Wound therapy negative pressure per session <= 50 sq cm dme at Texas Health Presbyterian Hospital Kaufman
850 Ed Hall, Kaufman, TX · Texashealth · · NPI 1457382798
$153.75
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.
$256.25
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.
$23.99 with Amerigroup vs $1,434.88 with Blue Cross Blue Shield — 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 | $23.99 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $23.99 | ↓ -84% |
| United Healthcare | Managed Medicaid | $23.99 | ↓ -84% |
| Parkland | Managed Medicaid | $23.99 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $25.19 | ↓ -84% |
| Molina | Managed Medicaid | $25.91 | ↓ -83% |
| Aetna | Whole Health | $105.22 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $112.57 | ↓ -27% |
| City of Fort Worth | Commercial | $120.44 | ↓ -22% |
| United Healthcare | All Payer | $132.53 | ↓ -14% |
| Aetna | Commercial | $140.30 | ↓ -9% |
| United Healthcare Options | PPO | $140.43 | ↓ -9% |
| Cigna | OAP/HMO | $141.66 | ↓ -8% |
| Cigna | PPO | $178.61 | ↑ +16% |
| Aetna | Coventry | $179.63 | ↑ +17% |
| Aetna | ASA | $179.63 | ↑ +17% |
| Quick Trip | Commercial | $181.94 | ↑ +18% |
| American Health | Medicare Advantage | $201.55 | ↑ +31% |
| Blue Cross Blue Shield | Medicare Advantage | $201.55 | ↑ +31% |
| HealthSpring | Medicare Advantage | $205.58 | ↑ +34% |
| Humana | Medicare Advantage | $209.61 | ↑ +36% |
| Molina | Medicare Advantage | $211.63 | ↑ +38% |
| Amerigroup | Medicare Advantage | $211.63 | ↑ +38% |
| Superior Wellcare | Medicare Advantage HMO | $211.63 | ↑ +38% |
| PHCS | PPO | $214.23 | ↑ +39% |
| Superior Wellcare | Medicare Advantage MMP | $221.70 | ↑ +44% |
| Healthsmart | Commercial | $222.94 | ↑ +45% |
| Multiplan | Commercial | $222.94 | ↑ +45% |
| United Healthcare | Medicare Advantage PPO | $223.72 | ↑ +46% |
| USA | MCO | $225.50 | ↑ +47% |
| Galaxy | Commercial | $225.50 | ↑ +47% |
| United Healthcare | Medicare Advantage HMO | $227.75 | ↑ +48% |
| Cigna | Indemnity | $241.13 | ↑ +57% |
| Blue Cross Blue Shield | Exchange | $326.75 | ↑ +113% |
| Blue Cross Blue Shield | HMO | $438.40 | ↑ +185% |
| Blue Cross Blue Shield | PPO | $487.15 | ↑ +217% |
| Blue Cross Blue Shield | Traditional | $1,434.88 | ↑ +833% |
Visitor-reported prices
Comments
Wound therapy negative pressure per session <= 50 sq cm dme at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $514.22 | $672.71 – $672.71 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $316.82 | $89.77 – $495.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $426.82 | $71.00 – $640.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $347.30 | $69.46 – $495.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $316.82 | $84.48 – $495.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $426.82 | $85.00 – $640.23 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $426.82 | $155.00 – $640.23 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $347.30 | $71.00 – $520.96 |