Absorpt drg <=16 sq in w/bdr at Texas Health Presbyterian Hospital Kaufman
850 Ed Hall, Kaufman, TX · Texashealth · · NPI 1457382798
$22.77
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.
$37.94
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.
$0.22 with Blue Cross Blue Shield vs $2.20 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $0.22 | ↓ -99% |
| United Healthcare | Managed Medicaid | $0.22 | ↓ -99% |
| Amerigroup | Managed Medicaid | $0.22 | ↓ -99% |
| Parkland | Managed Medicaid | $0.22 | ↓ -99% |
| Superior Wellcare | Managed Medicaid | $0.23 | ↓ -99% |
| Molina | Managed Medicaid | $0.24 | ↓ -99% |
| Blue Cross Blue Shield | Exchange | $0.68 | ↓ -97% |
| Aetna | Whole Health | $0.96 | ↓ -96% |
| Fort Worth Firefighters | Commercial | $1.03 | ↓ -95% |
| Blue Cross Blue Shield | HMO | $1.08 | ↓ -95% |
| City of Fort Worth | Commercial | $1.10 | ↓ -95% |
| Blue Cross Blue Shield | PPO | $1.20 | ↓ -95% |
| United Healthcare | All Payer | $1.21 | ↓ -95% |
| United Healthcare Options | PPO | $1.28 | ↓ -94% |
| Aetna | Commercial | $1.28 | ↓ -94% |
| Cigna | OAP/HMO | $1.29 | ↓ -94% |
| Cigna | PPO | $1.63 | ↓ -93% |
| Aetna | Coventry | $1.64 | ↓ -93% |
| Aetna | ASA | $1.64 | ↓ -93% |
| Quick Trip | Commercial | $1.66 | ↓ -93% |
| American Health | Medicare Advantage | $1.70 | ↓ -93% |
| Blue Cross Blue Shield | Medicare Advantage | $1.70 | ↓ -93% |
| HealthSpring | Medicare Advantage | $1.73 | ↓ -92% |
| Humana | Medicare Advantage | $1.77 | ↓ -92% |
| Superior Wellcare | Medicare Advantage HMO | $1.79 | ↓ -92% |
| Amerigroup | Medicare Advantage | $1.79 | ↓ -92% |
| Molina | Medicare Advantage | $1.79 | ↓ -92% |
| Superior Wellcare | Medicare Advantage MMP | $1.87 | ↓ -92% |
| United Healthcare | Medicare Advantage PPO | $1.89 | ↓ -92% |
| United Healthcare | Medicare Advantage HMO | $1.92 | ↓ -92% |
| Blue Cross Blue Shield | Traditional | $1.93 | ↓ -92% |
| PHCS | PPO | $1.96 | ↓ -91% |
| Healthsmart | Commercial | $2.04 | ↓ -91% |
| Multiplan | Commercial | $2.04 | ↓ -91% |
| Galaxy | Commercial | $2.06 | ↓ -91% |
| USA | MCO | $2.06 | ↓ -91% |
| Cigna | Indemnity | $2.20 | ↓ -90% |
Visitor-reported prices
Comments
Absorpt drg <=16 sq in w/bdr at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Allen | Allen | $22.77 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $22.77 | not published |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $22.77 | not published |
| Texas Health Arlington Memorial Hospital | Arlington | $22.77 | not published |
| Texas Health Presbyterian Hospital Denton | Denton | $22.77 | not published |
| Texas Health Presbyterian Hospital Plano | Plano | $22.77 | not published |
| Texas Health Hospital Rockwall | Rockwall | $22.77 | not published |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $22.77 | not published |