Debridement/bone/20 sq cm or less 11046 at Texas Health Presbyterian Hospital Plano
6200 W Parker Rd, Plano, TX · Texashealth · · NPI 1770514077
$622.05
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.
$1,036.75
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.
$74.00 with American Health vs $975.58 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 | $74.00 | ↓ -88% |
| Blue Cross Blue Shield | Medicare Advantage | $74.00 | ↓ -88% |
| HealthSpring | Medicare Advantage | $75.48 | ↓ -88% |
| Humana | Medicare Advantage | $76.96 | ↓ -88% |
| Molina | Medicare Advantage | $77.70 | ↓ -88% |
| Amerigroup | Medicare Advantage | $77.70 | ↓ -88% |
| Superior Wellcare | Medicare Advantage HMO | $77.70 | ↓ -88% |
| Superior Wellcare | Medicare Advantage MMP | $81.40 | ↓ -87% |
| United Healthcare | Medicare Advantage PPO | $82.14 | ↓ -87% |
| United Healthcare | Medicare Advantage HMO | $83.62 | ↓ -87% |
| Blue Cross Blue Shield | Managed Medicaid | $126.90 | ↓ -80% |
| Parkland | Managed Medicaid | $126.90 | ↓ -80% |
| Amerigroup | Managed Medicaid | $126.90 | ↓ -80% |
| United Healthcare | Managed Medicaid | $126.90 | ↓ -80% |
| Superior Wellcare | Managed Medicaid | $133.22 | ↓ -79% |
| Molina | Managed Medicaid | $137.06 | ↓ -78% |
| Blue Cross Blue Shield | Exchange | $416.77 | ↓ -33% |
| Aetna | Whole Health | $425.69 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $455.44 | ↓ -27% |
| City of Fort Worth | Commercial | $487.27 | ↓ -22% |
| United Healthcare | All Payer | $536.21 | ↓ -14% |
| Aetna | Commercial | $567.62 | ↓ -9% |
| United Healthcare Options | PPO | $568.14 | ↓ -9% |
| Cigna | OAP/HMO | $573.12 | ↓ -8% |
| Quick Trip | Commercial | $622.05 | ↑ +0% |
| Blue Cross Blue Shield | HMO | $658.34 | ↑ +6% |
| PHCS | PPO | $720.54 | ↑ +16% |
| Cigna | PPO | $722.61 | ↑ +16% |
| Aetna | ASA | $726.76 | ↑ +17% |
| Aetna | Coventry | $726.76 | ↑ +17% |
| Blue Cross Blue Shield | PPO | $730.91 | ↑ +18% |
| Healthsmart | Commercial | $777.56 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $890.57 | ↑ +43% |
| Multiplan | Commercial | $901.97 | ↑ +45% |
| Galaxy | Commercial | $912.34 | ↑ +47% |
| USA | MCO | $912.34 | ↑ +47% |
| Cigna | Indemnity | $975.58 | ↑ +57% |
Visitor-reported prices
Comments
Debridement/bone/20 sq cm or less 11046 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $927.37 | $185.47 – $1,313.77 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | not published | not published |
| Adventhealth Rollins Brook | Lampasas | $1,415.06 | $4,826.69 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $927.37 | $262.75 – $1,313.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $800.60 | $71.00 – $1,200.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,173.91 | $71.00 – $1,467.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $927.37 | $247.30 – $1,313.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $800.60 | $85.00 – $1,200.91 |