Vaginal bx at Texas Health Presbyterian Hospital Kaufman
850 Ed Hall, Kaufman, TX · Texashealth · · NPI 1457382798
$513.30
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.
$855.50
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.
$80.07 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 | $80.07 | ↓ -84% |
| Parkland | Managed Medicaid | $80.07 | ↓ -84% |
| United Healthcare | Managed Medicaid | $80.07 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $80.07 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $84.10 | ↓ -84% |
| Molina | Managed Medicaid | $86.49 | ↓ -83% |
| Blue Cross Blue Shield | Medicare Advantage | $203.09 | ↓ -60% |
| American Health | Medicare Advantage | $203.09 | ↓ -60% |
| HealthSpring | Medicare Advantage | $207.15 | ↓ -60% |
| Humana | Medicare Advantage | $211.22 | ↓ -59% |
| Molina | Medicare Advantage | $213.25 | ↓ -58% |
| Amerigroup | Medicare Advantage | $213.25 | ↓ -58% |
| Superior Wellcare | Medicare Advantage HMO | $213.25 | ↓ -58% |
| Superior Wellcare | Medicare Advantage MMP | $223.40 | ↓ -56% |
| United Healthcare | Medicare Advantage PPO | $225.43 | ↓ -56% |
| United Healthcare | Medicare Advantage HMO | $229.49 | ↓ -55% |
| Blue Cross Blue Shield | Exchange | $332.10 | ↓ -35% |
| Blue Cross Blue Shield | HMO | $390.22 | ↓ -24% |
| City of Fort Worth | Commercial | $402.09 | ↓ -22% |
| Blue Cross Blue Shield | PPO | $433.56 | ↓ -16% |
| Aetna | Whole Health | $438.96 | ↓ -14% |
| Fort Worth Firefighters | Commercial | $446.91 | ↓ -13% |
| Cigna | OAP/HMO | $472.92 | ↓ -8% |
| Aetna | Commercial | $585.25 | ↑ +14% |
| Cigna | PPO | $596.28 | ↑ +16% |
| Aetna | Coventry | $599.71 | ↑ +17% |
| Aetna | ASA | $599.71 | ↑ +17% |
| Quick Trip | Commercial | $607.41 | ↑ +18% |
| PHCS | PPO | $715.20 | ↑ +39% |
| Blue Cross Blue Shield | Traditional | $734.87 | ↑ +43% |
| Multiplan | Commercial | $744.29 | ↑ +45% |
| Healthsmart | Commercial | $744.29 | ↑ +45% |
| USA | MCO | $752.84 | ↑ +47% |
| Galaxy | Commercial | $752.84 | ↑ +47% |
| Cigna | Indemnity | $805.03 | ↑ +57% |
| United Healthcare | All Payer | $1,247.00 | ↑ +143% |
| United Healthcare Options | PPO | $1,568.00 | ↑ +205% |
Visitor-reported prices
Comments
Vaginal bx at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,859.51 | $192.94 – $1,585.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,859.51 | $4.77 – $1,237.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,061.00 | $70.31 – $1,143.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,859.51 | $192.94 – $1,585.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,859.51 | $9.66 – $1,143.82 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,859.51 | $19.32 – $493.64 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,061.00 | $70.31 – $1,143.82 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $3,859.51 | $192.94 – $1,585.67 |