Ther/proph/diag inj ia at Texas Health Presbyterian Hospital Kaufman
850 Ed Hall, Kaufman, TX · Texashealth · · NPI 1457382798
$186.15
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.
$310.25
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.
$27.92 with Amerigroup vs $1,399.00 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 | $27.92 | ↓ -85% |
| Blue Cross Blue Shield | Managed Medicaid | $27.92 | ↓ -85% |
| United Healthcare | Managed Medicaid | $27.92 | ↓ -85% |
| Parkland | Managed Medicaid | $27.92 | ↓ -85% |
| Superior Wellcare | Managed Medicaid | $29.32 | ↓ -84% |
| Molina | Managed Medicaid | $30.15 | ↓ -84% |
| Blue Cross Blue Shield | Exchange | $35.72 | ↓ -81% |
| Blue Cross Blue Shield | HMO | $47.92 | ↓ -74% |
| Blue Cross Blue Shield | PPO | $53.25 | ↓ -71% |
| Aetna | Whole Health | $127.39 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $136.29 | ↓ -27% |
| City of Fort Worth | Commercial | $140.18 | ↓ -25% |
| Blue Cross Blue Shield | Traditional | $156.85 | ↓ -16% |
| Cigna | OAP/HMO | $164.87 | ↓ -11% |
| Aetna | Commercial | $169.86 | ↓ -9% |
| Cigna | PPO | $207.88 | ↑ +12% |
| Aetna | ASA | $209.07 | ↑ +12% |
| Aetna | Coventry | $209.07 | ↑ +12% |
| Quick Trip | Commercial | $211.76 | ↑ +14% |
| Blue Cross Blue Shield | Medicare Advantage | $213.67 | ↑ +15% |
| American Health | Medicare Advantage | $213.67 | ↑ +15% |
| HealthSpring | Medicare Advantage | $217.95 | ↑ +17% |
| Humana | Medicare Advantage | $222.22 | ↑ +19% |
| Molina | Medicare Advantage | $224.36 | ↑ +21% |
| Amerigroup | Medicare Advantage | $224.36 | ↑ +21% |
| Superior Wellcare | Medicare Advantage HMO | $224.36 | ↑ +21% |
| Superior Wellcare | Medicare Advantage MMP | $235.04 | ↑ +26% |
| United Healthcare | Medicare Advantage PPO | $237.18 | ↑ +27% |
| United Healthcare | Medicare Advantage HMO | $241.45 | ↑ +30% |
| PHCS | PPO | $249.34 | ↑ +34% |
| Multiplan | Commercial | $259.48 | ↑ +39% |
| Healthsmart | Commercial | $259.48 | ↑ +39% |
| USA | MCO | $262.46 | ↑ +41% |
| Galaxy | Commercial | $262.46 | ↑ +41% |
| Cigna | Indemnity | $280.65 | ↑ +51% |
| United Healthcare | All Payer | $872.00 | ↑ +368% |
| United Healthcare Options | PPO | $1,399.00 | ↑ +652% |
Visitor-reported prices
Comments
Ther/proph/diag inj ia at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $247.33 | $58.64 – $530.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $258.34 | $53.17 – $530.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $235.55 | $47.11 – $530.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $247.33 | $44.69 – $530.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $258.34 | $70.48 – $530.97 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $258.34 | $133.47 – $530.97 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $235.55 | $57.68 – $530.97 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $247.33 | $58.64 – $530.97 |