Bronchial valve init insert at Texas Health Presbyterian Hospital Plano
6200 W Parker Rd, Plano, TX · Texashealth · · NPI 1770514077
$5,165.70
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.
$8,609.50
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.
$2,295.85 with Parkland vs $45,459.65 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 |
|---|---|---|---|
| Parkland | Managed Medicaid | $2,295.85 | ↓ -56% |
| Blue Cross Blue Shield | Managed Medicaid | $2,295.85 | ↓ -56% |
| Amerigroup | Managed Medicaid | $2,295.85 | ↓ -56% |
| United Healthcare | Managed Medicaid | $2,295.85 | ↓ -56% |
| Superior Wellcare | Managed Medicaid | $2,410.64 | ↓ -53% |
| Molina | Managed Medicaid | $2,479.52 | ↓ -52% |
| Aetna | Whole Health | $3,324.99 | ↓ -36% |
| City of Fort Worth | Commercial | $4,046.47 | ↓ -22% |
| Aetna | Commercial | $4,433.89 | ↓ -14% |
| Cigna | OAP/HMO | $4,759.33 | ↓ -8% |
| Quick Trip | Commercial | $5,165.70 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $5,256.10 | ↑ +2% |
| PHCS | PPO | $5,983.60 | ↑ +16% |
| Cigna | PPO | $6,000.82 | ↑ +16% |
| Aetna | ASA | $6,035.26 | ↑ +17% |
| Aetna | Coventry | $6,035.26 | ↑ +17% |
| Healthsmart | Commercial | $6,457.13 | ↑ +25% |
| Blue Cross Blue Shield | Exchange | $6,838.53 | ↑ +32% |
| Blue Cross Blue Shield | Medicare Advantage | $7,089.62 | ↑ +37% |
| American Health | Medicare Advantage | $7,089.62 | ↑ +37% |
| HealthSpring | Medicare Advantage | $7,231.41 | ↑ +40% |
| Humana | Medicare Advantage | $7,373.20 | ↑ +43% |
| Molina | Medicare Advantage | $7,444.10 | ↑ +44% |
| Amerigroup | Medicare Advantage | $7,444.10 | ↑ +44% |
| Superior Wellcare | Medicare Advantage HMO | $7,444.10 | ↑ +44% |
| Multiplan | Commercial | $7,490.27 | ↑ +45% |
| Galaxy | Commercial | $7,576.36 | ↑ +47% |
| USA | MCO | $7,576.36 | ↑ +47% |
| Superior Wellcare | Medicare Advantage MMP | $7,798.58 | ↑ +51% |
| United Healthcare | Medicare Advantage PPO | $7,869.48 | ↑ +52% |
| United Healthcare | Medicare Advantage HMO | $8,011.27 | ↑ +55% |
| Cigna | Indemnity | $8,101.54 | ↑ +57% |
| United Healthcare | All Payer | $9,560.00 | ↑ +85% |
| United Healthcare Options | PPO | $12,345.00 | ↑ +139% |
| Blue Cross Blue Shield | HMO | $12,784.85 | ↑ +147% |
| Blue Cross Blue Shield | PPO | $14,204.78 | ↑ +175% |
| Blue Cross Blue Shield | Traditional | $45,459.65 | ↑ +780% |
Visitor-reported prices
Comments
Bronchial valve init insert at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Center for Diagnostics and Surgery Plano | Plano | not published | $2,295.85 – $2,479.52 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $5,165.70 | $2,295.85 – $2,479.52 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth | $5,165.70 | $2,295.85 – $2,525.44 |
| Adventhealth Rollins Brook | Lampasas | not published | $6,800.45 – $8,715.36 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | not published | $2,295.85 – $16,955.09 |
| CHRISTUS Children's Hospital | San Antonio | not published | $2,295.85 – $4,415.00 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $2,249.93 – $8,704.58 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $2,463.53 – $11,152.74 |