Chemo adm cns w/lmbr punct at Texas Health Presbyterian Hospital Plano
6200 W Parker Rd, Plano, TX · Texashealth · · NPI 1770514077
$270.15
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.
$450.25
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.
$55.11 with Amerigroup vs $904.00 with United Healthcare Options — 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 | $55.11 | ↓ -80% |
| United Healthcare | Managed Medicaid | $55.11 | ↓ -80% |
| Parkland | Managed Medicaid | $55.11 | ↓ -80% |
| Blue Cross Blue Shield | Managed Medicaid | $55.11 | ↓ -80% |
| Superior Wellcare | Managed Medicaid | $57.86 | ↓ -79% |
| Molina | Managed Medicaid | $59.52 | ↓ -78% |
| Blue Cross Blue Shield | Exchange | $99.56 | ↓ -63% |
| Aetna | Whole Health | $191.22 | ↓ -29% |
| Fort Worth Firefighters | Commercial | $197.79 | ↓ -27% |
| Blue Cross Blue Shield | HMO | $205.26 | ↓ -24% |
| City of Fort Worth | Commercial | $211.62 | ↓ -22% |
| Blue Cross Blue Shield | PPO | $228.09 | ↓ -16% |
| Aetna | Commercial | $246.51 | ↓ -9% |
| Cigna | OAP/HMO | $248.90 | ↓ -8% |
| Quick Trip | Commercial | $270.15 | ↑ +0% |
| PHCS | PPO | $312.92 | ↑ +16% |
| Cigna | PPO | $313.82 | ↑ +16% |
| Aetna | ASA | $315.63 | ↑ +17% |
| Aetna | Coventry | $315.63 | ↑ +17% |
| American Health | Medicare Advantage | $331.81 | ↑ +23% |
| Blue Cross Blue Shield | Medicare Advantage | $331.81 | ↑ +23% |
| Healthsmart | Commercial | $337.69 | ↑ +25% |
| HealthSpring | Medicare Advantage | $338.45 | ↑ +25% |
| Humana | Medicare Advantage | $345.08 | ↑ +28% |
| Molina | Medicare Advantage | $348.40 | ↑ +29% |
| Amerigroup | Medicare Advantage | $348.40 | ↑ +29% |
| Superior Wellcare | Medicare Advantage HMO | $348.40 | ↑ +29% |
| Superior Wellcare | Medicare Advantage MMP | $364.99 | ↑ +35% |
| United Healthcare | Medicare Advantage PPO | $368.31 | ↑ +36% |
| United Healthcare | Medicare Advantage HMO | $374.95 | ↑ +39% |
| Multiplan | Commercial | $391.72 | ↑ +45% |
| Galaxy | Commercial | $396.22 | ↑ +47% |
| USA | MCO | $396.22 | ↑ +47% |
| Cigna | Indemnity | $423.69 | ↑ +57% |
| United Healthcare | All Payer | $565.00 | ↑ +109% |
| Blue Cross Blue Shield | Traditional | $604.66 | ↑ +124% |
| United Healthcare Options | PPO | $904.00 | ↑ +235% |
Visitor-reported prices
Comments
Chemo adm cns w/lmbr punct at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $1,049.93 | $209.99 – $1,312.41 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,049.93 | $251.16 – $1,312.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,085.14 | $223.36 – $1,627.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $638.12 | $127.62 – $838.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,049.93 | $191.44 – $1,312.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,085.14 | $301.88 – $1,627.71 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,085.14 | $560.66 – $1,627.71 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $638.12 | $212.71 – $957.19 |