Emg 2 ext w-w/o paraspinal area 95861 at Texas Health Presbyterian Hospital Plano
6200 W Parker Rd, Plano, TX · Texashealth · · NPI 1770514077
$508.20
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.
?
What you pay up front if you don't use insurance.
$847.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$103.67 with Amerigroup vs $1,021.00 with United Healthcare Options — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $103.67 | ↓ -80% |
| Parkland | Managed Medicaid | $103.67 | ↓ -80% |
| United Healthcare | Managed Medicaid | $103.67 | ↓ -80% |
| Blue Cross Blue Shield | Managed Medicaid | $103.67 | ↓ -80% |
| Superior Wellcare | Managed Medicaid | $108.84 | ↓ -79% |
| Molina | Managed Medicaid | $111.97 | ↓ -78% |
| Blue Cross Blue Shield | Exchange | $132.69 | ↓ -74% |
| Blue Cross Blue Shield | Medicare Advantage | $133.65 | ↓ -74% |
| American Health | Medicare Advantage | $133.65 | ↓ -74% |
| HealthSpring | Medicare Advantage | $136.33 | ↓ -73% |
| Humana | Medicare Advantage | $139.00 | ↓ -73% |
| Molina | Medicare Advantage | $140.34 | ↓ -72% |
| Amerigroup | Medicare Advantage | $140.34 | ↓ -72% |
| Superior Wellcare | Medicare Advantage HMO | $140.34 | ↓ -72% |
| Superior Wellcare | Medicare Advantage MMP | $147.02 | ↓ -71% |
| United Healthcare | Medicare Advantage PPO | $148.36 | ↓ -71% |
| United Healthcare | Medicare Advantage HMO | $151.03 | ↓ -70% |
| Blue Cross Blue Shield | HMO | $273.56 | ↓ -46% |
| Blue Cross Blue Shield | PPO | $303.98 | ↓ -40% |
| Aetna | Whole Health | $347.78 | ↓ -32% |
| City of Fort Worth | Commercial | $398.09 | ↓ -22% |
| Aetna | Commercial | $463.73 | ↓ -9% |
| Cigna | OAP/HMO | $468.22 | ↓ -8% |
| Fort Worth Firefighters | Commercial | $496.00 | ↓ -2% |
| Quick Trip | Commercial | $508.20 | ↑ +0% |
| PHCS | PPO | $588.67 | ↑ +16% |
| Cigna | PPO | $590.36 | ↑ +16% |
| Aetna | Coventry | $593.75 | ↑ +17% |
| Aetna | ASA | $593.75 | ↑ +17% |
| Healthsmart | Commercial | $635.25 | ↑ +25% |
| Multiplan | Commercial | $736.89 | ↑ +45% |
| USA | MCO | $745.36 | ↑ +47% |
| Galaxy | Commercial | $745.36 | ↑ +47% |
| United Healthcare | All Payer | $767.00 | ↑ +51% |
| Cigna | Indemnity | $797.03 | ↑ +57% |
| Blue Cross Blue Shield | Traditional | $805.84 | ↑ +59% |
| United Healthcare Options | PPO | $1,021.00 | ↑ +101% |
Visitor-reported prices
Comments
Emg 2 ext w-w/o paraspinal area 95861 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $651.34 | $126.97 – $814.17 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $508.20 | $159.95 – $159.95 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $651.34 | $126.97 – $814.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $649.80 | $133.75 – $974.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $497.74 | $99.55 – $622.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $651.34 | $126.97 – $814.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $649.80 | $126.97 – $974.70 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $649.80 | $316.45 – $974.70 |