Upper Endoscopy (EGD, with biopsy) at Texas Health Presbyterian Hospital Plano
6200 W Parker Rd, Plano, TX · Texashealth · · NPI 1770514077
$731.70
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.
$1,219.50
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.
$334.95 with Parkland vs $6,567.15 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 |
|---|---|---|---|
| Parkland | Managed Medicaid | $334.95 | ↓ -54% |
| Amerigroup | Managed Medicaid | $334.95 | ↓ -54% |
| Blue Cross Blue Shield | Managed Medicaid | $334.95 | ↓ -54% |
| United Healthcare | Managed Medicaid | $334.95 | ↓ -54% |
| Superior Wellcare | Managed Medicaid | $351.70 | ↓ -52% |
| Molina | Managed Medicaid | $361.75 | ↓ -51% |
| Aetna | Whole Health | $470.97 | ↓ -36% |
| City of Fort Worth | Commercial | $573.17 | ↓ -22% |
| Aetna | Commercial | $628.04 | ↓ -14% |
| Cigna | OAP/HMO | $674.14 | ↓ -8% |
| Quick Trip | Commercial | $731.70 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $744.50 | ↑ +2% |
| PHCS | PPO | $847.55 | ↑ +16% |
| Cigna | PPO | $849.99 | ↑ +16% |
| Aetna | Coventry | $854.87 | ↑ +17% |
| Aetna | ASA | $854.87 | ↑ +17% |
| American Health | Medicare Advantage | $911.12 | ↑ +25% |
| Blue Cross Blue Shield | Medicare Advantage | $911.12 | ↑ +25% |
| Healthsmart | Commercial | $914.63 | ↑ +25% |
| HealthSpring | Medicare Advantage | $929.34 | ↑ +27% |
| Humana | Medicare Advantage | $947.56 | ↑ +30% |
| Molina | Medicare Advantage | $956.67 | ↑ +31% |
| Amerigroup | Medicare Advantage | $956.67 | ↑ +31% |
| Superior Wellcare | Medicare Advantage HMO | $956.67 | ↑ +31% |
| Blue Cross Blue Shield | Exchange | $987.90 | ↑ +35% |
| Superior Wellcare | Medicare Advantage MMP | $1,002.23 | ↑ +37% |
| United Healthcare | Medicare Advantage PPO | $1,011.34 | ↑ +38% |
| United Healthcare | Medicare Advantage HMO | $1,029.56 | ↑ +41% |
| Multiplan | Commercial | $1,060.97 | ↑ +45% |
| USA | MCO | $1,073.16 | ↑ +47% |
| Galaxy | Commercial | $1,073.16 | ↑ +47% |
| Cigna | Indemnity | $1,147.55 | ↑ +57% |
| Blue Cross Blue Shield | HMO | $1,846.91 | ↑ +152% |
| Blue Cross Blue Shield | PPO | $2,052.04 | ↑ +180% |
| United Healthcare | All Payer | $2,923.00 | ↑ +299% |
| United Healthcare Options | PPO | $3,751.00 | ↑ +413% |
| Blue Cross Blue Shield | Traditional | $6,567.15 | ↑ +798% |
Visitor-reported prices
Comments
Upper Endoscopy (EGD, with biopsy) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $731.70 | $334.95 – $361.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | not published | $334.95 – $4,063.00 |
| Covenant Children's Hospital | Lubbock | $1,040.34 | $879.87 – $7,034.24 |
| St. Luke's Health - Patients Medical Center | Pasadena | $1,326.31 | $2,273.67 – $2,842.09 |
| Texas Health Presbyterian Hospital Allen | Allen | $1,707.60 | $334.95 – $361.75 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $731.70 | $334.95 – $368.45 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $1,707.60 | $334.95 – $368.45 |
| Texas Health Arlington Memorial Hospital | Arlington | $1,707.60 | $334.95 – $368.45 |