Valvuloplasty aortic at Texas Health Presbyterian Hospital Dallas
8200 Walnut Hill Lane, Dallas, TX · Texashealth · · NPI 1396779948
$5,841.45
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.
$9,735.75
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.
$911.27 with Amerigroup vs $21,607.00 with United Healthcare Options — 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 | $911.27 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $911.27 | ↓ -84% |
| United Healthcare | Managed Medicaid | $911.27 | ↓ -84% |
| Parkland | Managed Medicaid | $911.27 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $957.02 | ↓ -84% |
| Molina | Managed Medicaid | $984.28 | ↓ -83% |
| Blue Cross Blue Shield | Exchange | $2,823.37 | ↓ -52% |
| Aetna | Whole Health | $3,835.89 | ↓ -34% |
| Blue Cross Blue Shield | HMO | $4,497.92 | ↓ -23% |
| City of Fort Worth | Commercial | $4,575.80 | ↓ -22% |
| Blue Cross Blue Shield | PPO | $5,004.18 | ↓ -14% |
| Aetna | Commercial | $5,114.19 | ↓ -12% |
| Cigna | OAP/HMO | $5,381.92 | ↓ -8% |
| American Health | Medicare Advantage | $5,717.50 | ↓ -2% |
| Blue Cross Blue Shield | Medicare Advantage | $5,717.50 | ↓ -2% |
| HealthSpring | Medicare Advantage | $5,831.85 | ↓ -0% |
| Quick Trip | Commercial | $5,841.45 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $5,943.68 | ↑ +2% |
| Humana | Medicare Advantage | $5,946.20 | ↑ +2% |
| Superior Wellcare | Medicare Advantage HMO | $6,003.37 | ↑ +3% |
| Molina | Medicare Advantage | $6,003.37 | ↑ +3% |
| Amerigroup | Medicare Advantage | $6,003.37 | ↑ +3% |
| Superior Wellcare | Medicare Advantage MMP | $6,289.25 | ↑ +8% |
| United Healthcare | Medicare Advantage PPO | $6,346.42 | ↑ +9% |
| United Healthcare | Medicare Advantage HMO | $6,460.77 | ↑ +11% |
| PHCS | PPO | $6,766.35 | ↑ +16% |
| Cigna | PPO | $6,785.82 | ↑ +16% |
| Aetna | Coventry | $6,824.76 | ↑ +17% |
| Aetna | ASA | $6,824.76 | ↑ +17% |
| Healthsmart | Commercial | $7,301.81 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $8,031.99 | ↑ +37% |
| Multiplan | Commercial | $8,470.10 | ↑ +45% |
| USA | MCO | $8,567.46 | ↑ +47% |
| Galaxy | Commercial | $8,567.46 | ↑ +47% |
| Cigna | Indemnity | $9,161.34 | ↑ +57% |
| United Healthcare | All Payer | $16,982.00 | ↑ +191% |
| United Healthcare Options | PPO | $21,607.00 | ↑ +270% |
| United Behavioral Health | Commercial | not published by hospital | — |
| United Behavioral Health | Managed Medicaid | not published by hospital | — |
| United Behavioral Health | Medicare Advantage | not published by hospital | — |
| Cigna (EverNorth) | Behavioral Health | not published by hospital | — |
| Carelon | Behavioral Health | not published by hospital | — |
Visitor-reported prices
Comments
Valvuloplasty aortic at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $16,030.65 | $4,542.02 – $20,038.31 |
| Methodist Charlton Medical Center | Dallas | $9,161.00 | $5,592.25 – $15,099.07 |
| Methodist Dallas Medical Center | Dallas | $9,161.00 | $5,717.50 – $15,437.25 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | not published | $14,762.65 – $14,762.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $13,324.96 | $2,742.72 – $19,987.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $9,551.60 | $1,910.32 – $14,159.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $16,030.65 | $4,274.84 – $20,038.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $13,324.96 | $4,277.31 – $19,987.44 |