Immunoassay tumor antigen quantitative ca 19-9 at Texas Health Center for Diagnostics and Surgery Plano
6020 W Parker Road, Plano, TX · Texashealth · · NPI 1316933609
$19.80
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.
$33.00
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.
$15.51 with City of Fort Worth vs $121.97 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 |
|---|---|---|---|
| City of Fort Worth | Commercial | $15.51 | ↓ -22% |
| Blue Cross Blue Shield | Managed Medicaid | $17.48 | ↓ -12% |
| United Healthcare | Managed Medicaid | $17.48 | ↓ -12% |
| Parkland | Managed Medicaid | $17.48 | ↓ -12% |
| Amerigroup | Managed Medicaid | $17.48 | ↓ -12% |
| Superior Wellcare | Managed Medicaid | $18.35 | ↓ -7% |
| Molina | Managed Medicaid | $18.88 | ↓ -5% |
| Quick Trip | Commercial | $19.80 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $20.15 | ↑ +2% |
| United Healthcare | All Payer | $20.81 | ↑ +5% |
| United Healthcare Options | PPO | $20.81 | ↑ +5% |
| American Health | Medicare Advantage | $20.81 | ↑ +5% |
| Blue Cross Blue Shield | Medicare Advantage | $20.81 | ↑ +5% |
| HealthSpring | Medicare Advantage | $21.23 | ↑ +7% |
| Humana | Medicare Advantage | $21.64 | ↑ +9% |
| Amerigroup | Medicare Advantage | $21.85 | ↑ +10% |
| Molina | Medicare Advantage | $21.85 | ↑ +10% |
| Superior Wellcare | Medicare Advantage HMO | $21.85 | ↑ +10% |
| Superior Wellcare | Medicare Advantage MMP | $22.89 | ↑ +16% |
| PHCS | PPO | $22.94 | ↑ +16% |
| United Healthcare | Medicare Advantage PPO | $23.10 | ↑ +17% |
| Aetna | ASA | $23.13 | ↑ +17% |
| Aetna | Coventry | $23.13 | ↑ +17% |
| United Healthcare | Medicare Advantage HMO | $23.52 | ↑ +19% |
| Healthsmart | Commercial | $24.75 | ↑ +25% |
| Multiplan | Commercial | $28.71 | ↑ +45% |
| Blue Cross Blue Shield | Exchange | $28.93 | ↑ +46% |
| Galaxy | Commercial | $29.04 | ↑ +47% |
| USA | MCO | $29.04 | ↑ +47% |
| Cigna | Indemnity | $31.05 | ↑ +57% |
| Blue Cross Blue Shield | HMO | $41.20 | ↑ +108% |
| Blue Cross Blue Shield | PPO | $45.78 | ↑ +131% |
| Aetna | Whole Health | $69.37 | ↑ +250% |
| Cigna | PPO | $85.69 | ↑ +333% |
| Cigna | OAP/HMO | $85.69 | ↑ +333% |
| Aetna | Commercial | $92.49 | ↑ +367% |
| Blue Cross Blue Shield | Traditional | $121.97 | ↑ +516% |
Visitor-reported prices
Comments
Immunoassay tumor antigen quantitative ca 19-9 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $166.57 | $10.00 – $208.22 |
| Texas Health Presbyterian Hospital Plano | Plano | $168.90 | $17.48 – $85.69 |
| Adventhealth Rollins Brook | Lampasas | $301.14 | $18.73 – $80.12 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $166.57 | $10.00 – $208.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $132.86 | $12.00 – $199.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $166.57 | $12.00 – $208.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $166.57 | $10.00 – $208.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $132.86 | $12.00 – $199.30 |