid | $13.50 | ↓ -94% |
| United Healthcare | Managed Medicaid | $13.50 | ↓ -94% |
| Blue Cross Blue Shield | Managed Medicaid | $13.50 | ↓ -94% |
| Superior Wellcare | Managed Medicaid | $14.18 | ↓ -94% |
| Molina | Managed Medicaid | $14.58 | ↓ -94% |
| United Healthcare Options | PPO | $16.07 | ↓ -93% |
| American Health | Medicare Advantage | $16.07 | ↓ -93% |
| United Healthcare | All Payer | $16.07 | ↓ -93% |
| Blue Cross Blue Shield | Medicare Advantage | $16.07 | ↓ -93% |
| HealthSpring | Medicare Advantage | $16.39 | ↓ -93% |
| Humana | Medicare Advantage | $16.71 | ↓ -93% |
| Superior Wellcare | Medicare Advantage HMO | $16.87 | ↓ -93% |
| Molina | Medicare Advantage | $16.87 | ↓ -93% |
| Amerigroup | Medicare Advantage | $16.87 | ↓ -93% |
| Superior Wellcare | Medicare Advantage MMP | $17.68 | ↓ -93% |
| United Healthcare | Medicare Advantage PPO | $17.84 | ↓ -92% |
| Blue Cross Blue Shield | Exchange | $17.87 | ↓ -92% |
| United Healthcare | Medicare Advantage HMO | $18.16 | ↓ -92% |
| Fort Worth Firefighters | Commercial | $23.54 | ↓ -90% |
| City of Fort Worth | Commercial | $31.26 | ↓ -87% |
| Blue Cross Blue Shield | HMO | $31.82 | ↓ -87% |
| Blue Cross Blue Shield | PPO | $35.35 | ↓ -85% |
| Quick Trip | Commercial | $39.90 | ↓ -83% |
| Aetna | Whole Health | $39.97 | ↓ -83% |
| PHCS | PPO | $46.22 | ↓ -81% |
| Aetna | ASA | $46.62 | ↓ -80% |
| Aetna | Coventry | $46.62 | ↓ -80% |
| Cigna | OAP/HMO | $49.42 | ↓ -79% |
| Cigna | PPO | $49.42 | ↓ -79% |
| Healthsmart | Commercial | $49.88 | ↓ -79% |
| Aetna | Commercial | $53.29 | ↓ -78% |
| Multiplan | Commercial | $57.86 | ↓ -76% |
| Galaxy | Commercial | $58.52 | ↓ -75% |
| USA | MCO | $58.52 | ↓ -75% |
| Cigna | Indemnity | $62.58 | ↓ -74% |
| Blue Cross Blue Shield | Traditional | $94.19 | ↓ -60% |
| United Behavioral Health | Managed Medicaid | not published by hospital | — |
| United Behavioral Health | Commercial | not published by hospital | — |
| Cigna (EverNorth) | Behavioral Health | not published by hospital | — |
| United Behavioral Health | Medicare Advantage | not published by hospital | — |
| Carelon | Behavioral Health | not published by hospital | — |
Visitor-reported prices
Comments
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $81.04 | $10.00 – $81.02 |
| Methodist Charlton Medical Center | Dallas | $292.50 | $12.83 – $55.24 |
| Methodist Dallas Medical Center | Dallas | $292.50 | $12.83 – $73.07 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | not published | $9.64 – $60.69 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $16.07 – $42.10 |
| Adventhealth Rollins Brook | Lampasas | $138.50 | $14.46 – $61.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $76.20 | $12.00 – $97.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $76.20 | $12.00 – $81.02 |