Esophagosc flex trnsn biopsy at Texas Health Presbyterian Hospital Plano
6200 W Parker Rd, Plano, TX · Texashealth · · NPI 1770514077
not published by hospital
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.
not published by hospital
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.
$119.87 with Parkland vs $3,751.00 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 |
|---|---|---|---|
| Parkland | Managed Medicaid | $119.87 | — |
| United Healthcare | Managed Medicaid | $119.87 | — |
| Blue Cross Blue Shield | Managed Medicaid | $119.87 | — |
| Amerigroup | Managed Medicaid | $119.87 | — |
| Superior Wellcare | Managed Medicaid | $125.86 | — |
| Molina | Managed Medicaid | $129.46 | — |
| Blue Cross Blue Shield | Exchange | $181.46 | — |
| Blue Cross Blue Shield | HMO | $339.25 | — |
| Blue Cross Blue Shield | PPO | $376.92 | — |
| American Health | Medicare Advantage | $911.12 | — |
| Blue Cross Blue Shield | Medicare Advantage | $911.12 | — |
| HealthSpring | Medicare Advantage | $929.34 | — |
| Humana | Medicare Advantage | $947.56 | — |
| Molina | Medicare Advantage | $956.67 | — |
| Amerigroup | Medicare Advantage | $956.67 | — |
| Superior Wellcare | Medicare Advantage HMO | $956.67 | — |
| Superior Wellcare | Medicare Advantage MMP | $1,002.23 | — |
| United Healthcare | Medicare Advantage PPO | $1,011.34 | — |
| United Healthcare | Medicare Advantage HMO | $1,029.56 | — |
| Blue Cross Blue Shield | Traditional | $1,206.27 | — |
| Fort Worth Firefighters | Commercial | $2,319.00 | — |
| United Healthcare | All Payer | $2,923.00 | — |
| United Healthcare Options | PPO | $3,751.00 | — |
Visitor-reported prices
Comments
Esophagosc flex trnsn biopsy at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Center for Diagnostics and Surgery Plano | Plano | not published | $119.87 – $129.46 |
| Houston Methodist The Woodlands Hospital | The Woodlands | $648.00 | $210.77 – $1,822.24 |
| Houston Methodist Cypress Hospital | Cypress | $648.00 | $210.77 – $1,776.68 |
| Houston Methodist Willowbrook Hospital | Houston | $648.00 | $210.77 – $1,776.68 |
| Houston Methodist Continuing Care Hospital | Katy | $648.00 | $3,894.00 – $7,542.00 |
| Houston Methodist Clear Lake Hospital | Nassau Bay | $648.00 | $83.73 – $1,776.68 |
| Houston Methodist Sugar Land Hospital | Sugar Land | $648.00 | $210.77 – $1,776.68 |
| Houston Methodist West Hospital | Houston | $648.00 | $210.77 – $3,644.47 |