Contrast x-ray of hip at Texas Health Presbyterian Hospital Plano
6200 W Parker Rd, Plano, TX · Texashealth · · NPI 1770514077
$468.00
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.
$780.00
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.
$129.31 with Blue Cross Blue Shield vs $3,013.56 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $129.31 | ↓ -72% |
| Amerigroup | Managed Medicaid | $129.31 | ↓ -72% |
| Parkland | Managed Medicaid | $129.31 | ↓ -72% |
| United Healthcare | Managed Medicaid | $129.31 | ↓ -72% |
| Superior Wellcare | Managed Medicaid | $135.78 | ↓ -71% |
| Molina | Managed Medicaid | $139.65 | ↓ -70% |
| Aetna | Whole Health | $320.27 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $342.65 | ↓ -27% |
| Blue Cross Blue Shield | Medicare Advantage | $350.46 | ↓ -25% |
| American Health | Medicare Advantage | $350.46 | ↓ -25% |
| HealthSpring | Medicare Advantage | $357.47 | ↓ -24% |
| Humana | Medicare Advantage | $364.48 | ↓ -22% |
| City of Fort Worth | Commercial | $366.60 | ↓ -22% |
| Molina | Medicare Advantage | $367.99 | ↓ -21% |
| Amerigroup | Medicare Advantage | $367.99 | ↓ -21% |
| Superior Wellcare | Medicare Advantage HMO | $367.99 | ↓ -21% |
| Superior Wellcare | Medicare Advantage MMP | $385.51 | ↓ -18% |
| United Healthcare | Medicare Advantage PPO | $389.01 | ↓ -17% |
| United Healthcare | Medicare Advantage HMO | $396.02 | ↓ -15% |
| Aetna | Commercial | $427.05 | ↓ -9% |
| Cigna | OAP/HMO | $431.18 | ↓ -8% |
| Quick Trip | Commercial | $468.00 | ↑ +0% |
| PHCS | PPO | $542.10 | ↑ +16% |
| Cigna | PPO | $543.66 | ↑ +16% |
| Aetna | Coventry | $546.78 | ↑ +17% |
| Aetna | ASA | $546.78 | ↑ +17% |
| United Healthcare | All Payer | $551.00 | ↑ +18% |
| Healthsmart | Commercial | $585.00 | ↑ +25% |
| Blue Cross Blue Shield | Exchange | $589.96 | ↑ +26% |
| Multiplan | Commercial | $678.60 | ↑ +45% |
| Galaxy | Commercial | $686.40 | ↑ +47% |
| USA | MCO | $686.40 | ↑ +47% |
| United Healthcare Options | PPO | $722.00 | ↑ +54% |
| Cigna | Indemnity | $733.98 | ↑ +57% |
| Blue Cross Blue Shield | HMO | $1,003.12 | ↑ +114% |
| Blue Cross Blue Shield | PPO | $1,114.62 | ↑ +138% |
| Blue Cross Blue Shield | Traditional | $3,013.56 | ↑ +544% |
Visitor-reported prices
Comments
Contrast x-ray of hip at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $520.38 | $129.31 – $952.69 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $468.00 | $129.31 – $139.65 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $520.38 | $129.31 – $952.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,006.12 | $207.09 – $1,509.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $923.65 | $129.31 – $1,154.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $520.38 | $129.31 – $952.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,006.12 | $138.36 – $1,509.17 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,006.12 | $129.31 – $1,509.17 |