Cardiac Stress Test at Texas Health Presbyterian Hospital Kaufman
850 Ed Hall, Kaufman, TX · Texashealth · · NPI 1457382798
$153.75
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.
$256.25
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.
$23.99 with Amerigroup vs $1,643.00 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 | $23.99 | ↓ -84% |
| Parkland | Managed Medicaid | $23.99 | ↓ -84% |
| United Healthcare | Managed Medicaid | $23.99 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $23.99 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $25.19 | ↓ -84% |
| Molina | Managed Medicaid | $25.91 | ↓ -83% |
| Blue Cross Blue Shield | Medicare Advantage | $70.92 | ↓ -54% |
| American Health | Medicare Advantage | $70.92 | ↓ -54% |
| HealthSpring | Medicare Advantage | $72.33 | ↓ -53% |
| Humana | Medicare Advantage | $73.75 | ↓ -52% |
| Molina | Medicare Advantage | $74.46 | ↓ -52% |
| Amerigroup | Medicare Advantage | $74.46 | ↓ -52% |
| Superior Wellcare | Medicare Advantage HMO | $74.46 | ↓ -52% |
| Superior Wellcare | Medicare Advantage MMP | $78.01 | ↓ -49% |
| United Healthcare | Medicare Advantage PPO | $78.72 | ↓ -49% |
| United Healthcare | Medicare Advantage HMO | $80.14 | ↓ -48% |
| Aetna | Whole Health | $105.22 | ↓ -32% |
| City of Fort Worth | Commercial | $120.44 | ↓ -22% |
| Blue Cross Blue Shield | Exchange | $135.46 | ↓ -12% |
| Aetna | Commercial | $140.30 | ↓ -9% |
| Cigna | OAP/HMO | $141.66 | ↓ -8% |
| Fort Worth Firefighters | Commercial | $156.44 | ↑ +2% |
| Cigna | PPO | $178.61 | ↑ +16% |
| Aetna | ASA | $179.63 | ↑ +17% |
| Aetna | Coventry | $179.63 | ↑ +17% |
| Blue Cross Blue Shield | HMO | $181.75 | ↑ +18% |
| Quick Trip | Commercial | $181.94 | ↑ +18% |
| Blue Cross Blue Shield | PPO | $201.96 | ↑ +31% |
| PHCS | PPO | $214.23 | ↑ +39% |
| Healthsmart | Commercial | $222.94 | ↑ +45% |
| Multiplan | Commercial | $222.94 | ↑ +45% |
| Galaxy | Commercial | $225.50 | ↑ +47% |
| USA | MCO | $225.50 | ↑ +47% |
| Cigna | Indemnity | $241.13 | ↑ +57% |
| Blue Cross Blue Shield | Traditional | $535.40 | ↑ +248% |
| United Healthcare | All Payer | $1,265.00 | ↑ +723% |
| United Healthcare Options | PPO | $1,643.00 | ↑ +969% |
Visitor-reported prices
Comments
Cardiac Stress Test at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Dallas | Dallas | $153.75 | $88.16 – $88.16 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth | $153.75 | $88.16 – $88.16 |
| Adventhealth Rollins Brook | Lampasas | not published | $278.89 – $278.89 |
| CHRISTUS Children's Hospital | San Antonio | not published | $199.86 – $199.86 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $169.51 – $678.68 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $169.51 – $678.68 |
| Covenant Children's Hospital | Lubbock | not published | $247.02 – $247.02 |
| HCA HOUSTON CONROE | CONROE | not published | $169.51 – $678.68 |