Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap at Texas Health Presbyterian Hospital Plano
6200 W Parker Rd, Plano, TX · Texashealth · · NPI 1770514077
$7,244.10
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.
$12,073.50
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.
$640.79 with Blue Cross Blue Shield vs $10,924.07 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Exchange | $640.79 | ↓ -91% |
| American Health | Medicare Advantage | $862.65 | ↓ -88% |
| Blue Cross Blue Shield | Medicare Advantage | $862.65 | ↓ -88% |
| HealthSpring | Medicare Advantage | $879.91 | ↓ -88% |
| Humana | Medicare Advantage | $897.16 | ↓ -88% |
| Molina | Medicare Advantage | $905.79 | ↓ -87% |
| Amerigroup | Medicare Advantage | $905.79 | ↓ -87% |
| Superior Wellcare | Medicare Advantage HMO | $905.79 | ↓ -87% |
| Superior Wellcare | Medicare Advantage MMP | $948.92 | ↓ -87% |
| United Healthcare | Medicare Advantage PPO | $957.55 | ↓ -87% |
| United Healthcare | Medicare Advantage HMO | $974.80 | ↓ -87% |
| Blue Cross Blue Shield | HMO | $1,321.06 | ↓ -82% |
| Parkland | Managed Medicaid | $1,420.94 | ↓ -80% |
| Amerigroup | Managed Medicaid | $1,420.94 | ↓ -80% |
| Blue Cross Blue Shield | Managed Medicaid | $1,420.94 | ↓ -80% |
| United Healthcare | Managed Medicaid | $1,420.94 | ↓ -80% |
| Blue Cross Blue Shield | PPO | $1,467.97 | ↓ -80% |
| Superior Wellcare | Managed Medicaid | $1,491.76 | ↓ -79% |
| Molina | Managed Medicaid | $1,534.71 | ↓ -79% |
| Blue Cross Blue Shield | Traditional | $3,891.58 | ↓ -46% |
| Aetna | Whole Health | $4,766.66 | ↓ -34% |
| Cigna | OAP/HMO | $4,929.00 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $5,099.83 | ↓ -30% |
| United Healthcare | All Payer | $5,114.00 | ↓ -29% |
| Cigna | PPO | $5,180.00 | ↓ -28% |
| City of Fort Worth | Commercial | $5,456.23 | ↓ -25% |
| United Healthcare Options | PPO | $5,556.00 | ↓ -23% |
| Aetna | Commercial | $6,355.93 | ↓ -12% |
| Quick Trip | Commercial | $6,965.40 | ↓ -4% |
| PHCS | PPO | $8,068.26 | ↑ +11% |
| Aetna | Coventry | $8,137.91 | ↑ +12% |
| Aetna | ASA | $8,137.91 | ↑ +12% |
| Healthsmart | Commercial | $8,706.75 | ↑ +20% |
| Multiplan | Commercial | $10,099.83 | ↑ +39% |
| USA | MCO | $10,215.92 | ↑ +41% |
| Galaxy | Commercial | $10,215.92 | ↑ +41% |
| Cigna | Indemnity | $10,924.07 | ↑ +51% |
Visitor-reported prices
Comments
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $5,236.15 | $819.52 – $6,545.18 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $7,244.10 | $772.42 – $772.42 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $5,236.15 | $819.52 – $6,545.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $5,236.15 | $1,077.77 – $7,854.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,654.35 | $819.52 – $5,817.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $5,236.15 | $819.52 – $6,545.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $5,236.15 | $819.52 – $7,854.22 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $5,236.15 | $2,590.07 – $7,854.22 |