Nerve conduction studies 11-12 at Texas Health Presbyterian Hospital Kaufman
850 Ed Hall, Kaufman, TX · Texashealth · · NPI 1457382798
$318.75
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.
$531.25
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.
$49.73 with Blue Cross Blue Shield vs $1,021.00 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $49.73 | ↓ -84% |
| Amerigroup | Managed Medicaid | $49.73 | ↓ -84% |
| United Healthcare | Managed Medicaid | $49.73 | ↓ -84% |
| Parkland | Managed Medicaid | $49.73 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $52.22 | ↓ -84% |
| Molina | Managed Medicaid | $53.71 | ↓ -83% |
| Blue Cross Blue Shield | Exchange | $194.09 | ↓ -39% |
| Aetna | Whole Health | $218.13 | ↓ -32% |
| City of Fort Worth | Commercial | $249.69 | ↓ -22% |
| Blue Cross Blue Shield | HMO | $260.41 | ↓ -18% |
| Blue Cross Blue Shield | PPO | $289.37 | ↓ -9% |
| Aetna | Commercial | $290.86 | ↓ -9% |
| Cigna | OAP/HMO | $293.68 | ↓ -8% |
| Fort Worth Firefighters | Commercial | $324.33 | ↑ +2% |
| Cigna | PPO | $370.28 | ↑ +16% |
| Aetna | Coventry | $372.41 | ↑ +17% |
| Aetna | ASA | $372.41 | ↑ +17% |
| Blue Cross Blue Shield | Medicare Advantage | $374.86 | ↑ +18% |
| American Health | Medicare Advantage | $374.86 | ↑ +18% |
| Quick Trip | Commercial | $377.19 | ↑ +18% |
| HealthSpring | Medicare Advantage | $382.36 | ↑ +20% |
| Humana | Medicare Advantage | $389.85 | ↑ +22% |
| Molina | Medicare Advantage | $393.60 | ↑ +23% |
| Amerigroup | Medicare Advantage | $393.60 | ↑ +23% |
| Superior Wellcare | Medicare Advantage HMO | $393.60 | ↑ +23% |
| Superior Wellcare | Medicare Advantage MMP | $412.34 | ↑ +29% |
| United Healthcare | Medicare Advantage PPO | $416.09 | ↑ +31% |
| United Healthcare | Medicare Advantage HMO | $423.59 | ↑ +33% |
| PHCS | PPO | $444.13 | ↑ +39% |
| Healthsmart | Commercial | $462.19 | ↑ +45% |
| Multiplan | Commercial | $462.19 | ↑ +45% |
| Galaxy | Commercial | $467.50 | ↑ +47% |
| USA | MCO | $467.50 | ↑ +47% |
| Cigna | Indemnity | $499.91 | ↑ +57% |
| United Healthcare | All Payer | $767.00 | ↑ +141% |
| Blue Cross Blue Shield | Traditional | $767.11 | ↑ +141% |
| United Healthcare Options | PPO | $1,021.00 | ↑ +220% |
Visitor-reported prices
Comments
Nerve conduction studies 11-12 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $895.29 | $253.67 – $1,327.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,278.62 | $263.18 – $1,917.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,185.62 | $237.12 – $1,482.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $895.29 | $238.74 – $1,327.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,278.62 | $356.12 – $1,917.93 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,278.62 | $660.62 – $1,917.93 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,185.62 | $313.45 – $1,778.44 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $895.29 | $238.74 – $1,327.77 |