Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm at Texas Health Presbyterian Hospital Plano
6200 W Parker Rd, Plano, TX · Texashealth · · NPI 1770514077
$7,371.75
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.
$12,286.25
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.
$709.01 with Amerigroup vs $11,561.36 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $709.01 | ↓ -90% |
| Parkland | Managed Medicaid | $709.01 | ↓ -90% |
| United Healthcare | Managed Medicaid | $709.01 | ↓ -90% |
| Blue Cross Blue Shield | Managed Medicaid | $709.01 | ↓ -90% |
| Superior Wellcare | Managed Medicaid | $744.46 | ↓ -90% |
| Molina | Managed Medicaid | $765.73 | ↓ -90% |
| Blue Cross Blue Shield | Exchange | $2,039.78 | ↓ -72% |
| Blue Cross Blue Shield | Medicare Advantage | $2,072.68 | ↓ -72% |
| American Health | Medicare Advantage | $2,072.68 | ↓ -72% |
| HealthSpring | Medicare Advantage | $2,114.14 | ↓ -71% |
| Humana | Medicare Advantage | $2,155.59 | ↓ -71% |
| Molina | Medicare Advantage | $2,176.32 | ↓ -70% |
| Amerigroup | Medicare Advantage | $2,176.32 | ↓ -70% |
| Superior Wellcare | Medicare Advantage HMO | $2,176.32 | ↓ -70% |
| Superior Wellcare | Medicare Advantage MMP | $2,279.95 | ↓ -69% |
| United Healthcare | Medicare Advantage PPO | $2,300.68 | ↓ -69% |
| Fort Worth Firefighters | Commercial | $2,319.00 | ↓ -69% |
| United Healthcare | Medicare Advantage HMO | $2,342.13 | ↓ -68% |
| United Healthcare | All Payer | $2,923.00 | ↓ -60% |
| United Healthcare Options | PPO | $3,751.00 | ↓ -49% |
| Blue Cross Blue Shield | HMO | $3,813.44 | ↓ -48% |
| Blue Cross Blue Shield | PPO | $4,236.97 | ↓ -43% |
| City of Fort Worth | Commercial | $5,774.54 | ↓ -22% |
| Aetna | Whole Health | $6,304.07 | ↓ -14% |
| Cigna | OAP/HMO | $6,791.84 | ↓ -8% |
| Quick Trip | Commercial | $7,371.75 | ↑ +0% |
| Aetna | Commercial | $8,405.02 | ↑ +14% |
| PHCS | PPO | $8,538.94 | ↑ +16% |
| Cigna | PPO | $8,563.52 | ↑ +16% |
| Aetna | ASA | $8,612.66 | ↑ +17% |
| Aetna | Coventry | $8,612.66 | ↑ +17% |
| Healthsmart | Commercial | $9,214.69 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $10,553.89 | ↑ +43% |
| Multiplan | Commercial | $10,689.04 | ↑ +45% |
| USA | MCO | $10,811.90 | ↑ +47% |
| Galaxy | Commercial | $10,811.90 | ↑ +47% |
| Cigna | Indemnity | $11,561.36 | ↑ +57% |
Visitor-reported prices
Comments
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | not published | $709.01 – $6,093.00 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | not published | $709.01 – $765.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,167.42 | $71.00 – $6,251.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,167.42 | $71.00 – $5,209.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $4,167.42 | $85.00 – $6,251.13 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $4,167.42 | $709.01 – $6,251.13 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $4,167.42 | $71.00 – $6,251.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $4,167.42 | $71.00 – $5,209.27 |