Brace afo spiral prefab at Texas Health Presbyterian Hospital Plano
6200 W Parker Rd, Plano, TX · Texashealth · · NPI 1770514077
$2,443.82
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.
$4,073.02
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.
$406.76 with Amerigroup vs $3,127.10 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $406.76 | ↓ -83% |
| Parkland | Managed Medicaid | $406.76 | ↓ -83% |
| United Healthcare | Managed Medicaid | $406.76 | ↓ -83% |
| Blue Cross Blue Shield | Managed Medicaid | $406.76 | ↓ -83% |
| Superior Wellcare | Managed Medicaid | $427.03 | ↓ -83% |
| Molina | Managed Medicaid | $439.32 | ↓ -82% |
| Blue Cross Blue Shield | Exchange | $1,030.18 | ↓ -58% |
| Blue Cross Blue Shield | Medicare Advantage | $1,037.61 | ↓ -58% |
| American Health | Medicare Advantage | $1,037.61 | ↓ -58% |
| HealthSpring | Medicare Advantage | $1,058.36 | ↓ -57% |
| Humana | Medicare Advantage | $1,079.11 | ↓ -56% |
| Molina | Medicare Advantage | $1,089.49 | ↓ -55% |
| Amerigroup | Medicare Advantage | $1,089.49 | ↓ -55% |
| Superior Wellcare | Medicare Advantage HMO | $1,089.49 | ↓ -55% |
| Superior Wellcare | Medicare Advantage MMP | $1,141.37 | ↓ -53% |
| United Healthcare | Medicare Advantage PPO | $1,151.75 | ↓ -53% |
| United Healthcare | Medicare Advantage HMO | $1,172.50 | ↓ -52% |
| Aetna | Whole Health | $1,364.49 | ↓ -44% |
| Fort Worth Firefighters | Commercial | $1,459.87 | ↓ -40% |
| City of Fort Worth | Commercial | $1,561.89 | ↓ -36% |
| Blue Cross Blue Shield | HMO | $1,661.59 | ↓ -32% |
| Aetna | Commercial | $1,819.44 | ↓ -26% |
| Cigna | OAP/HMO | $1,837.05 | ↓ -25% |
| Blue Cross Blue Shield | Traditional | $1,847.68 | ↓ -24% |
| Blue Cross Blue Shield | PPO | $1,847.68 | ↓ -24% |
| Quick Trip | Commercial | $1,993.90 | ↓ -18% |
| United Healthcare | All Payer | $2,094.59 | ↓ -14% |
| United Healthcare Options | PPO | $2,215.56 | ↓ -9% |
| PHCS | PPO | $2,309.60 | ↓ -5% |
| Cigna | PPO | $2,316.25 | ↓ -5% |
| Aetna | ASA | $2,329.54 | ↓ -5% |
| Aetna | Coventry | $2,329.54 | ↓ -5% |
| Healthsmart | Commercial | $2,492.38 | ↑ +2% |
| Multiplan | Commercial | $2,891.16 | ↑ +18% |
| USA | MCO | $2,924.39 | ↑ +20% |
| Galaxy | Commercial | $2,924.39 | ↑ +20% |
| Cigna | Indemnity | $3,127.10 | ↑ +28% |
Visitor-reported prices
Comments
Brace afo spiral prefab at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $1,313.06 | $262.61 – $1,750.75 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $2,443.82 | not published |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,313.06 | $372.03 – $1,750.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,313.06 | $350.15 – $1,750.75 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,313.06 | $350.15 – $1,750.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $1,313.06 | $328.27 – $1,750.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $1,313.06 | $240.73 – $1,750.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $1,313.06 | $240.73 – $1,750.75 |