New Patient Office Visit (level 2) at Texas Health Presbyterian Hospital Kaufman
850 Ed Hall, Kaufman, TX · Texashealth · · NPI 1457382798
$914.10
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.
$1,523.50
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.
$72.80 with American Health vs $1,433.61 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 |
|---|---|---|---|
| American Health | Medicare Advantage | $72.80 | ↓ -92% |
| Blue Cross Blue Shield | Medicare Advantage | $72.80 | ↓ -92% |
| HealthSpring | Medicare Advantage | $74.25 | ↓ -92% |
| Humana | Medicare Advantage | $75.71 | ↓ -92% |
| Molina | Medicare Advantage | $76.44 | ↓ -92% |
| Amerigroup | Medicare Advantage | $76.44 | ↓ -92% |
| Superior Wellcare | Medicare Advantage HMO | $76.44 | ↓ -92% |
| Superior Wellcare | Medicare Advantage MMP | $80.08 | ↓ -91% |
| United Healthcare | Medicare Advantage PPO | $80.80 | ↓ -91% |
| United Healthcare | Medicare Advantage HMO | $82.26 | ↓ -91% |
| Blue Cross Blue Shield | Exchange | $96.38 | ↓ -89% |
| Blue Cross Blue Shield | HMO | $129.31 | ↓ -86% |
| Amerigroup | Managed Medicaid | $142.60 | ↓ -84% |
| United Healthcare | Managed Medicaid | $142.60 | ↓ -84% |
| Parkland | Managed Medicaid | $142.60 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $142.60 | ↓ -84% |
| Blue Cross Blue Shield | PPO | $143.69 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $149.76 | ↓ -84% |
| Molina | Managed Medicaid | $154.03 | ↓ -83% |
| Blue Cross Blue Shield | Traditional | $423.25 | ↓ -54% |
| Aetna | Whole Health | $625.55 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $669.27 | ↓ -27% |
| City of Fort Worth | Commercial | $716.05 | ↓ -22% |
| United Healthcare | All Payer | $787.95 | ↓ -14% |
| Aetna | Commercial | $834.12 | ↓ -9% |
| United Healthcare Options | PPO | $834.88 | ↓ -9% |
| Cigna | OAP/HMO | $842.19 | ↓ -8% |
| Cigna | PPO | $1,061.88 | ↑ +16% |
| Aetna | Coventry | $1,067.97 | ↑ +17% |
| Aetna | ASA | $1,067.97 | ↑ +17% |
| Quick Trip | Commercial | $1,081.69 | ↑ +18% |
| PHCS | PPO | $1,273.65 | ↑ +39% |
| Healthsmart | Commercial | $1,325.45 | ↑ +45% |
| Multiplan | Commercial | $1,325.45 | ↑ +45% |
| USA | MCO | $1,340.68 | ↑ +47% |
| Galaxy | Commercial | $1,340.68 | ↑ +47% |
| Cigna | Indemnity | $1,433.61 | ↑ +57% |
Visitor-reported prices
Comments
New Patient Office Visit (level 2) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $412.32 | $198.43 – $198.43 |
| Baylor St Luke's Medical Center | Houston | $165.90 | $60.82 – $474.00 |
| St. Joseph Health Madison Hospital | Madisonville | $203.88 | $7.90 – $110.16 |
| St. Luke's Health Memorial Lufkin | Lufkin | $66.56 | $36.30 – $217.80 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $165.90 | $74.00 – $474.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $165.90 | $74.00 – $474.00 |
| St. Joseph Health College Station Hospital | College Station | $203.88 | $34.10 – $224.91 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $165.90 | $74.00 – $474.00 |