Bx vulva or perineum/1 lesion 56605 at Texas Health Center for Diagnostics and Surgery Plano
6020 W Parker Road, Plano, TX · Texashealth · · NPI 1316933609
not published by hospital
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.
not published by hospital
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.
$44.85 with Blue Cross Blue Shield vs $3,076.00 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $44.85 | — |
| Parkland | Managed Medicaid | $44.85 | — |
| United Healthcare | Managed Medicaid | $44.85 | — |
| Amerigroup | Managed Medicaid | $44.85 | — |
| Superior Wellcare | Managed Medicaid | $47.09 | — |
| Molina | Managed Medicaid | $48.44 | — |
| Blue Cross Blue Shield | Exchange | $54.79 | — |
| Blue Cross Blue Shield | HMO | $111.95 | — |
| Blue Cross Blue Shield | PPO | $124.39 | — |
| Blue Cross Blue Shield | Traditional | $398.08 | — |
| Blue Cross Blue Shield | Medicare Advantage | $837.41 | — |
| American Health | Medicare Advantage | $837.41 | — |
| HealthSpring | Medicare Advantage | $854.16 | — |
| Humana | Medicare Advantage | $870.90 | — |
| Superior Wellcare | Medicare Advantage HMO | $879.28 | — |
| Amerigroup | Medicare Advantage | $879.28 | — |
| Molina | Medicare Advantage | $879.28 | — |
| Superior Wellcare | Medicare Advantage MMP | $921.15 | — |
| United Healthcare | Medicare Advantage PPO | $929.52 | — |
| United Healthcare | Medicare Advantage HMO | $946.27 | — |
| Fort Worth Firefighters | Commercial | $1,901.00 | — |
| United Healthcare | All Payer | $2,380.00 | — |
| United Healthcare Options | PPO | $3,076.00 | — |
Visitor-reported prices
Comments
Bx vulva or perineum/1 lesion 56605 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $813.53 | $44.85 – $1,991.50 |
| Texas Health Presbyterian Hospital Plano | Plano | not published | $44.85 – $48.44 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $813.53 | $44.85 – $1,991.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,148.20 | $47.99 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,117.94 | $44.85 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $813.53 | $44.85 – $1,991.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,148.20 | $47.99 – $2,975.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,148.20 | $44.85 – $1,991.50 |