Transcath biopsy at Texas Health Presbyterian Hospital Plano
6200 W Parker Rd, Plano, TX · Texashealth · · NPI 1770514077
$3,794.10
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.
$6,323.50
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.
$1,939.15 with Amerigroup vs $38,405.76 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $1,939.15 | ↓ -49% |
| Blue Cross Blue Shield | Managed Medicaid | $1,939.15 | ↓ -49% |
| Parkland | Managed Medicaid | $1,939.15 | ↓ -49% |
| United Healthcare | Managed Medicaid | $1,939.15 | ↓ -49% |
| Superior Wellcare | Managed Medicaid | $2,036.11 | ↓ -46% |
| Molina | Managed Medicaid | $2,094.28 | ↓ -45% |
| Aetna | Whole Health | $2,442.14 | ↓ -36% |
| City of Fort Worth | Commercial | $2,972.05 | ↓ -22% |
| Aetna | Commercial | $3,256.60 | ↓ -14% |
| Cigna | OAP/HMO | $3,495.63 | ↓ -8% |
| Quick Trip | Commercial | $3,794.10 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $3,860.50 | ↑ +2% |
| PHCS | PPO | $4,394.83 | ↑ +16% |
| Cigna | PPO | $4,407.48 | ↑ +16% |
| Aetna | Coventry | $4,432.77 | ↑ +17% |
| Aetna | ASA | $4,432.77 | ↑ +17% |
| Healthsmart | Commercial | $4,742.63 | ↑ +25% |
| Multiplan | Commercial | $5,501.45 | ↑ +45% |
| Galaxy | Commercial | $5,564.68 | ↑ +47% |
| USA | MCO | $5,564.68 | ↑ +47% |
| Blue Cross Blue Shield | Medicare Advantage | $5,589.84 | ↑ +47% |
| American Health | Medicare Advantage | $5,589.84 | ↑ +47% |
| HealthSpring | Medicare Advantage | $5,701.64 | ↑ +50% |
| Blue Cross Blue Shield | Exchange | $5,777.41 | ↑ +52% |
| Humana | Medicare Advantage | $5,813.44 | ↑ +53% |
| Amerigroup | Medicare Advantage | $5,869.34 | ↑ +55% |
| Molina | Medicare Advantage | $5,869.34 | ↑ +55% |
| Superior Wellcare | Medicare Advantage HMO | $5,869.34 | ↑ +55% |
| Cigna | Indemnity | $5,950.41 | ↑ +57% |
| Superior Wellcare | Medicare Advantage MMP | $6,148.83 | ↑ +62% |
| United Healthcare | Medicare Advantage PPO | $6,204.73 | ↑ +64% |
| United Healthcare | Medicare Advantage HMO | $6,316.52 | ↑ +66% |
| Blue Cross Blue Shield | HMO | $10,801.05 | ↑ +185% |
| Blue Cross Blue Shield | PPO | $12,000.65 | ↑ +216% |
| United Healthcare | All Payer | $16,982.00 | ↑ +348% |
| United Healthcare Options | PPO | $21,607.00 | ↑ +469% |
| Blue Cross Blue Shield | Traditional | $38,405.76 | ↑ +912% |
Visitor-reported prices
Comments
Transcath biopsy at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $4,285.93 | $1,939.15 – $13,613.39 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | not published | $1,939.15 – $2,094.28 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,285.93 | $1,939.15 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,426.92 | $71.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,285.93 | $71.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,285.93 | $1,939.15 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $4,426.92 | $85.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $4,426.92 | $1,939.15 – $13,613.39 |