Closure paravalvlr leak pq at Texas Health Presbyterian Hospital Plano
6200 W Parker Rd, Plano, TX · Texashealth · · NPI 1770514077
$5,115.45
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.
$8,525.75
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.
$630.16 with American Health vs $8,022.73 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 |
|---|---|---|---|
| American Health | Medicare Advantage | $630.16 | ↓ -88% |
| Blue Cross Blue Shield | Medicare Advantage | $630.16 | ↓ -88% |
| HealthSpring | Medicare Advantage | $642.76 | ↓ -87% |
| Humana | Medicare Advantage | $655.37 | ↓ -87% |
| Molina | Medicare Advantage | $661.67 | ↓ -87% |
| Amerigroup | Medicare Advantage | $661.67 | ↓ -87% |
| Superior Wellcare | Medicare Advantage HMO | $661.67 | ↓ -87% |
| Superior Wellcare | Medicare Advantage MMP | $693.18 | ↓ -86% |
| United Healthcare | Medicare Advantage PPO | $699.48 | ↓ -86% |
| United Healthcare | Medicare Advantage HMO | $712.08 | ↓ -86% |
| Blue Cross Blue Shield | Exchange | $792.55 | ↓ -85% |
| Amerigroup | Managed Medicaid | $1,043.55 | ↓ -80% |
| Parkland | Managed Medicaid | $1,043.55 | ↓ -80% |
| United Healthcare | Managed Medicaid | $1,043.55 | ↓ -80% |
| Blue Cross Blue Shield | Managed Medicaid | $1,043.55 | ↓ -80% |
| Superior Wellcare | Managed Medicaid | $1,095.56 | ↓ -79% |
| Molina | Managed Medicaid | $1,127.10 | ↓ -78% |
| Blue Cross Blue Shield | HMO | $1,481.70 | ↓ -71% |
| Blue Cross Blue Shield | PPO | $1,646.26 | ↓ -68% |
| Fort Worth Firefighters | Commercial | $1,901.00 | ↓ -63% |
| United Healthcare | All Payer | $2,380.00 | ↓ -53% |
| United Healthcare Options | PPO | $3,076.00 | ↓ -40% |
| Aetna | Whole Health | $3,359.15 | ↓ -34% |
| City of Fort Worth | Commercial | $4,007.10 | ↓ -22% |
| Aetna | Commercial | $4,478.58 | ↓ -12% |
| Cigna | OAP/HMO | $4,713.03 | ↓ -8% |
| Quick Trip | Commercial | $5,115.45 | ↑ +0% |
| Blue Cross Blue Shield | Traditional | $5,268.54 | ↑ +3% |
| PHCS | PPO | $5,925.40 | ↑ +16% |
| Cigna | PPO | $5,942.45 | ↑ +16% |
| Aetna | Coventry | $5,976.55 | ↑ +17% |
| Aetna | ASA | $5,976.55 | ↑ +17% |
| Healthsmart | Commercial | $6,394.31 | ↑ +25% |
| Multiplan | Commercial | $7,417.40 | ↑ +45% |
| Galaxy | Commercial | $7,502.66 | ↑ +47% |
| USA | MCO | $7,502.66 | ↑ +47% |
| Cigna | Indemnity | $8,022.73 | ↑ +57% |
Visitor-reported prices
Comments
Closure paravalvlr leak pq at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $54,125.45 | $320.18 – $1,556.23 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $54,125.45 | $320.18 – $1,556.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $41,077.77 | $71.00 – $1,556.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $45,364.64 | $71.00 – $1,556.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $54,125.45 | $320.18 – $1,556.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $41,077.77 | $85.00 – $1,556.23 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $41,077.77 | $640.35 – $1,556.23 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $45,364.64 | $71.00 – $1,556.23 |