Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) at Texas Health Presbyterian Hospital Plano
6200 W Parker Rd, Plano, TX · Texashealth · · NPI 1770514077
$12,184.35
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.
$20,307.25
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.
$3,437.38 with Amerigroup vs $21,607.00 with United Healthcare Options — 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 | $3,437.38 | ↓ -72% |
| Parkland | Managed Medicaid | $3,437.38 | ↓ -72% |
| United Healthcare | Managed Medicaid | $3,437.38 | ↓ -72% |
| Blue Cross Blue Shield | Managed Medicaid | $3,437.38 | ↓ -72% |
| Superior Wellcare | Managed Medicaid | $3,609.25 | ↓ -70% |
| Molina | Managed Medicaid | $3,712.37 | ↓ -70% |
| Blue Cross Blue Shield | Medicare Advantage | $7,289.28 | ↓ -40% |
| American Health | Medicare Advantage | $7,289.28 | ↓ -40% |
| HealthSpring | Medicare Advantage | $7,435.07 | ↓ -39% |
| Blue Cross Blue Shield | Exchange | $7,519.31 | ↓ -38% |
| Humana | Medicare Advantage | $7,580.85 | ↓ -38% |
| Molina | Medicare Advantage | $7,653.74 | ↓ -37% |
| Amerigroup | Medicare Advantage | $7,653.74 | ↓ -37% |
| Superior Wellcare | Medicare Advantage HMO | $7,653.74 | ↓ -37% |
| Superior Wellcare | Medicare Advantage MMP | $8,018.21 | ↓ -34% |
| United Healthcare | Medicare Advantage PPO | $8,091.10 | ↓ -34% |
| United Healthcare | Medicare Advantage HMO | $8,236.89 | ↓ -32% |
| City of Fort Worth | Commercial | $9,544.41 | ↓ -22% |
| Aetna | Whole Health | $10,419.65 | ↓ -14% |
| Fort Worth Firefighters | Commercial | $10,576.00 | ↓ -13% |
| Cigna | OAP/HMO | $11,225.85 | ↓ -8% |
| Quick Trip | Commercial | $12,184.35 | ↑ +0% |
| Blue Cross Blue Shield | HMO | $12,895.10 | ↑ +6% |
| Aetna | Commercial | $13,892.19 | ↑ +14% |
| PHCS | PPO | $14,113.54 | ↑ +16% |
| Cigna | PPO | $14,154.15 | ↑ +16% |
| Aetna | Coventry | $14,235.38 | ↑ +17% |
| Aetna | ASA | $14,235.38 | ↑ +17% |
| Blue Cross Blue Shield | PPO | $14,316.61 | ↑ +17% |
| Healthsmart | Commercial | $15,230.44 | ↑ +25% |
| United Healthcare | All Payer | $16,982.00 | ↑ +39% |
| Blue Cross Blue Shield | Traditional | $17,443.93 | ↑ +43% |
| Multiplan | Commercial | $17,667.31 | ↑ +45% |
| USA | MCO | $17,870.38 | ↑ +47% |
| Galaxy | Commercial | $17,870.38 | ↑ +47% |
| Cigna | Indemnity | $19,109.12 | ↑ +57% |
| United Healthcare Options | PPO | $21,607.00 | ↑ +77% |
Visitor-reported prices
Comments
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Center for Diagnostics and Surgery Plano | Plano | not published | $3,437.38 – $3,712.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $7,191.98 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $8,280.41 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $7,191.98 | $85.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $7,191.98 | $3,437.38 – $17,722.46 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $8,280.41 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $7,191.98 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $7,191.98 | $71.00 – $17,722.46 |