PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Short Term Acute Care HospitalGovernment - Federal

Texas Health Allen

Texas Health Resources · Allen, TX

1105 CENTRAL EXPRESSWAY NORTH, Allen, TX 75013(972) 747-6197

4 of 5

CMS star rating

59

Beds

4,580

Inpatient discharges a year

$160.6M

Net patient revenue a year

32

In-network payers

About this hospital

Texas Health Allen is a 59-bed government - federal hospital in Allen, TX, affiliated with Texas Health Resources. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 396 disclosed rate categories.

  • Disproportionate share hospital
CCN
450840
NPI
1548291883
Health system
Texas Health Resources
Teaching
No Medicare-funded residents
County
Collin County
Metro area
Dallas-Fort Worth-Arlington, TX MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
2001
Last CMS survey
2005

Prices for common services

The 24 services Texas Health Allen most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$8,411 - $14,269

from 4 insurers · median $12,454

Cigna$12,775
Insurer A*$8,411
Insurer B*$12,134
Insurer C*$14,269

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$12,913 - $19,171

from 4 insurers · median $15,634

Cigna$16,660
Insurer A*$12,913
Insurer B*$14,608
Insurer C*$19,171

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$45,040 - $63,591

from 4 insurers · median $49,442

Aetna$45,040
Insurer A*$47,311
Insurer B*$51,572
Insurer C*$63,591
Medicare $12,138Nearby hospitals $24,91998% above nearby hospitals

18 Medicare discharges for this DRG in CMS hospital data

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$1,287 - $4,148

from 4 insurers · median $2,755

Blue Cross$1,409
Insurer A*$1,287
Insurer B*$4,101
Insurer C*$4,148
Medicare $332Nearby hospitals $1,89046% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Texas Health Allen

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*17
597%
113
Insurer B*24
378%
136
Insurer C*24
345%
165
Insurer D*23
271%
133

How we chose these services: 6 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Texas Health Allen, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    4 of 5 stars

    • 136 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.03%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 27 services
    • 334 affiliated clinicians
    See doctors and services
  • Finances

    $160.6M net patient revenue

    • Operating margin on patient care 14.2%
    • $8.9M unreimbursed and uncompensated care
    • $25M net income
    See finances
  • Ownership and leadership

    Owned by Texas Health Resources

    • Private (not for profit)
    • Amanda Thrash, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Texas Health Allen in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
75-2890358Texas Health Presbyterian Hospital Allen59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 54 more1548291883 Texas Health Presbyterian Hospital Allen1639533623 Texas Health Presbyterian Hospital Allen1093930083 Texas Health Presbyterian Hospital Planoand 3 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

1105 CENTRAL EXPRESSWAY NORTH, Allen, TX 75013

(972) 747-6197

Get directions

Frequently asked questions

About Texas Health Allen's rates and hospital price transparency.

How much does an MRI cost at Texas Health Allen?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Texas Health Allen range from $792 to $3,246 across 4 insurers. Aetna's rate is $2,611. The median at nearby comparable hospitals is $1,971. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Texas Health Allen?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Texas Health Allen range from $1,287 to $4,148 across 4 insurers. Blue Cross Blue Shield's rate is $1,409. The median at nearby comparable hospitals is $1,890. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Texas Health Allen?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Texas Health Allen range from $701 to $3,539 across 4 insurers. UnitedHealthcare's rate is $2,895. The median at nearby comparable hospitals is $3,618. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Texas Health Allen?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Texas Health Allen range from $8,411 to $14,269 across 4 insurers. Cigna's rate is $12,775. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Texas Health Allen?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Texas Health Allen range from $239 to $379 across 4 insurers. Cigna's rate is $379. The median at nearby comparable hospitals is $237. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Texas Health Allen?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Texas Health Allen range from $45,040 to $63,591 across 4 insurers. Aetna's rate is $45,040. The median at nearby comparable hospitals is $24,919. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Texas Health Allen's CMS star rating?

Texas Health Allen has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Texas Health Allen a teaching hospital?

CMS reports no Medicare-funded interns or residents at Texas Health Allen for fiscal year 2027.

Does Medicare penalize Texas Health Allen for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Texas Health Allen's base inpatient payments by an estimated 0.03% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Texas Health Allen?

In 2024, the most common were heart failure and shock with mcc (85 discharges), respiratory infections and inflammations with mcc (63 discharges), septicemia or severe sepsis without mv >96 hours with mcc (54 discharges).

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster