Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at Texas Health Presbyterian Hospital Plano
6200 W Parker Rd, Plano, TX · Texashealth · · NPI 1770514077
$18,985.80
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.
$31,643.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$6,450.90 with Amerigroup vs $29,776.06 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 | $6,450.90 | ↓ -66% |
| Parkland | Managed Medicaid | $6,450.90 | ↓ -66% |
| United Healthcare | Managed Medicaid | $6,450.90 | ↓ -66% |
| Blue Cross Blue Shield | Managed Medicaid | $6,450.90 | ↓ -66% |
| Superior Wellcare | Managed Medicaid | $6,773.45 | ↓ -64% |
| Molina | Managed Medicaid | $6,966.97 | ↓ -63% |
| Blue Cross Blue Shield | Exchange | $9,176.47 | ↓ -52% |
| American Health | Medicare Advantage | $10,499.62 | ↓ -45% |
| Blue Cross Blue Shield | Medicare Advantage | $10,499.62 | ↓ -45% |
| HealthSpring | Medicare Advantage | $10,709.62 | ↓ -44% |
| Fort Worth Firefighters | Commercial | $10,893.00 | ↓ -43% |
| Humana | Medicare Advantage | $10,919.61 | ↓ -42% |
| Molina | Medicare Advantage | $11,024.61 | ↓ -42% |
| Amerigroup | Medicare Advantage | $11,024.61 | ↓ -42% |
| Superior Wellcare | Medicare Advantage HMO | $11,024.61 | ↓ -42% |
| Superior Wellcare | Medicare Advantage MMP | $11,549.59 | ↓ -39% |
| United Healthcare | Medicare Advantage PPO | $11,654.58 | ↓ -39% |
| United Healthcare | Medicare Advantage HMO | $11,864.58 | ↓ -38% |
| Aetna | Whole Health | $12,467.34 | ↓ -34% |
| Blue Cross Blue Shield | HMO | $14,619.07 | ↓ -23% |
| United Healthcare | All Payer | $14,789.00 | ↓ -22% |
| City of Fort Worth | Commercial | $14,872.21 | ↓ -22% |
| Blue Cross Blue Shield | PPO | $16,264.50 | ↓ -14% |
| Aetna | Commercial | $16,622.07 | ↓ -12% |
| Cigna | OAP/HMO | $17,492.25 | ↓ -8% |
| United Healthcare Options | PPO | $18,813.00 | ↓ -1% |
| Quick Trip | Commercial | $18,985.80 | ↑ +0% |
| PHCS | PPO | $21,991.89 | ↑ +16% |
| Cigna | PPO | $22,055.17 | ↑ +16% |
| Aetna | ASA | $22,181.74 | ↑ +17% |
| Aetna | Coventry | $22,181.74 | ↑ +17% |
| Healthsmart | Commercial | $23,732.25 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $26,105.48 | ↑ +38% |
| Multiplan | Commercial | $27,529.41 | ↑ +45% |
| Galaxy | Commercial | $27,845.84 | ↑ +47% |
| USA | MCO | $27,845.84 | ↑ +47% |
| Cigna | Indemnity | $29,776.06 | ↑ +57% |
Visitor-reported prices
Comments
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $22,677.49 | $6,450.90 – $28,346.87 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | not published | $6,450.90 – $6,966.97 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $22,677.49 | $6,299.00 – $28,346.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $19,320.87 | $3,976.88 – $28,981.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $21,444.40 | $6,450.90 – $26,805.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $22,677.49 | $6,450.90 – $28,346.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $19,320.87 | $6,902.46 – $28,981.31 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $19,320.87 | $6,450.90 – $28,981.31 |