Verteporfin injection at Texas Health Center for Diagnostics and Surgery Plano
6020 W Parker Road, Plano, TX · Texashealth · · NPI 1316933609
$3,385.23
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.
?
What you pay up front if you don't use insurance.
$5,642.04
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.
?
The hospital's undiscounted list price — almost no one pays this.
$11.54 with American Health vs $5,309.16 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| American Health | Medicare Advantage | $11.54 | ↓ -100% |
| Blue Cross Blue Shield | Medicare Advantage | $11.54 | ↓ -100% |
| HealthSpring | Medicare Advantage | $11.77 | ↓ -100% |
| Humana | Medicare Advantage | $12.00 | ↓ -100% |
| Molina | Medicare Advantage | $12.11 | ↓ -100% |
| Amerigroup | Medicare Advantage | $12.11 | ↓ -100% |
| Superior Wellcare | Medicare Advantage HMO | $12.11 | ↓ -100% |
| Superior Wellcare | Medicare Advantage MMP | $12.69 | ↓ -100% |
| United Healthcare | Medicare Advantage PPO | $12.81 | ↓ -100% |
| United Healthcare | Medicare Advantage HMO | $13.04 | ↓ -100% |
| Blue Cross Blue Shield | HMO | $23.12 | ↓ -99% |
| Blue Cross Blue Shield | Exchange | $23.71 | ↓ -99% |
| Blue Cross Blue Shield | PPO | $25.70 | ↓ -99% |
| United Healthcare Options | PPO | $44.14 | ↓ -99% |
| United Healthcare | All Payer | $44.14 | ↓ -99% |
| Blue Cross Blue Shield | Traditional | $105.13 | ↓ -97% |
| Blue Cross Blue Shield | Managed Medicaid | $810.76 | ↓ -76% |
| Parkland | Managed Medicaid | $810.76 | ↓ -76% |
| United Healthcare | Managed Medicaid | $810.76 | ↓ -76% |
| Molina | Managed Medicaid | $810.76 | ↓ -76% |
| Superior Wellcare | Managed Medicaid | $810.76 | ↓ -76% |
| Amerigroup | Managed Medicaid | $810.76 | ↓ -76% |
| Aetna | Whole Health | $1,951.02 | ↓ -42% |
| Fort Worth Firefighters | Commercial | $2,478.55 | ↓ -27% |
| Aetna | Commercial | $2,600.98 | ↓ -23% |
| City of Fort Worth | Commercial | $2,651.76 | ↓ -22% |
| Cigna | OAP/HMO | $3,118.92 | ↓ -8% |
| Quick Trip | Commercial | $3,385.22 | ↓ -0% |
| PHCS | PPO | $3,921.22 | ↑ +16% |
| Cigna | PPO | $3,932.50 | ↑ +16% |
| Aetna | Coventry | $3,955.07 | ↑ +17% |
| Aetna | ASA | $3,955.07 | ↑ +17% |
| Healthsmart | Commercial | $4,231.53 | ↑ +25% |
| Multiplan | Commercial | $4,908.57 | ↑ +45% |
| Galaxy | Commercial | $4,965.00 | ↑ +47% |
| USA | MCO | $4,965.00 | ↑ +47% |
| Cigna | Indemnity | $5,309.16 | ↑ +57% |
Visitor-reported prices
Comments
Verteporfin injection at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $3,077.48 | $10.53 – $3,846.85 |
| Texas Health Presbyterian Hospital Plano | Plano | $3,385.23 | $14.73 – $44.14 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,077.48 | $10.53 – $3,846.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,077.48 | $10.69 – $4,616.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,077.48 | $10.69 – $3,846.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,077.48 | $10.53 – $3,846.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,077.48 | $10.69 – $4,616.22 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,077.48 | $12.73 – $4,616.22 |