_afb org id by sequencing rflx ast-sendout at Texas Health Presbyterian Hospital Kaufman
850 Ed Hall, Kaufman, TX · Texashealth · · NPI 1457382798
$353.10
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.
$588.50
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.
$90.06 with Fort Worth Firefighters vs $676.12 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 |
|---|---|---|---|
| Fort Worth Firefighters | Commercial | $90.06 | ↓ -74% |
| City of Fort Worth | Commercial | $96.35 | ↓ -73% |
| Blue Cross Blue Shield | Managed Medicaid | $96.90 | ↓ -73% |
| United Healthcare | Managed Medicaid | $96.90 | ↓ -73% |
| Parkland | Managed Medicaid | $96.90 | ↓ -73% |
| Amerigroup | Managed Medicaid | $96.90 | ↓ -73% |
| Superior Wellcare | Managed Medicaid | $101.75 | ↓ -71% |
| Molina | Managed Medicaid | $104.65 | ↓ -70% |
| Cigna | OAP/HMO | $113.32 | ↓ -68% |
| American Health | Medicare Advantage | $115.36 | ↓ -67% |
| United Healthcare Options | PPO | $115.36 | ↓ -67% |
| Blue Cross Blue Shield | Medicare Advantage | $115.36 | ↓ -67% |
| United Healthcare | All Payer | $115.36 | ↓ -67% |
| HealthSpring | Medicare Advantage | $117.67 | ↓ -67% |
| Humana | Medicare Advantage | $119.97 | ↓ -66% |
| Molina | Medicare Advantage | $121.13 | ↓ -66% |
| Superior Wellcare | Medicare Advantage HMO | $121.13 | ↓ -66% |
| Amerigroup | Medicare Advantage | $121.13 | ↓ -66% |
| Superior Wellcare | Medicare Advantage MMP | $126.90 | ↓ -64% |
| United Healthcare | Medicare Advantage PPO | $128.05 | ↓ -64% |
| United Healthcare | Medicare Advantage HMO | $130.36 | ↓ -63% |
| Cigna | PPO | $142.89 | ↓ -60% |
| Aetna | ASA | $143.71 | ↓ -59% |
| Aetna | Coventry | $143.71 | ↓ -59% |
| Quick Trip | Commercial | $145.55 | ↓ -59% |
| Blue Cross Blue Shield | Exchange | $164.27 | ↓ -53% |
| PHCS | PPO | $171.38 | ↓ -51% |
| Healthsmart | Commercial | $178.35 | ↓ -49% |
| Multiplan | Commercial | $178.35 | ↓ -49% |
| Galaxy | Commercial | $180.40 | ↓ -49% |
| USA | MCO | $180.40 | ↓ -49% |
| Cigna | Indemnity | $192.91 | ↓ -45% |
| Blue Cross Blue Shield | HMO | $228.41 | ↓ -35% |
| Blue Cross Blue Shield | PPO | $253.79 | ↓ -28% |
| Aetna | Whole Health | $384.49 | ↑ +9% |
| Aetna | Commercial | $512.65 | ↑ +45% |
| Blue Cross Blue Shield | Traditional | $676.12 | ↑ +91% |
Visitor-reported prices
Comments
_afb org id by sequencing rflx ast-sendout at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $473.33 | $10.00 – $591.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $473.33 | $12.00 – $709.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $459.54 | $12.00 – $574.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $473.33 | $10.00 – $591.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $473.33 | $12.00 – $709.99 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $473.33 | $8.00 – $709.99 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $459.54 | $12.00 – $689.31 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $473.33 | $10.00 – $591.66 |