M/phmtrc alysishquant/semiq at Texas Health Presbyterian Hospital Plano
6200 W Parker Rd, Plano, TX · Texashealth · · NPI 1770514077
$417.60
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.
$696.00
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.
$31.09 with Parkland vs $464.72 with Blue Cross Blue Shield — 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 |
|---|---|---|---|
| Parkland | Managed Medicaid | $31.09 | ↓ -93% |
| Amerigroup | Managed Medicaid | $31.09 | ↓ -93% |
| United Healthcare | Managed Medicaid | $31.09 | ↓ -93% |
| Blue Cross Blue Shield | Managed Medicaid | $31.09 | ↓ -93% |
| Superior Wellcare | Managed Medicaid | $32.64 | ↓ -92% |
| Molina | Managed Medicaid | $33.58 | ↓ -92% |
| United Healthcare | All Payer | $82.65 | ↓ -80% |
| United Healthcare Options | PPO | $82.65 | ↓ -80% |
| Blue Cross Blue Shield | Exchange | $88.17 | ↓ -79% |
| Fort Worth Firefighters | Commercial | $111.58 | ↓ -73% |
| City of Fort Worth | Commercial | $119.38 | ↓ -71% |
| American Health | Medicare Advantage | $123.48 | ↓ -70% |
| Blue Cross Blue Shield | Medicare Advantage | $123.48 | ↓ -70% |
| HealthSpring | Medicare Advantage | $125.95 | ↓ -70% |
| Humana | Medicare Advantage | $128.42 | ↓ -69% |
| Molina | Medicare Advantage | $129.65 | ↓ -69% |
| Superior Wellcare | Medicare Advantage HMO | $129.65 | ↓ -69% |
| Amerigroup | Medicare Advantage | $129.65 | ↓ -69% |
| Superior Wellcare | Medicare Advantage MMP | $135.83 | ↓ -67% |
| United Healthcare | Medicare Advantage PPO | $137.06 | ↓ -67% |
| United Healthcare | Medicare Advantage HMO | $139.53 | ↓ -67% |
| Cigna | OAP/HMO | $140.41 | ↓ -66% |
| Quick Trip | Commercial | $152.40 | ↓ -64% |
| Blue Cross Blue Shield | HMO | $156.99 | ↓ -62% |
| Blue Cross Blue Shield | PPO | $174.44 | ↓ -58% |
| PHCS | PPO | $176.53 | ↓ -58% |
| Cigna | PPO | $177.04 | ↓ -58% |
| Aetna | ASA | $178.05 | ↓ -57% |
| Aetna | Coventry | $178.05 | ↓ -57% |
| Healthsmart | Commercial | $190.50 | ↓ -54% |
| Multiplan | Commercial | $220.98 | ↓ -47% |
| Galaxy | Commercial | $223.52 | ↓ -46% |
| USA | MCO | $223.52 | ↓ -46% |
| Cigna | Indemnity | $239.01 | ↓ -43% |
| Aetna | Whole Health | $248.43 | ↓ -41% |
| Aetna | Commercial | $331.24 | ↓ -21% |
| Blue Cross Blue Shield | Traditional | $464.72 | ↑ +11% |
Visitor-reported prices
Comments
M/phmtrc alysishquant/semiq at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $331.55 | $35.00 – $469.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $331.55 | $35.00 – $469.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $100.78 | $20.74 – $151.16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $100.78 | $20.16 – $409.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $331.55 | $35.00 – $469.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $100.78 | $32.35 – $500.32 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $100.78 | $26.00 – $151.16 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $100.78 | $33.59 – $409.93 |