Amp f/th 1/2 jt/phalanx w/neurect local flap at Texas Health Presbyterian Hospital Kaufman
850 Ed Hall, Kaufman, TX · Texashealth · · NPI 1457382798
$1,924.65
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.
$3,207.75
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.
$1,088.27 with Parkland vs $3,751.00 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 |
|---|---|---|---|
| Parkland | Managed Medicaid | $1,088.27 | ↓ -43% |
| Blue Cross Blue Shield | Managed Medicaid | $1,088.27 | ↓ -43% |
| Amerigroup | Managed Medicaid | $1,088.27 | ↓ -43% |
| United Healthcare | Managed Medicaid | $1,088.27 | ↓ -43% |
| Superior Wellcare | Managed Medicaid | $1,142.68 | ↓ -41% |
| Molina | Managed Medicaid | $1,175.33 | ↓ -39% |
| Blue Cross Blue Shield | Exchange | $1,289.52 | ↓ -33% |
| City of Fort Worth | Commercial | $1,507.64 | ↓ -22% |
| Aetna | Whole Health | $1,645.90 | ↓ -14% |
| Fort Worth Firefighters | Commercial | $1,675.73 | ↓ -13% |
| Cigna | OAP/HMO | $1,773.24 | ↓ -8% |
| Blue Cross Blue Shield | HMO | $2,155.61 | ↑ +12% |
| Aetna | Commercial | $2,194.42 | ↑ +14% |
| Cigna | PPO | $2,235.80 | ↑ +16% |
| Aetna | ASA | $2,248.63 | ↑ +17% |
| Aetna | Coventry | $2,248.63 | ↑ +17% |
| Quick Trip | Commercial | $2,277.50 | ↑ +18% |
| Blue Cross Blue Shield | PPO | $2,396.19 | ↑ +25% |
| PHCS | PPO | $2,681.68 | ↑ +39% |
| Blue Cross Blue Shield | Traditional | $2,755.46 | ↑ +43% |
| Healthsmart | Commercial | $2,790.74 | ↑ +45% |
| Multiplan | Commercial | $2,790.74 | ↑ +45% |
| Galaxy | Commercial | $2,822.82 | ↑ +47% |
| USA | MCO | $2,822.82 | ↑ +47% |
| United Healthcare | All Payer | $2,923.00 | ↑ +52% |
| Cigna | Indemnity | $3,018.49 | ↑ +57% |
| Blue Cross Blue Shield | Medicare Advantage | $3,286.91 | ↑ +71% |
| American Health | Medicare Advantage | $3,286.91 | ↑ +71% |
| HealthSpring | Medicare Advantage | $3,352.65 | ↑ +74% |
| Humana | Medicare Advantage | $3,418.39 | ↑ +78% |
| Molina | Medicare Advantage | $3,451.26 | ↑ +79% |
| Amerigroup | Medicare Advantage | $3,451.26 | ↑ +79% |
| Superior Wellcare | Medicare Advantage HMO | $3,451.26 | ↑ +79% |
| Superior Wellcare | Medicare Advantage MMP | $3,615.60 | ↑ +88% |
| United Healthcare | Medicare Advantage PPO | $3,648.47 | ↑ +90% |
| United Healthcare | Medicare Advantage HMO | $3,714.21 | ↑ +93% |
| United Healthcare Options | PPO | $3,751.00 | ↑ +95% |
Visitor-reported prices
Comments
Amp f/th 1/2 jt/phalanx w/neurect local flap at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,448.69 | $1,088.27 – $8,018.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,730.53 | $71.00 – $8,018.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,653.51 | $71.00 – $8,018.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,448.69 | $1,088.27 – $8,018.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,730.53 | $85.00 – $8,018.48 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,730.53 | $1,088.27 – $8,018.48 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,653.51 | $71.00 – $8,018.48 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $4,448.69 | $1,088.27 – $8,018.48 |