Sgmdsc w/band ligation 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.
$429.26 with Amerigroup vs $8,391.26 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 | $429.26 | — |
| Parkland | Managed Medicaid | $429.26 | — |
| United Healthcare | Managed Medicaid | $429.26 | — |
| Blue Cross Blue Shield | Managed Medicaid | $429.26 | — |
| Superior Wellcare | Managed Medicaid | $450.72 | — |
| Molina | Managed Medicaid | $463.60 | — |
| Blue Cross Blue Shield | Medicare Advantage | $1,133.94 | — |
| American Health | Medicare Advantage | $1,133.94 | — |
| Blue Cross Blue Shield | Exchange | $1,154.85 | — |
| HealthSpring | Medicare Advantage | $1,156.62 | — |
| Humana | Medicare Advantage | $1,179.30 | — |
| Amerigroup | Medicare Advantage | $1,190.64 | — |
| Molina | Medicare Advantage | $1,190.64 | — |
| Superior Wellcare | Medicare Advantage HMO | $1,190.64 | — |
| Superior Wellcare | Medicare Advantage MMP | $1,247.34 | — |
| United Healthcare | Medicare Advantage PPO | $1,258.68 | — |
| United Healthcare | Medicare Advantage HMO | $1,281.36 | — |
| Fort Worth Firefighters | Commercial | $2,319.00 | — |
| Blue Cross Blue Shield | HMO | $2,359.92 | — |
| Blue Cross Blue Shield | PPO | $2,622.02 | — |
| United Healthcare | All Payer | $2,923.00 | — |
| United Healthcare Options | PPO | $3,751.00 | — |
| Blue Cross Blue Shield | Traditional | $8,391.26 | — |
Visitor-reported prices
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Sgmdsc w/band ligation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Plano | Plano | $748.50 | $429.26 – $463.60 |
| Texas Health Presbyterian Hospital Allen | Allen | $748.50 | $429.26 – $463.60 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $748.50 | $429.26 – $472.19 |
| Texas Health Presbyterian Hospital Denton | Denton | $748.50 | $429.26 – $472.19 |
| Texas Health Harris Methodist Hospital Azle | Azle | $748.50 | $429.26 – $472.19 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $748.50 | $429.26 – $463.60 |
| Texas Health Hospital Frisco | Frisco | $748.50 | $429.26 – $463.60 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth | $748.50 | $429.26 – $472.19 |