X-ray forearm 2 views (both sides) at Texas Health Presbyterian Hospital Kaufman
850 Ed Hall, Kaufman, TX · Texashealth · · NPI 1457382798
$404.40
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.
$674.00
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.
$29.40 with Amerigroup vs $722.00 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 | $29.40 | ↓ -93% |
| Parkland | Managed Medicaid | $29.40 | ↓ -93% |
| United Healthcare | Managed Medicaid | $29.40 | ↓ -93% |
| Blue Cross Blue Shield | Managed Medicaid | $29.40 | ↓ -93% |
| Superior Wellcare | Managed Medicaid | $30.87 | ↓ -92% |
| Molina | Managed Medicaid | $31.75 | ↓ -92% |
| Blue Cross Blue Shield | Medicare Advantage | $87.42 | ↓ -78% |
| American Health | Medicare Advantage | $87.42 | ↓ -78% |
| HealthSpring | Medicare Advantage | $89.17 | ↓ -78% |
| Humana | Medicare Advantage | $90.92 | ↓ -78% |
| Molina | Medicare Advantage | $91.79 | ↓ -77% |
| Amerigroup | Medicare Advantage | $91.79 | ↓ -77% |
| Superior Wellcare | Medicare Advantage HMO | $91.79 | ↓ -77% |
| Superior Wellcare | Medicare Advantage MMP | $96.16 | ↓ -76% |
| United Healthcare | Medicare Advantage PPO | $97.04 | ↓ -76% |
| United Healthcare | Medicare Advantage HMO | $98.79 | ↓ -76% |
| Blue Cross Blue Shield | HMO | $209.66 | ↓ -48% |
| Blue Cross Blue Shield | Exchange | $230.65 | ↓ -43% |
| Blue Cross Blue Shield | PPO | $232.97 | ↓ -42% |
| Aetna | Whole Health | $266.07 | ↓ -34% |
| Fort Worth Firefighters | Commercial | $284.67 | ↓ -30% |
| City of Fort Worth | Commercial | $304.56 | ↓ -25% |
| Aetna | Commercial | $354.78 | ↓ -12% |
| Cigna | OAP/HMO | $358.21 | ↓ -11% |
| Cigna | PPO | $451.66 | ↑ +12% |
| Aetna | Coventry | $454.25 | ↑ +12% |
| Aetna | ASA | $454.25 | ↑ +12% |
| Quick Trip | Commercial | $460.08 | ↑ +14% |
| PHCS | PPO | $541.73 | ↑ +34% |
| United Healthcare | All Payer | $551.00 | ↑ +36% |
| Healthsmart | Commercial | $563.76 | ↑ +39% |
| Multiplan | Commercial | $563.76 | ↑ +39% |
| USA | MCO | $570.24 | ↑ +41% |
| Galaxy | Commercial | $570.24 | ↑ +41% |
| Cigna | Indemnity | $609.77 | ↑ +51% |
| Blue Cross Blue Shield | Traditional | $629.86 | ↑ +56% |
| United Healthcare Options | PPO | $722.00 | ↑ +79% |
Visitor-reported prices
Comments
X-ray forearm 2 views (both sides) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $522.39 | $307.27 – $307.27 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $317.62 | $29.40 – $397.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $375.50 | $77.29 – $563.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $372.73 | $29.40 – $465.92 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $317.62 | $29.40 – $397.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $375.50 | $31.46 – $563.26 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $375.50 | $29.40 – $563.26 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $372.73 | $29.40 – $559.10 |