Treatment of thigh fracture at Texas Health Presbyterian Hospital Kaufman
850 Ed Hall, Kaufman, TX · Texashealth · · NPI 1457382798
$380.85
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.
$634.75
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.
$85.32 with Amerigroup vs $1,568.00 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 | $85.32 | ↓ -78% |
| Parkland | Managed Medicaid | $85.32 | ↓ -78% |
| United Healthcare | Managed Medicaid | $85.32 | ↓ -78% |
| Blue Cross Blue Shield | Managed Medicaid | $85.32 | ↓ -78% |
| Superior Wellcare | Managed Medicaid | $89.59 | ↓ -76% |
| Molina | Managed Medicaid | $92.15 | ↓ -76% |
| Blue Cross Blue Shield | Medicare Advantage | $247.79 | ↓ -35% |
| American Health | Medicare Advantage | $247.79 | ↓ -35% |
| HealthSpring | Medicare Advantage | $252.75 | ↓ -34% |
| Blue Cross Blue Shield | Exchange | $255.17 | ↓ -33% |
| Humana | Medicare Advantage | $257.70 | ↓ -32% |
| Molina | Medicare Advantage | $260.18 | ↓ -32% |
| Amerigroup | Medicare Advantage | $260.18 | ↓ -32% |
| Superior Wellcare | Medicare Advantage HMO | $260.18 | ↓ -32% |
| Superior Wellcare | Medicare Advantage MMP | $272.57 | ↓ -28% |
| United Healthcare | Medicare Advantage PPO | $275.05 | ↓ -28% |
| United Healthcare | Medicare Advantage HMO | $280.00 | ↓ -26% |
| City of Fort Worth | Commercial | $298.33 | ↓ -22% |
| Aetna | Whole Health | $325.69 | ↓ -14% |
| Fort Worth Firefighters | Commercial | $331.59 | ↓ -13% |
| Cigna | OAP/HMO | $350.89 | ↓ -8% |
| Blue Cross Blue Shield | HMO | $426.55 | ↑ +12% |
| Aetna | Commercial | $434.23 | ↑ +14% |
| Cigna | PPO | $442.42 | ↑ +16% |
| Aetna | ASA | $444.96 | ↑ +17% |
| Aetna | Coventry | $444.96 | ↑ +17% |
| Quick Trip | Commercial | $450.67 | ↑ +18% |
| Blue Cross Blue Shield | PPO | $474.16 | ↑ +25% |
| PHCS | PPO | $530.65 | ↑ +39% |
| Blue Cross Blue Shield | Traditional | $545.25 | ↑ +43% |
| Multiplan | Commercial | $552.23 | ↑ +45% |
| Healthsmart | Commercial | $552.23 | ↑ +45% |
| USA | MCO | $558.58 | ↑ +47% |
| Galaxy | Commercial | $558.58 | ↑ +47% |
| Cigna | Indemnity | $597.30 | ↑ +57% |
| United Healthcare | All Payer | $1,247.00 | ↑ +227% |
| United Healthcare Options | PPO | $1,568.00 | ↑ +312% |
Visitor-reported prices
Comments
Treatment of thigh fracture at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $502.76 | $85.32 – $628.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $735.14 | $71.00 – $1,102.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $486.35 | $71.00 – $607.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $502.76 | $85.32 – $628.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $735.14 | $85.00 – $1,102.72 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $735.14 | $85.32 – $1,102.72 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $486.35 | $71.00 – $729.53 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $502.76 | $85.32 – $628.46 |