ER Visit (level 1, minor) at Texas Health Presbyterian Hospital Plano
6200 W Parker Rd, Plano, TX · Texashealth · · NPI 1770514077
$184.50
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.
$307.50
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.
$37.64 with Blue Cross Blue Shield vs $1,564.00 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 | $37.64 | ↓ -80% |
| Amerigroup | Managed Medicaid | $37.64 | ↓ -80% |
| Parkland | Managed Medicaid | $37.64 | ↓ -80% |
| United Healthcare | Managed Medicaid | $37.64 | ↓ -80% |
| Superior Wellcare | Managed Medicaid | $39.51 | ↓ -79% |
| Molina | Managed Medicaid | $40.65 | ↓ -78% |
| American Health | Medicare Advantage | $84.71 | ↓ -54% |
| Blue Cross Blue Shield | Medicare Advantage | $84.71 | ↓ -54% |
| HealthSpring | Medicare Advantage | $86.40 | ↓ -53% |
| Humana | Medicare Advantage | $88.10 | ↓ -52% |
| Molina | Medicare Advantage | $88.94 | ↓ -52% |
| Superior Wellcare | Medicare Advantage HMO | $88.94 | ↓ -52% |
| Amerigroup | Medicare Advantage | $88.94 | ↓ -52% |
| Superior Wellcare | Medicare Advantage MMP | $93.18 | ↓ -49% |
| United Healthcare | Medicare Advantage PPO | $94.03 | ↓ -49% |
| United Healthcare | Medicare Advantage HMO | $95.72 | ↓ -48% |
| City of Fort Worth | Commercial | $144.53 | ↓ -22% |
| Aetna | Whole Health | $157.78 | ↓ -14% |
| Fort Worth Firefighters | Commercial | $160.64 | ↓ -13% |
| Cigna | OAP/HMO | $169.99 | ↓ -8% |
| Quick Trip | Commercial | $184.50 | ↑ +0% |
| Aetna | Commercial | $210.36 | ↑ +14% |
| PHCS | PPO | $213.71 | ↑ +16% |
| Cigna | PPO | $214.33 | ↑ +16% |
| Aetna | ASA | $215.56 | ↑ +17% |
| Aetna | Coventry | $215.56 | ↑ +17% |
| Healthsmart | Commercial | $230.63 | ↑ +25% |
| Multiplan | Commercial | $267.53 | ↑ +45% |
| Galaxy | Commercial | $270.60 | ↑ +47% |
| USA | MCO | $270.60 | ↑ +47% |
| Cigna | Indemnity | $289.36 | ↑ +57% |
| Blue Cross Blue Shield | Exchange | $791.00 | ↑ +329% |
| United Healthcare | All Payer | $1,060.00 | ↑ +475% |
| Blue Cross Blue Shield | HMO | $1,408.00 | ↑ +663% |
| United Healthcare Options | PPO | $1,416.00 | ↑ +667% |
| Blue Cross Blue Shield | Traditional | $1,552.00 | ↑ +741% |
| Blue Cross Blue Shield | PPO | $1,564.00 | ↑ +748% |
Visitor-reported prices
Comments
ER Visit (level 1, minor) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $286.94 | $57.39 – $600.00 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $184.50 | not published |
| Adventhealth Rollins Brook | Lampasas | $409.49 | $268.04 – $268.04 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $286.94 | $80.47 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $312.33 | $64.29 – $859.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $333.31 | $66.66 – $859.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $286.94 | $76.52 – $859.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $312.33 | $80.47 – $859.00 |