M/phmtrc alys ishquant/semiq at Texas Health Presbyterian Hospital Plano
6200 W Parker Rd, Plano, TX · Texashealth · · NPI 1770514077
$852.00
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.
$1,420.00
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.
$77.79 with Blue Cross Blue Shield vs $1,254.17 with Aetna — 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 | $77.79 | ↓ -91% |
| United Healthcare | Managed Medicaid | $77.79 | ↓ -91% |
| Parkland | Managed Medicaid | $77.79 | ↓ -91% |
| Amerigroup | Managed Medicaid | $77.79 | ↓ -91% |
| Superior Wellcare | Managed Medicaid | $81.66 | ↓ -90% |
| Molina | Managed Medicaid | $84.01 | ↓ -90% |
| United Healthcare | All Payer | $143.50 | ↓ -83% |
| United Healthcare Options | PPO | $143.50 | ↓ -83% |
| Blue Cross Blue Shield | Exchange | $159.57 | ↓ -81% |
| Blue Cross Blue Shield | Medicare Advantage | $171.15 | ↓ -80% |
| American Health | Medicare Advantage | $171.15 | ↓ -80% |
| HealthSpring | Medicare Advantage | $174.57 | ↓ -80% |
| Humana | Medicare Advantage | $177.99 | ↓ -79% |
| Molina | Medicare Advantage | $179.70 | ↓ -79% |
| Amerigroup | Medicare Advantage | $179.70 | ↓ -79% |
| Superior Wellcare | Medicare Advantage HMO | $179.70 | ↓ -79% |
| Superior Wellcare | Medicare Advantage MMP | $188.26 | ↓ -78% |
| United Healthcare | Medicare Advantage PPO | $189.97 | ↓ -78% |
| United Healthcare | Medicare Advantage HMO | $193.40 | ↓ -77% |
| Fort Worth Firefighters | Commercial | $279.18 | ↓ -67% |
| Blue Cross Blue Shield | HMO | $284.13 | ↓ -67% |
| City of Fort Worth | Commercial | $298.69 | ↓ -65% |
| Blue Cross Blue Shield | PPO | $315.70 | ↓ -63% |
| Cigna | OAP/HMO | $351.30 | ↓ -59% |
| Quick Trip | Commercial | $381.30 | ↓ -55% |
| PHCS | PPO | $441.67 | ↓ -48% |
| Cigna | PPO | $442.94 | ↓ -48% |
| Aetna | ASA | $445.49 | ↓ -48% |
| Aetna | Coventry | $445.49 | ↓ -48% |
| Healthsmart | Commercial | $476.63 | ↓ -44% |
| Multiplan | Commercial | $552.89 | ↓ -35% |
| Galaxy | Commercial | $559.24 | ↓ -34% |
| USA | MCO | $559.24 | ↓ -34% |
| Cigna | Indemnity | $598.01 | ↓ -30% |
| Blue Cross Blue Shield | Traditional | $841.05 | ↓ -1% |
| Aetna | Whole Health | $940.63 | ↑ +10% |
| Aetna | Commercial | $1,254.17 | ↑ +47% |
Visitor-reported prices
Comments
M/phmtrc alys ishquant/semiq at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $1,194.59 | $35.00 – $423.12 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $852.00 | $143.50 – $940.63 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,194.59 | $35.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,137.71 | $36.00 – $450.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,137.71 | $36.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,194.59 | $35.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,137.71 | $36.00 – $450.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,137.71 | $26.00 – $450.00 |