Surgical pathology level 2 gross & microscopic examination at Texas Health Presbyterian Hospital Plano
6200 W Parker Rd, Plano, TX · Texashealth · · NPI 1770514077
$226.65
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.
$377.75
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.
$16.57 with Fort Worth Firefighters vs $169.14 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 |
|---|---|---|---|
| Fort Worth Firefighters | Commercial | $16.57 | ↓ -93% |
| Blue Cross Blue Shield | Managed Medicaid | $22.00 | ↓ -90% |
| United Healthcare | Managed Medicaid | $22.00 | ↓ -90% |
| Parkland | Managed Medicaid | $22.00 | ↓ -90% |
| Amerigroup | Managed Medicaid | $22.00 | ↓ -90% |
| United Healthcare | All Payer | $22.99 | ↓ -90% |
| United Healthcare Options | PPO | $22.99 | ↓ -90% |
| Superior Wellcare | Managed Medicaid | $23.10 | ↓ -90% |
| Molina | Managed Medicaid | $23.76 | ↓ -90% |
| Blue Cross Blue Shield | Exchange | $25.56 | ↓ -89% |
| American Health | Medicare Advantage | $37.52 | ↓ -83% |
| Blue Cross Blue Shield | Medicare Advantage | $37.52 | ↓ -83% |
| HealthSpring | Medicare Advantage | $38.27 | ↓ -83% |
| Humana | Medicare Advantage | $39.02 | ↓ -83% |
| Superior Wellcare | Medicare Advantage HMO | $39.40 | ↓ -83% |
| Molina | Medicare Advantage | $39.40 | ↓ -83% |
| Amerigroup | Medicare Advantage | $39.40 | ↓ -83% |
| Superior Wellcare | Medicare Advantage MMP | $41.27 | ↓ -82% |
| United Healthcare | Medicare Advantage PPO | $41.65 | ↓ -82% |
| United Healthcare | Medicare Advantage HMO | $42.40 | ↓ -81% |
| Blue Cross Blue Shield | HMO | $45.52 | ↓ -80% |
| Blue Cross Blue Shield | PPO | $50.58 | ↓ -78% |
| City of Fort Worth | Commercial | $84.48 | ↓ -63% |
| Aetna | Whole Health | $98.87 | ↓ -56% |
| Quick Trip | Commercial | $107.85 | ↓ -52% |
| Cigna | OAP/HMO | $114.04 | ↓ -50% |
| Cigna | PPO | $114.04 | ↓ -50% |
| PHCS | PPO | $124.93 | ↓ -45% |
| Aetna | ASA | $126.00 | ↓ -44% |
| Aetna | Coventry | $126.00 | ↓ -44% |
| Aetna | Commercial | $131.83 | ↓ -42% |
| Blue Cross Blue Shield | Traditional | $134.74 | ↓ -41% |
| Healthsmart | Commercial | $134.81 | ↓ -41% |
| Multiplan | Commercial | $156.38 | ↓ -31% |
| Galaxy | Commercial | $158.18 | ↓ -30% |
| USA | MCO | $158.18 | ↓ -30% |
| Cigna | Indemnity | $169.14 | ↓ -25% |
Visitor-reported prices
Comments
Surgical pathology level 2 gross & microscopic examination at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $176.63 | $35.00 – $220.78 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $226.65 | $16.57 – $114.04 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $176.63 | $35.00 – $220.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $187.56 | $36.00 – $281.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $182.09 | $35.64 – $227.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $176.63 | $35.00 – $220.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $187.56 | $35.64 – $281.34 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $187.56 | $26.00 – $281.34 |