Ziconotide injection at Texas Health Presbyterian Hospital Kaufman
850 Ed Hall, Kaufman, TX · Texashealth · · NPI 1457382798
$10,255.74
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.
$17,092.90
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.
$10.14 with American Health vs $16,084.42 with Cigna — 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 |
|---|---|---|---|
| American Health | Medicare Advantage | $10.14 | ↓ -100% |
| Blue Cross Blue Shield | Medicare Advantage | $10.14 | ↓ -100% |
| HealthSpring | Medicare Advantage | $10.34 | ↓ -100% |
| Humana | Medicare Advantage | $10.55 | ↓ -100% |
| Molina | Medicare Advantage | $10.65 | ↓ -100% |
| Amerigroup | Medicare Advantage | $10.65 | ↓ -100% |
| Superior Wellcare | Medicare Advantage HMO | $10.65 | ↓ -100% |
| Superior Wellcare | Medicare Advantage MMP | $11.15 | ↓ -100% |
| United Healthcare | Medicare Advantage PPO | $11.26 | ↓ -100% |
| Blue Cross Blue Shield | HMO | $11.43 | ↓ -100% |
| United Healthcare | Medicare Advantage HMO | $11.46 | ↓ -100% |
| Blue Cross Blue Shield | Exchange | $11.72 | ↓ -100% |
| Blue Cross Blue Shield | PPO | $12.70 | ↓ -100% |
| United Healthcare | All Payer | $35.09 | ↓ -100% |
| United Healthcare Options | PPO | $35.09 | ↓ -100% |
| Blue Cross Blue Shield | Traditional | $51.96 | ↓ -99% |
| United Healthcare | Managed Medicaid | $1,599.90 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $1,599.90 | ↓ -84% |
| Parkland | Managed Medicaid | $1,599.90 | ↓ -84% |
| Amerigroup | Managed Medicaid | $1,599.90 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $1,680.23 | ↓ -84% |
| Molina | Managed Medicaid | $1,728.09 | ↓ -83% |
| Aetna | Whole Health | $5,910.72 | ↓ -42% |
| Fort Worth Firefighters | Commercial | $7,508.91 | ↓ -27% |
| Aetna | Commercial | $7,879.83 | ↓ -23% |
| City of Fort Worth | Commercial | $8,033.66 | ↓ -22% |
| Cigna | OAP/HMO | $9,448.96 | ↓ -8% |
| Cigna | PPO | $11,913.75 | ↑ +16% |
| Aetna | Coventry | $11,982.12 | ↑ +17% |
| Aetna | ASA | $11,982.12 | ↑ +17% |
| Quick Trip | Commercial | $12,135.96 | ↑ +18% |
| PHCS | PPO | $14,289.66 | ↑ +39% |
| Healthsmart | Commercial | $14,870.82 | ↑ +45% |
| Multiplan | Commercial | $14,870.82 | ↑ +45% |
| USA | MCO | $15,041.75 | ↑ +47% |
| Galaxy | Commercial | $15,041.75 | ↑ +47% |
| Cigna | Indemnity | $16,084.42 | ↑ +57% |
Visitor-reported prices
Comments
Ziconotide injection at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $7,216.02 | $9.94 – $9,020.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $7,216.02 | $11.18 – $10,824.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $7,216.02 | $9.94 – $9,020.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $7,216.02 | $9.94 – $9,020.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $7,216.02 | $9.94 – $10,824.03 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $7,216.02 | $11.51 – $10,824.03 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $7,216.02 | $9.94 – $10,824.03 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $7,216.02 | $9.94 – $9,020.02 |