Exc ben+marg excep skin tag tal 0.6-1cm 11401 at Texas Health Presbyterian Hospital Plano
6200 W Parker Rd, Plano, TX · Texashealth · · NPI 1770514077
$449.25
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.
$748.75
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.
$89.14 with Amerigroup vs $677.28 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 | $89.14 | ↓ -80% |
| United Healthcare | Managed Medicaid | $89.14 | ↓ -80% |
| Blue Cross Blue Shield | Managed Medicaid | $89.14 | ↓ -80% |
| Parkland | Managed Medicaid | $89.14 | ↓ -80% |
| Superior Wellcare | Managed Medicaid | $93.60 | ↓ -79% |
| Molina | Managed Medicaid | $96.27 | ↓ -79% |
| Blue Cross Blue Shield | Exchange | $132.46 | ↓ -71% |
| Blue Cross Blue Shield | HMO | $247.64 | ↓ -45% |
| Blue Cross Blue Shield | PPO | $275.15 | ↓ -39% |
| Aetna | Whole Health | $295.53 | ↓ -34% |
| Fort Worth Firefighters | Commercial | $316.19 | ↓ -30% |
| City of Fort Worth | Commercial | $338.28 | ↓ -25% |
| United Healthcare | All Payer | $372.25 | ↓ -17% |
| Aetna | Commercial | $394.06 | ↓ -12% |
| United Healthcare Options | PPO | $394.42 | ↓ -12% |
| Cigna | OAP/HMO | $397.88 | ↓ -11% |
| Blue Cross Blue Shield | Medicare Advantage | $408.37 | ↓ -9% |
| American Health | Medicare Advantage | $408.37 | ↓ -9% |
| HealthSpring | Medicare Advantage | $416.53 | ↓ -7% |
| Humana | Medicare Advantage | $424.70 | ↓ -5% |
| Superior Wellcare | Medicare Advantage HMO | $428.79 | ↓ -5% |
| Molina | Medicare Advantage | $428.79 | ↓ -5% |
| Amerigroup | Medicare Advantage | $428.79 | ↓ -5% |
| Quick Trip | Commercial | $431.85 | ↓ -4% |
| Superior Wellcare | Medicare Advantage MMP | $449.20 | ↓ -0% |
| United Healthcare | Medicare Advantage PPO | $453.29 | ↑ +1% |
| United Healthcare | Medicare Advantage HMO | $461.46 | ↑ +3% |
| PHCS | PPO | $500.23 | ↑ +11% |
| Cigna | PPO | $501.67 | ↑ +12% |
| Aetna | Coventry | $504.54 | ↑ +12% |
| Aetna | ASA | $504.54 | ↑ +12% |
| Healthsmart | Commercial | $539.81 | ↑ +20% |
| Blue Cross Blue Shield | Traditional | $593.79 | ↑ +32% |
| Multiplan | Commercial | $626.18 | ↑ +39% |
| Galaxy | Commercial | $633.38 | ↑ +41% |
| USA | MCO | $633.38 | ↑ +41% |
| Cigna | Indemnity | $677.28 | ↑ +51% |
Visitor-reported prices
Comments
Exc ben+marg excep skin tag tal 0.6-1cm 11401 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $707.65 | $89.14 – $987.79 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | not published | $89.14 – $96.27 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $707.65 | $89.14 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,105.66 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $924.82 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $707.65 | $89.14 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,105.66 | $85.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,105.66 | $89.14 – $1,658.48 |