Tc-99m mebrofenin at Texas Health Presbyterian Hospital Dallas
8200 Walnut Hill Lane, Dallas, TX · Texashealth · · NPI 1396779948
$202.80
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.
$338.00
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.
$31.64 with Amerigroup vs $513.09 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 | $31.64 | ↓ -84% |
| United Healthcare | Managed Medicaid | $31.64 | ↓ -84% |
| Parkland | Managed Medicaid | $31.64 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $31.64 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $33.23 | ↓ -84% |
| Molina | Managed Medicaid | $34.17 | ↓ -83% |
| Blue Cross Blue Shield | Exchange | $71.91 | ↓ -65% |
| Blue Cross Blue Shield | HMO | $112.84 | ↓ -44% |
| Blue Cross Blue Shield | PPO | $125.41 | ↓ -38% |
| Aetna | Whole Health | $133.17 | ↓ -34% |
| Fort Worth Firefighters | Commercial | $148.48 | ↓ -27% |
| City of Fort Worth | Commercial | $158.86 | ↓ -22% |
| United Healthcare | All Payer | $174.81 | ↓ -14% |
| Aetna | Commercial | $177.55 | ↓ -12% |
| United Healthcare Options | PPO | $185.22 | ↓ -9% |
| Cigna | OAP/HMO | $186.85 | ↓ -8% |
| Quick Trip | Commercial | $202.80 | ↑ +0% |
| PHCS | PPO | $234.91 | ↑ +16% |
| Cigna | PPO | $235.59 | ↑ +16% |
| Aetna | ASA | $236.94 | ↑ +17% |
| Aetna | Coventry | $236.94 | ↑ +17% |
| Healthsmart | Commercial | $253.50 | ↑ +25% |
| Multiplan | Commercial | $294.06 | ↑ +45% |
| USA | MCO | $297.44 | ↑ +47% |
| Galaxy | Commercial | $297.44 | ↑ +47% |
| Cigna | Indemnity | $318.06 | ↑ +57% |
| Blue Cross Blue Shield | Traditional | $513.09 | ↑ +153% |
| American Health | Medicare Advantage | not published by hospital | — |
| United Behavioral Health | Commercial | not published by hospital | — |
| HealthSpring | Medicare Advantage | not published by hospital | — |
| United Healthcare | Medicare Advantage HMO | not published by hospital | — |
| Superior Wellcare | Medicare Advantage HMO | not published by hospital | — |
| United Healthcare | Medicare Advantage PPO | not published by hospital | — |
| Superior Wellcare | Medicare Advantage MMP | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| Molina | Medicare Advantage | not published by hospital | — |
| Cigna (EverNorth) | Behavioral Health | not published by hospital | — |
| Carelon | Behavioral Health | not published by hospital | — |
| Blue Cross Blue Shield | Medicare Advantage | not published by hospital | — |
| Amerigroup | Medicare Advantage | not published by hospital | — |
| United Behavioral Health | Medicare Advantage | not published by hospital | — |
| United Behavioral Health | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m mebrofenin at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MEDICAL CITY DALLAS HOSPITAL | Dallas | $594.03 | $70.00 – $474.86 |
| Methodist Dallas Medical Center | Dallas | $232.87 | $131.69 – $131.69 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $474.86 – $474.86 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $893.78 | $108.00 – $646.54 |
| HCA HOUSTON KINGWOOD | HUMBLE | $1,280.09 | $108.00 – $646.54 |
| HCA HOUSTON NORTHWEST | SPRING | $1,328.96 | $108.00 – $646.54 |
| St. Luke's Health - Patients Medical Center | Pasadena | $239.40 | $60.06 – $498.13 |
| Baylor St Luke's Medical Center | Houston | $103.60 | $49.59 – $296.00 |