Sock wool above knee at Texas Health Presbyterian Hospital Kaufman
850 Ed Hall, Kaufman, TX · Texashealth · · NPI 1457382798
$95.50
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.
$159.16
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.
$14.90 with Amerigroup vs $149.77 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $14.90 | ↓ -84% |
| Parkland | Managed Medicaid | $14.90 | ↓ -84% |
| United Healthcare | Managed Medicaid | $14.90 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $14.90 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $15.65 | ↓ -84% |
| Molina | Managed Medicaid | $16.09 | ↓ -83% |
| Blue Cross Blue Shield | Medicare Advantage | $27.95 | ↓ -71% |
| American Health | Medicare Advantage | $27.95 | ↓ -71% |
| HealthSpring | Medicare Advantage | $28.51 | ↓ -70% |
| Humana | Medicare Advantage | $29.07 | ↓ -70% |
| Molina | Medicare Advantage | $29.35 | ↓ -69% |
| Amerigroup | Medicare Advantage | $29.35 | ↓ -69% |
| Superior Wellcare | Medicare Advantage HMO | $29.35 | ↓ -69% |
| Superior Wellcare | Medicare Advantage MMP | $30.75 | ↓ -68% |
| United Healthcare | Medicare Advantage PPO | $31.02 | ↓ -68% |
| United Healthcare | Medicare Advantage HMO | $31.58 | ↓ -67% |
| Blue Cross Blue Shield | Exchange | $49.34 | ↓ -48% |
| Aetna | Whole Health | $65.35 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $69.92 | ↓ -27% |
| City of Fort Worth | Commercial | $74.81 | ↓ -22% |
| Blue Cross Blue Shield | HMO | $79.58 | ↓ -17% |
| Aetna | Commercial | $87.14 | ↓ -9% |
| Cigna | OAP/HMO | $87.98 | ↓ -8% |
| Blue Cross Blue Shield | PPO | $88.49 | ↓ -7% |
| Blue Cross Blue Shield | Traditional | $88.49 | ↓ -7% |
| United Healthcare | All Payer | $100.32 | ↑ +5% |
| United Healthcare Options | PPO | $106.11 | ↑ +11% |
| Cigna | PPO | $110.93 | ↑ +16% |
| Aetna | Coventry | $111.57 | ↑ +17% |
| Aetna | ASA | $111.57 | ↑ +17% |
| Quick Trip | Commercial | $113.00 | ↑ +18% |
| PHCS | PPO | $133.06 | ↑ +39% |
| Multiplan | Commercial | $138.47 | ↑ +45% |
| Healthsmart | Commercial | $138.47 | ↑ +45% |
| USA | MCO | $140.06 | ↑ +47% |
| Galaxy | Commercial | $140.06 | ↑ +47% |
| Cigna | Indemnity | $149.77 | ↑ +57% |
Visitor-reported prices
Comments
Sock wool above knee at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Allen | Allen | $95.50 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $95.50 | not published |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $95.50 | not published |
| Texas Health Arlington Memorial Hospital | Arlington | $95.50 | not published |
| Texas Health Presbyterian Hospital Denton | Denton | $95.50 | not published |
| Texas Health Presbyterian Hospital Plano | Plano | $95.50 | not published |
| Texas Health Hospital Rockwall | Rockwall | $95.50 | not published |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $95.50 | not published |