Quant diff pulm perf w/imaging at Texas Health Presbyterian Hospital Dallas
8200 Walnut Hill Lane, Dallas, TX · Texashealth · · NPI 1396779948
$2,029.05
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.
$3,381.75
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.
$188.11 with Amerigroup vs $3,182.23 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 | $188.11 | ↓ -91% |
| Blue Cross Blue Shield | Managed Medicaid | $188.11 | ↓ -91% |
| United Healthcare | Managed Medicaid | $188.11 | ↓ -91% |
| Parkland | Managed Medicaid | $188.11 | ↓ -91% |
| Superior Wellcare | Managed Medicaid | $197.52 | ↓ -90% |
| Molina | Managed Medicaid | $203.16 | ↓ -90% |
| Blue Cross Blue Shield | Exchange | $266.16 | ↓ -87% |
| American Health | Medicare Advantage | $401.59 | ↓ -80% |
| Blue Cross Blue Shield | Medicare Advantage | $401.59 | ↓ -80% |
| HealthSpring | Medicare Advantage | $409.62 | ↓ -80% |
| Humana | Medicare Advantage | $417.66 | ↓ -79% |
| Superior Wellcare | Medicare Advantage HMO | $421.67 | ↓ -79% |
| Molina | Medicare Advantage | $421.67 | ↓ -79% |
| Amerigroup | Medicare Advantage | $421.67 | ↓ -79% |
| Superior Wellcare | Medicare Advantage MMP | $441.75 | ↓ -78% |
| United Healthcare | Medicare Advantage PPO | $445.77 | ↓ -78% |
| Blue Cross Blue Shield | HMO | $452.55 | ↓ -78% |
| United Healthcare | Medicare Advantage HMO | $453.80 | ↓ -78% |
| Blue Cross Blue Shield | PPO | $502.86 | ↓ -75% |
| United Healthcare Options | PPO | $1,004.00 | ↓ -51% |
| United Healthcare | All Payer | $1,008.00 | ↓ -50% |
| Blue Cross Blue Shield | Traditional | $1,359.55 | ↓ -33% |
| Aetna | Whole Health | $1,388.55 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $1,485.60 | ↓ -27% |
| City of Fort Worth | Commercial | $1,589.42 | ↓ -22% |
| Aetna | Commercial | $1,851.51 | ↓ -9% |
| Cigna | OAP/HMO | $1,869.43 | ↓ -8% |
| Quick Trip | Commercial | $2,029.05 | ↑ +0% |
| PHCS | PPO | $2,350.32 | ↑ +16% |
| Cigna | PPO | $2,357.08 | ↑ +16% |
| Aetna | Coventry | $2,370.61 | ↑ +17% |
| Aetna | ASA | $2,370.61 | ↑ +17% |
| Healthsmart | Commercial | $2,536.31 | ↑ +25% |
| Multiplan | Commercial | $2,942.12 | ↑ +45% |
| USA | MCO | $2,975.94 | ↑ +47% |
| Galaxy | Commercial | $2,975.94 | ↑ +47% |
| Cigna | Indemnity | $3,182.23 | ↑ +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 w/imaging at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,199.16 | $181.76 – $1,498.95 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | $5,430.59 | $185.29 – $264.93 |
| Methodist Charlton Medical Center | Dallas | $824.50 | $178.70 – $1,060.55 |
| Methodist Dallas Medical Center | Dallas | $824.50 | $178.70 – $1,084.30 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $702.93 – $702.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,091.69 | $224.71 – $1,637.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,023.08 | $181.76 – $1,278.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,199.16 | $181.76 – $1,498.95 |