Pricing Transparency

Pricing Transparency Last Updated: March 27, 2024

Pricing transparency is our goal and the pricing information provided by this website is strictly an estimate of prices, and West Plano Emergency Room cannot guarantee the accuracy of any estimates. Pricing estimates may vary from patient to patient due to unforeseen complications, the number of tests or procedures performed, and non-emergency room related charges, any of which may increase the ultimate cost of the services provided. Prospective patients should understand that a final bill for services rendered at West Plano Emergency Room may differ from the information provided by this website.

Each emergency room must make public on the internet a list of the emergency room’s standard charges for items and services provided by the emergency room. In addition, emergency rooms are required to provide a searchable consumer friendly display of the most common “shoppable services” that could be utilized for cost estimates to help consumers make more informed decisions.

West Plano Emergency Room is required to make available a Standard Charge File for consumers to review that includes the five different types of charges defined below.

1. Gross Charge: The full price listed on the emergency room chargemaster. Gross charges can vary from emergency room to emergency room for the same procedure or service based on factors like emergency room location, the kinds of services the facility typically provides, and the expertise required to deliver the services.
2. Discounted Cash Price: The price offered to patients who pay on their own without third-party insurance coverage.
3. Payer-Specific Negotiated Charge: The charge a emergency room has negotiated with a third-party payer for an item or service, which can vary based on your coverage and specific plan. You’ll sometimes see this referred to as the “allowed amount” on an insurer’s Explanation of Benefits.
4. De-identified Minimum Negotiated Charge: The lowest charge a emergency room has negotiated for an item or service across all insurers.
5. De-identified Maximum Negotiated Charge: The highest charge a emergency room has negotiated for an item or service across all insurers.

Emergency rooms are required to provide a consumer-friendly display of the most common “shoppable services” that can provide you with cost estimates for specific services to support you in making informed decisions about your care and its cost. CMS wants you to be able to price shop for a specific emergency room service and schedule it at a time that is convenient for you.

We support all efforts to improve your health care shopping experience and to provide cost estimates for services that inform your decision making.