Interrog evl pm/ldls pm ip at Texas Health Presbyterian Hospital Plano
6200 W Parker Rd, Plano, TX · Texashealth · · NPI 1770514077
$70.95
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.
$118.25
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.
$14.47 with Amerigroup vs $4,003.00 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 | $14.47 | ↓ -80% |
| United Healthcare | Managed Medicaid | $14.47 | ↓ -80% |
| Parkland | Managed Medicaid | $14.47 | ↓ -80% |
| Blue Cross Blue Shield | Managed Medicaid | $14.47 | ↓ -80% |
| Superior Wellcare | Managed Medicaid | $15.20 | ↓ -79% |
| Molina | Managed Medicaid | $15.63 | ↓ -78% |
| Blue Cross Blue Shield | Medicare Advantage | $37.49 | ↓ -47% |
| American Health | Medicare Advantage | $37.49 | ↓ -47% |
| HealthSpring | Medicare Advantage | $38.24 | ↓ -46% |
| Humana | Medicare Advantage | $38.99 | ↓ -45% |
| Amerigroup | Medicare Advantage | $39.37 | ↓ -45% |
| Superior Wellcare | Medicare Advantage HMO | $39.37 | ↓ -45% |
| Molina | Medicare Advantage | $39.37 | ↓ -45% |
| Superior Wellcare | Medicare Advantage MMP | $41.24 | ↓ -42% |
| United Healthcare | Medicare Advantage PPO | $41.62 | ↓ -41% |
| United Healthcare | Medicare Advantage HMO | $42.37 | ↓ -40% |
| Blue Cross Blue Shield | Exchange | $44.12 | ↓ -38% |
| Aetna | Whole Health | $45.67 | ↓ -36% |
| Fort Worth Firefighters | Commercial | $51.95 | ↓ -27% |
| City of Fort Worth | Commercial | $55.58 | ↓ -22% |
| Aetna | Commercial | $60.90 | ↓ -14% |
| Cigna | OAP/HMO | $65.37 | ↓ -8% |
| Quick Trip | Commercial | $70.95 | ↑ +0% |
| PHCS | PPO | $82.18 | ↑ +16% |
| Cigna | PPO | $82.42 | ↑ +16% |
| Aetna | Coventry | $82.89 | ↑ +17% |
| Aetna | ASA | $82.89 | ↑ +17% |
| Healthsmart | Commercial | $88.69 | ↑ +25% |
| Blue Cross Blue Shield | HMO | $90.95 | ↑ +28% |
| Blue Cross Blue Shield | PPO | $101.07 | ↑ +42% |
| Multiplan | Commercial | $102.88 | ↑ +45% |
| Galaxy | Commercial | $104.06 | ↑ +47% |
| USA | MCO | $104.06 | ↑ +47% |
| Cigna | Indemnity | $111.27 | ↑ +57% |
| Blue Cross Blue Shield | Traditional | $267.92 | ↑ +278% |
| United Healthcare | All Payer | $3,009.00 | ↑ +4141% |
| United Healthcare Options | PPO | $4,003.00 | ↑ +5542% |
Visitor-reported prices
Comments
Interrog evl pm/ldls pm ip at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $232.60 | $35.62 – $290.75 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $232.60 | $35.62 – $290.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $234.32 | $48.23 – $917.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $189.76 | $35.62 – $917.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $232.60 | $35.62 – $917.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $234.32 | $35.62 – $917.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $234.32 | $93.42 – $351.48 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $189.76 | $35.62 – $284.64 |