Abdominal CT scan (with contrast) at Texas Health Presbyterian Hospital Plano
6200 W Parker Rd, Plano, TX · Texashealth · · NPI 1770514077
$2,612.85
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.
$4,354.75
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.
$175.06 with Blue Cross Blue Shield vs $4,097.82 with Cigna — 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $175.06 | ↓ -93% |
| Amerigroup | Managed Medicaid | $175.06 | ↓ -93% |
| Parkland | Managed Medicaid | $175.06 | ↓ -93% |
| United Healthcare | Managed Medicaid | $175.06 | ↓ -93% |
| Blue Cross Blue Shield | Medicare Advantage | $176.20 | ↓ -93% |
| American Health | Medicare Advantage | $176.20 | ↓ -93% |
| HealthSpring | Medicare Advantage | $179.72 | ↓ -93% |
| Humana | Medicare Advantage | $183.25 | ↓ -93% |
| Superior Wellcare | Managed Medicaid | $183.81 | ↓ -93% |
| Molina | Medicare Advantage | $185.01 | ↓ -93% |
| Amerigroup | Medicare Advantage | $185.01 | ↓ -93% |
| Superior Wellcare | Medicare Advantage HMO | $185.01 | ↓ -93% |
| Molina | Managed Medicaid | $189.06 | ↓ -93% |
| Superior Wellcare | Medicare Advantage MMP | $193.82 | ↓ -93% |
| United Healthcare | Medicare Advantage PPO | $195.58 | ↓ -93% |
| United Healthcare | Medicare Advantage HMO | $199.11 | ↓ -92% |
| Blue Cross Blue Shield | Exchange | $505.48 | ↓ -81% |
| Blue Cross Blue Shield | HMO | $614.99 | ↓ -76% |
| Blue Cross Blue Shield | PPO | $683.33 | ↓ -74% |
| Aetna | Whole Health | $916.50 | ↓ -65% |
| Fort Worth Firefighters | Commercial | $963.00 | ↓ -63% |
| United Healthcare | All Payer | $1,115.00 | ↓ -57% |
| Aetna | Commercial | $1,222.00 | ↓ -53% |
| Blue Cross Blue Shield | Traditional | $1,291.76 | ↓ -51% |
| United Healthcare Options | PPO | $1,458.00 | ↓ -44% |
| Cigna | OAP/HMO | $1,792.00 | ↓ -31% |
| City of Fort Worth | Commercial | $2,046.73 | ↓ -22% |
| Cigna | PPO | $2,053.00 | ↓ -21% |
| Quick Trip | Commercial | $2,612.85 | ↑ +0% |
| PHCS | PPO | $3,026.55 | ↑ +16% |
| Aetna | Coventry | $3,052.68 | ↑ +17% |
| Aetna | ASA | $3,052.68 | ↑ +17% |
| Healthsmart | Commercial | $3,266.06 | ↑ +25% |
| Multiplan | Commercial | $3,788.63 | ↑ +45% |
| USA | MCO | $3,832.18 | ↑ +47% |
| Galaxy | Commercial | $3,832.18 | ↑ +47% |
| Cigna | Indemnity | $4,097.82 | ↑ +57% |
Visitor-reported prices
Comments
Abdominal CT scan (with contrast) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $3,061.80 | $167.39 – $3,827.25 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $2,612.85 | $175.06 – $189.06 |
| Adventhealth Rollins Brook | Lampasas | $4,701.85 | $849.15 – $849.15 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,061.80 | $167.39 – $3,827.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,153.60 | $236.02 – $3,230.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,670.05 | $167.39 – $3,337.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,061.80 | $167.39 – $3,827.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,153.60 | $167.39 – $3,230.40 |