Unlisted px biliary tract at Texas Health Presbyterian Hospital Plano
6200 W Parker Rd, Plano, TX · Texashealth · · NPI 1770514077
$539.10
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.
$898.50
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.
$109.98 with Parkland vs $1,029.56 with United Healthcare — 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 |
|---|---|---|---|
| Parkland | Managed Medicaid | $109.98 | ↓ -80% |
| United Healthcare | Managed Medicaid | $109.98 | ↓ -80% |
| Blue Cross Blue Shield | Managed Medicaid | $109.98 | ↓ -80% |
| Amerigroup | Managed Medicaid | $109.98 | ↓ -80% |
| Superior Wellcare | Managed Medicaid | $115.46 | ↓ -79% |
| Molina | Managed Medicaid | $118.78 | ↓ -78% |
| Blue Cross Blue Shield | Exchange | $260.57 | ↓ -52% |
| Aetna | Whole Health | $368.92 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $394.71 | ↓ -27% |
| Blue Cross Blue Shield | HMO | $415.11 | ↓ -23% |
| City of Fort Worth | Commercial | $422.30 | ↓ -22% |
| Blue Cross Blue Shield | PPO | $461.83 | ↓ -14% |
| United Healthcare | All Payer | $464.70 | ↓ -14% |
| Aetna | Commercial | $491.93 | ↓ -9% |
| United Healthcare Options | PPO | $492.38 | ↓ -9% |
| Cigna | OAP/HMO | $496.69 | ↓ -8% |
| Quick Trip | Commercial | $539.10 | ↑ +0% |
| PHCS | PPO | $624.46 | ↑ +16% |
| Cigna | PPO | $626.25 | ↑ +16% |
| Aetna | Coventry | $629.85 | ↑ +17% |
| Aetna | ASA | $629.85 | ↑ +17% |
| Healthsmart | Commercial | $673.88 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $741.26 | ↑ +37% |
| Multiplan | Commercial | $781.70 | ↑ +45% |
| USA | MCO | $790.68 | ↑ +47% |
| Galaxy | Commercial | $790.68 | ↑ +47% |
| Cigna | Indemnity | $845.49 | ↑ +57% |
| American Health | Medicare Advantage | $911.12 | ↑ +69% |
| Blue Cross Blue Shield | Medicare Advantage | $911.12 | ↑ +69% |
| HealthSpring | Medicare Advantage | $929.34 | ↑ +72% |
| Humana | Medicare Advantage | $947.56 | ↑ +76% |
| Amerigroup | Medicare Advantage | $956.67 | ↑ +77% |
| Superior Wellcare | Medicare Advantage HMO | $956.67 | ↑ +77% |
| Molina | Medicare Advantage | $956.67 | ↑ +77% |
| Superior Wellcare | Medicare Advantage MMP | $1,002.23 | ↑ +86% |
| United Healthcare | Medicare Advantage PPO | $1,011.34 | ↑ +88% |
| United Healthcare | Medicare Advantage HMO | $1,029.56 | ↑ +91% |
Visitor-reported prices
Comments
Unlisted px biliary tract at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $15,692.77 | $865.56 – $7,311.94 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $15,692.77 | $865.56 – $7,311.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $15,476.87 | $620.88 – $6,457.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $11,636.44 | $865.56 – $6,287.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $15,692.77 | $865.56 – $7,311.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $15,476.87 | $865.56 – $6,457.25 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $15,476.87 | $2,245.59 – $4,524.66 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $11,636.44 | $865.56 – $6,287.02 |