Complx repair trunk 1.1-2.5 cm 13100 at Texas Health Presbyterian Hospital Plano
6200 W Parker Rd, Plano, TX · Texashealth · · NPI 1770514077
$423.45
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.
$705.75
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.
$216.80 with United Healthcare vs $1,568.00 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $216.80 | ↓ -49% |
| Parkland | Managed Medicaid | $216.80 | ↓ -49% |
| Blue Cross Blue Shield | Managed Medicaid | $216.80 | ↓ -49% |
| Amerigroup | Managed Medicaid | $216.80 | ↓ -49% |
| Superior Wellcare | Managed Medicaid | $227.64 | ↓ -46% |
| Molina | Managed Medicaid | $234.14 | ↓ -45% |
| Blue Cross Blue Shield | Exchange | $283.71 | ↓ -33% |
| City of Fort Worth | Commercial | $331.70 | ↓ -22% |
| Aetna | Whole Health | $362.12 | ↓ -14% |
| Fort Worth Firefighters | Commercial | $368.68 | ↓ -13% |
| Cigna | OAP/HMO | $390.14 | ↓ -8% |
| Quick Trip | Commercial | $423.45 | ↑ +0% |
| Blue Cross Blue Shield | HMO | $448.15 | ↑ +6% |
| Aetna | Commercial | $482.80 | ↑ +14% |
| PHCS | PPO | $490.50 | ↑ +16% |
| Cigna | PPO | $491.91 | ↑ +16% |
| Aetna | Coventry | $494.73 | ↑ +17% |
| Aetna | ASA | $494.73 | ↑ +17% |
| Blue Cross Blue Shield | PPO | $497.55 | ↑ +17% |
| Healthsmart | Commercial | $529.31 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $606.24 | ↑ +43% |
| Multiplan | Commercial | $614.00 | ↑ +45% |
| USA | MCO | $621.06 | ↑ +47% |
| Galaxy | Commercial | $621.06 | ↑ +47% |
| Cigna | Indemnity | $664.11 | ↑ +57% |
| Blue Cross Blue Shield | Medicare Advantage | $742.44 | ↑ +75% |
| American Health | Medicare Advantage | $742.44 | ↑ +75% |
| HealthSpring | Medicare Advantage | $757.29 | ↑ +79% |
| Humana | Medicare Advantage | $772.14 | ↑ +82% |
| Molina | Medicare Advantage | $779.56 | ↑ +84% |
| Amerigroup | Medicare Advantage | $779.56 | ↑ +84% |
| Superior Wellcare | Medicare Advantage HMO | $779.56 | ↑ +84% |
| Superior Wellcare | Medicare Advantage MMP | $816.68 | ↑ +93% |
| United Healthcare | Medicare Advantage PPO | $824.11 | ↑ +95% |
| United Healthcare | Medicare Advantage HMO | $838.96 | ↑ +98% |
| United Healthcare | All Payer | $1,247.00 | ↑ +194% |
| United Healthcare Options | PPO | $1,568.00 | ↑ +270% |
Visitor-reported prices
Comments
Complx repair trunk 1.1-2.5 cm 13100 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $1,427.85 | $216.80 – $1,784.81 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | not published | $216.80 – $234.14 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,427.85 | $216.80 – $1,784.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,786.43 | $71.00 – $2,679.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,594.51 | $71.00 – $1,993.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,427.85 | $216.80 – $1,784.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,786.43 | $85.00 – $2,679.65 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,786.43 | $216.80 – $2,679.65 |