Biopsy of prostate at Texas Health Center for Diagnostics and Surgery Plano
6020 W Parker Road, Plano, TX · Texashealth · · NPI 1316933609
$3,009.45
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.
$5,015.75
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.
$652.80 with Amerigroup vs $14,803.07 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 | $652.80 | ↓ -78% |
| Parkland | Managed Medicaid | $652.80 | ↓ -78% |
| United Healthcare | Managed Medicaid | $652.80 | ↓ -78% |
| Blue Cross Blue Shield | Managed Medicaid | $652.80 | ↓ -78% |
| Superior Wellcare | Managed Medicaid | $685.44 | ↓ -77% |
| Molina | Managed Medicaid | $705.02 | ↓ -77% |
| Blue Cross Blue Shield | Medicare Advantage | $1,970.09 | ↓ -35% |
| American Health | Medicare Advantage | $1,970.09 | ↓ -35% |
| HealthSpring | Medicare Advantage | $2,009.49 | ↓ -33% |
| Blue Cross Blue Shield | Exchange | $2,037.28 | ↓ -32% |
| Humana | Medicare Advantage | $2,048.90 | ↓ -32% |
| Molina | Medicare Advantage | $2,068.60 | ↓ -31% |
| Amerigroup | Medicare Advantage | $2,068.60 | ↓ -31% |
| Superior Wellcare | Medicare Advantage HMO | $2,068.60 | ↓ -31% |
| Aetna | Whole Health | $2,069.00 | ↓ -31% |
| Superior Wellcare | Medicare Advantage MMP | $2,167.10 | ↓ -28% |
| United Healthcare | Medicare Advantage PPO | $2,186.80 | ↓ -27% |
| United Healthcare | Medicare Advantage HMO | $2,226.21 | ↓ -26% |
| Fort Worth Firefighters | Commercial | $2,319.00 | ↓ -23% |
| City of Fort Worth | Commercial | $2,357.40 | ↓ -22% |
| Aetna | Commercial | $2,758.66 | ↓ -8% |
| Cigna | OAP/HMO | $2,772.71 | ↓ -8% |
| United Healthcare | All Payer | $2,923.00 | ↓ -3% |
| Quick Trip | Commercial | $3,009.45 | ↑ +0% |
| PHCS | PPO | $3,485.95 | ↑ +16% |
| Cigna | PPO | $3,495.98 | ↑ +16% |
| Aetna | ASA | $3,516.04 | ↑ +17% |
| Aetna | Coventry | $3,516.04 | ↑ +17% |
| United Healthcare Options | PPO | $3,751.00 | ↑ +25% |
| Healthsmart | Commercial | $3,761.81 | ↑ +25% |
| Blue Cross Blue Shield | HMO | $4,163.14 | ↑ +38% |
| Multiplan | Commercial | $4,363.70 | ↑ +45% |
| Galaxy | Commercial | $4,413.86 | ↑ +47% |
| USA | MCO | $4,413.86 | ↑ +47% |
| Blue Cross Blue Shield | PPO | $4,625.52 | ↑ +54% |
| Cigna | Indemnity | $4,719.82 | ↑ +57% |
| Blue Cross Blue Shield | Traditional | $14,803.07 | ↑ +392% |
Visitor-reported prices
Comments
Biopsy of prostate at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $2,627.06 | $525.41 – $5,045.72 |
| Texas Health Presbyterian Hospital Plano | Plano | $3,009.45 | $652.80 – $705.02 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,627.06 | $744.33 – $5,045.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,030.85 | $71.00 – $5,045.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,139.32 | $71.00 – $5,045.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,627.06 | $700.55 – $5,045.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,030.85 | $85.00 – $5,045.72 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,030.85 | $1,565.94 – $5,045.72 |