Absorpt drg >16<=48 in w/bdr at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$115.62
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.
$192.70
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.
$0.69 with Cook Childrens vs $4.90 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 |
|---|---|---|---|
| Cook Childrens | Managed Medicaid | $0.69 | ↓ -99% |
| Blue Cross Blue Shield | Managed Medicaid | $0.69 | ↓ -99% |
| United Healthcare | Managed Medicaid | $0.69 | ↓ -99% |
| Amerigroup | Managed Medicaid | $0.69 | ↓ -99% |
| Superior Wellcare | Managed Medicaid | $0.73 | ↓ -99% |
| Molina | Managed Medicaid | $0.75 | ↓ -99% |
| Aetna | Managed Medicaid | $0.76 | ↓ -99% |
| Blue Cross Blue Shield | Exchange | $1.33 | ↓ -99% |
| Aetna | Whole Health | $1.88 | ↓ -98% |
| Fort Worth Firefighters | Commercial | $2.02 | ↓ -98% |
| Blue Cross Blue Shield | HMO | $2.12 | ↓ -98% |
| City of Fort Worth | Commercial | $2.16 | ↓ -98% |
| Blue Cross Blue Shield | PPO | $2.36 | ↓ -98% |
| United Healthcare | All Payer | $2.37 | ↓ -98% |
| Aetna | Commercial | $2.51 | ↓ -98% |
| United Healthcare Options | PPO | $2.52 | ↓ -98% |
| Cigna | OAP/HMO | $2.54 | ↓ -98% |
| Quick Trip | Commercial | $2.75 | ↓ -98% |
| PHCS | PPO | $3.19 | ↓ -97% |
| Cigna | PPO | $3.20 | ↓ -97% |
| Aetna | Coventry | $3.22 | ↓ -97% |
| Aetna | ASA | $3.22 | ↓ -97% |
| Healthsmart | Commercial | $3.44 | ↓ -97% |
| Blue Cross Blue Shield | Traditional | $3.79 | ↓ -97% |
| Multiplan | Commercial | $3.99 | ↓ -97% |
| Galaxy | Commercial | $4.04 | ↓ -97% |
| USA | MCO | $4.04 | ↓ -97% |
| Cigna | Indemnity | $4.32 | ↓ -96% |
| American Health | Medicare Advantage | $4.34 | ↓ -96% |
| Blue Cross Blue Shield | Medicare Advantage | $4.34 | ↓ -96% |
| HealthSpring | Medicare Advantage | $4.43 | ↓ -96% |
| Humana | Medicare Advantage | $4.51 | ↓ -96% |
| Superior Wellcare | Medicare Advantage HMO | $4.56 | ↓ -96% |
| Molina | Medicare Advantage | $4.56 | ↓ -96% |
| Amerigroup | Medicare Advantage | $4.56 | ↓ -96% |
| Superior Wellcare | Medicare Advantage MMP | $4.77 | ↓ -96% |
| United Healthcare | Medicare Advantage PPO | $4.82 | ↓ -96% |
| United Healthcare | Medicare Advantage HMO | $4.90 | ↓ -96% |
Visitor-reported prices
Comments
Absorpt drg >16<=48 in w/bdr at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $63.58 | $3.14 – $181.65 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $63.58 | $3.85 – $181.65 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $63.58 | $3.85 – $181.65 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $63.58 | $3.85 – $181.65 |
| St. Luke's Health - The Vintage Hospital | Houston | $63.58 | $3.85 – $181.65 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | $62.01 | $3.49 – $4.24 |
| CHRISTUS Children's Hospital | San Antonio | not published | $9.16 – $9.16 |
| CHRISTUS Good Shepherd Medical Center - Longview | Longview | not published | $3.67 – $8.50 |