Drng of mouth lesion 40801 at Texas Health Presbyterian Hospital Plano
6200 W Parker Rd, Plano, TX · Texashealth · · NPI 1770514077
$1,552.95
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.
$2,588.25
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.
$187.22 with Amerigroup vs $2,435.54 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $187.22 | ↓ -88% |
| Parkland | Managed Medicaid | $187.22 | ↓ -88% |
| United Healthcare | Managed Medicaid | $187.22 | ↓ -88% |
| Blue Cross Blue Shield | Managed Medicaid | $187.22 | ↓ -88% |
| Superior Wellcare | Managed Medicaid | $196.58 | ↓ -87% |
| Molina | Managed Medicaid | $202.20 | ↓ -87% |
| Blue Cross Blue Shield | Medicare Advantage | $541.79 | ↓ -65% |
| American Health | Medicare Advantage | $541.79 | ↓ -65% |
| HealthSpring | Medicare Advantage | $552.62 | ↓ -64% |
| Blue Cross Blue Shield | Exchange | $555.24 | ↓ -64% |
| Humana | Medicare Advantage | $563.46 | ↓ -64% |
| Molina | Medicare Advantage | $568.88 | ↓ -63% |
| Amerigroup | Medicare Advantage | $568.88 | ↓ -63% |
| Superior Wellcare | Medicare Advantage HMO | $568.88 | ↓ -63% |
| Superior Wellcare | Medicare Advantage MMP | $595.96 | ↓ -62% |
| United Healthcare | Medicare Advantage PPO | $601.38 | ↓ -61% |
| United Healthcare | Medicare Advantage HMO | $612.22 | ↓ -61% |
| Fort Worth Firefighters | Commercial | $996.00 | ↓ -36% |
| Blue Cross Blue Shield | HMO | $1,038.04 | ↓ -33% |
| Blue Cross Blue Shield | PPO | $1,153.33 | ↓ -26% |
| City of Fort Worth | Commercial | $1,216.48 | ↓ -22% |
| United Healthcare | All Payer | $1,247.00 | ↓ -20% |
| Aetna | Whole Health | $1,328.03 | ↓ -14% |
| Cigna | OAP/HMO | $1,430.78 | ↓ -8% |
| Quick Trip | Commercial | $1,552.95 | ↑ +0% |
| United Healthcare Options | PPO | $1,568.00 | ↑ +1% |
| Aetna | Commercial | $1,770.62 | ↑ +14% |
| PHCS | PPO | $1,798.83 | ↑ +16% |
| Cigna | PPO | $1,804.01 | ↑ +16% |
| Aetna | ASA | $1,814.36 | ↑ +17% |
| Aetna | Coventry | $1,814.36 | ↑ +17% |
| Healthsmart | Commercial | $1,941.19 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $2,223.31 | ↑ +43% |
| Multiplan | Commercial | $2,251.78 | ↑ +45% |
| USA | MCO | $2,277.66 | ↑ +47% |
| Galaxy | Commercial | $2,277.66 | ↑ +47% |
| Cigna | Indemnity | $2,435.54 | ↑ +57% |
Visitor-reported prices
Comments
Drng of mouth lesion 40801 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $1,746.68 | $187.22 – $2,183.36 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | not published | $187.22 – $202.20 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,746.68 | $187.22 – $2,183.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,562.64 | $71.00 – $2,343.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,350.97 | $71.00 – $1,688.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,746.68 | $187.22 – $2,183.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,562.64 | $85.00 – $2,343.96 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,562.64 | $187.22 – $2,343.96 |