Quant diff pulm perf and vent w/imaging at Texas Health Presbyterian Hospital Dallas
8200 Walnut Hill Lane, Dallas, TX · Texashealth · · NPI 1396779948
$3,479.55
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.
$5,799.25
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.
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The hospital's undiscounted list price — almost no one pays this.
$282.01 with Amerigroup vs $5,457.09 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $282.01 | ↓ -92% |
| Blue Cross Blue Shield | Managed Medicaid | $282.01 | ↓ -92% |
| United Healthcare | Managed Medicaid | $282.01 | ↓ -92% |
| Parkland | Managed Medicaid | $282.01 | ↓ -92% |
| Superior Wellcare | Managed Medicaid | $296.11 | ↓ -91% |
| Molina | Managed Medicaid | $304.57 | ↓ -91% |
| Blue Cross Blue Shield | Exchange | $424.84 | ↓ -88% |
| American Health | Medicare Advantage | $545.44 | ↓ -84% |
| Blue Cross Blue Shield | Medicare Advantage | $545.44 | ↓ -84% |
| HealthSpring | Medicare Advantage | $556.35 | ↓ -84% |
| Humana | Medicare Advantage | $567.26 | ↓ -84% |
| Superior Wellcare | Medicare Advantage HMO | $572.72 | ↓ -84% |
| Molina | Medicare Advantage | $572.72 | ↓ -84% |
| Amerigroup | Medicare Advantage | $572.72 | ↓ -84% |
| Superior Wellcare | Medicare Advantage MMP | $599.99 | ↓ -83% |
| United Healthcare | Medicare Advantage PPO | $605.44 | ↓ -83% |
| United Healthcare | Medicare Advantage HMO | $616.35 | ↓ -82% |
| Blue Cross Blue Shield | HMO | $722.37 | ↓ -79% |
| Blue Cross Blue Shield | PPO | $802.67 | ↓ -77% |
| United Healthcare Options | PPO | $1,004.00 | ↓ -71% |
| United Healthcare | All Payer | $1,008.00 | ↓ -71% |
| Blue Cross Blue Shield | Traditional | $2,170.14 | ↓ -38% |
| Aetna | Whole Health | $2,381.17 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $2,547.61 | ↓ -27% |
| City of Fort Worth | Commercial | $2,725.65 | ↓ -22% |
| Aetna | Commercial | $3,175.09 | ↓ -9% |
| Cigna | OAP/HMO | $3,205.83 | ↓ -8% |
| Quick Trip | Commercial | $3,479.55 | ↑ +0% |
| PHCS | PPO | $4,030.48 | ↑ +16% |
| Cigna | PPO | $4,042.08 | ↑ +16% |
| Aetna | Coventry | $4,065.27 | ↑ +17% |
| Aetna | ASA | $4,065.27 | ↑ +17% |
| Healthsmart | Commercial | $4,349.44 | ↑ +25% |
| Multiplan | Commercial | $5,045.35 | ↑ +45% |
| USA | MCO | $5,103.34 | ↑ +47% |
| Galaxy | Commercial | $5,103.34 | ↑ +47% |
| Cigna | Indemnity | $5,457.09 | ↑ +57% |
| United Behavioral Health | Managed Medicaid | not published by hospital | — |
| United Behavioral Health | Medicare Advantage | not published by hospital | — |
| Carelon | Behavioral Health | not published by hospital | — |
| United Behavioral Health | Commercial | not published by hospital | — |
| Cigna (EverNorth) | Behavioral Health | not published by hospital | — |
Visitor-reported prices
Comments
Quant diff pulm perf and vent w/imaging at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,610.93 | $269.31 – $2,013.66 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | $5,430.59 | $277.78 – $418.23 |
| Methodist Charlton Medical Center | Dallas | $1,890.00 | $267.91 – $1,440.44 |
| Methodist Dallas Medical Center | Dallas | $1,890.00 | $267.91 – $1,472.70 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $1,105.83 – $1,105.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,425.08 | $293.33 – $2,137.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,425.08 | $269.31 – $1,781.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,610.93 | $269.31 – $2,013.66 |