Fixation of knee joint at Texas Health Center for Diagnostics and Surgery Plano
6020 W Parker Road, Plano, TX · Texashealth · · NPI 1316933609
$4,228.95
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.
$7,048.25
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.
$593.04 with Amerigroup vs $11,325.64 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 | $593.04 | ↓ -86% |
| Parkland | Managed Medicaid | $593.04 | ↓ -86% |
| United Healthcare | Managed Medicaid | $593.04 | ↓ -86% |
| Blue Cross Blue Shield | Managed Medicaid | $593.04 | ↓ -86% |
| Superior Wellcare | Managed Medicaid | $622.69 | ↓ -85% |
| Molina | Managed Medicaid | $640.48 | ↓ -85% |
| Blue Cross Blue Shield | Medicare Advantage | $1,539.15 | ↓ -64% |
| American Health | Medicare Advantage | $1,539.15 | ↓ -64% |
| Blue Cross Blue Shield | Exchange | $1,558.70 | ↓ -63% |
| HealthSpring | Medicare Advantage | $1,569.93 | ↓ -63% |
| Humana | Medicare Advantage | $1,600.71 | ↓ -62% |
| Molina | Medicare Advantage | $1,616.10 | ↓ -62% |
| Amerigroup | Medicare Advantage | $1,616.10 | ↓ -62% |
| Superior Wellcare | Medicare Advantage HMO | $1,616.10 | ↓ -62% |
| Superior Wellcare | Medicare Advantage MMP | $1,693.06 | ↓ -60% |
| United Healthcare | Medicare Advantage PPO | $1,708.45 | ↓ -60% |
| United Healthcare | Medicare Advantage HMO | $1,739.24 | ↓ -59% |
| Fort Worth Firefighters | Commercial | $2,319.00 | ↓ -45% |
| Aetna | Whole Health | $2,907.40 | ↓ -31% |
| United Healthcare | All Payer | $2,923.00 | ↓ -31% |
| Blue Cross Blue Shield | HMO | $3,185.17 | ↓ -25% |
| City of Fort Worth | Commercial | $3,312.68 | ↓ -22% |
| Blue Cross Blue Shield | PPO | $3,538.92 | ↓ -16% |
| United Healthcare Options | PPO | $3,751.00 | ↓ -11% |
| Aetna | Commercial | $3,876.54 | ↓ -8% |
| Cigna | OAP/HMO | $3,896.27 | ↓ -8% |
| Quick Trip | Commercial | $4,228.95 | ↑ +0% |
| PHCS | PPO | $4,898.53 | ↑ +16% |
| Cigna | PPO | $4,912.63 | ↑ +16% |
| Aetna | ASA | $4,940.82 | ↑ +17% |
| Aetna | Coventry | $4,940.82 | ↑ +17% |
| Healthsmart | Commercial | $5,286.19 | ↑ +25% |
| Multiplan | Commercial | $6,131.98 | ↑ +45% |
| USA | MCO | $6,202.46 | ↑ +47% |
| Galaxy | Commercial | $6,202.46 | ↑ +47% |
| Cigna | Indemnity | $6,632.40 | ↑ +57% |
| Blue Cross Blue Shield | Traditional | $11,325.64 | ↑ +168% |
Visitor-reported prices
Comments
Fixation of knee joint at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $1,776.24 | $593.04 – $3,981.46 |
| Texas Health Presbyterian Hospital Plano | Plano | not published | $593.04 – $640.48 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,776.24 | $593.04 – $3,981.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,863.67 | $71.00 – $3,981.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,142.84 | $71.00 – $3,981.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,776.24 | $593.04 – $3,981.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,863.67 | $85.00 – $3,981.46 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,863.67 | $593.04 – $3,981.46 |