Prostate biopsy, any mthd at Texas Health Center for Diagnostics and Surgery Plano
6020 W Parker Road, Plano, TX · Texashealth · · NPI 1316933609
$361.05
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.
$601.75
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.
$86.47 with United Healthcare vs $1,661.07 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $86.47 | ↓ -76% |
| Blue Cross Blue Shield | Managed Medicaid | $86.47 | ↓ -76% |
| Superior Wellcare | Managed Medicaid | $86.47 | ↓ -76% |
| Parkland | Managed Medicaid | $86.47 | ↓ -76% |
| Molina | Managed Medicaid | $86.47 | ↓ -76% |
| Amerigroup | Managed Medicaid | $86.47 | ↓ -76% |
| Aetna | Whole Health | $247.08 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $264.35 | ↓ -27% |
| City of Fort Worth | Commercial | $282.82 | ↓ -22% |
| United Healthcare | All Payer | $283.41 | ↓ -22% |
| United Healthcare Options | PPO | $283.41 | ↓ -22% |
| Aetna | Commercial | $329.46 | ↓ -9% |
| Cigna | OAP/HMO | $332.65 | ↓ -8% |
| Blue Cross Blue Shield | Medicare Advantage | $345.95 | ↓ -4% |
| American Health | Medicare Advantage | $345.95 | ↓ -4% |
| HealthSpring | Medicare Advantage | $352.87 | ↓ -2% |
| Humana | Medicare Advantage | $359.79 | ↓ -0% |
| Quick Trip | Commercial | $361.05 | ↑ +0% |
| Amerigroup | Medicare Advantage | $363.25 | ↑ +1% |
| Superior Wellcare | Medicare Advantage HMO | $363.25 | ↑ +1% |
| Molina | Medicare Advantage | $363.25 | ↑ +1% |
| Superior Wellcare | Medicare Advantage MMP | $380.54 | ↑ +5% |
| United Healthcare | Medicare Advantage PPO | $384.00 | ↑ +6% |
| United Healthcare | Medicare Advantage HMO | $390.92 | ↑ +8% |
| Blue Cross Blue Shield | Exchange | $393.94 | ↑ +9% |
| PHCS | PPO | $418.22 | ↑ +16% |
| Cigna | PPO | $419.42 | ↑ +16% |
| Aetna | Coventry | $421.83 | ↑ +17% |
| Aetna | ASA | $421.83 | ↑ +17% |
| Healthsmart | Commercial | $451.31 | ↑ +25% |
| Multiplan | Commercial | $523.52 | ↑ +45% |
| Galaxy | Commercial | $529.54 | ↑ +47% |
| USA | MCO | $529.54 | ↑ +47% |
| Blue Cross Blue Shield | HMO | $561.15 | ↑ +55% |
| Cigna | Indemnity | $566.25 | ↑ +57% |
| Blue Cross Blue Shield | PPO | $623.50 | ↑ +73% |
| Blue Cross Blue Shield | Traditional | $1,661.07 | ↑ +360% |
Visitor-reported prices
Comments
Prostate biopsy, any mthd at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $614.11 | $35.00 – $890.45 |
| Texas Health Presbyterian Hospital Plano | Plano | $361.05 | $283.41 – $315.15 |
| Adventhealth Rollins Brook | Lampasas | $920.58 | $1,091.13 – $1,091.13 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $614.11 | $35.00 – $890.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $444.48 | $36.00 – $890.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $586.20 | $36.00 – $890.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $614.11 | $35.00 – $890.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $444.48 | $36.00 – $890.45 |