Adh-sendout at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$59.10
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.
$98.50
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.
$28.51 with Blue Cross Blue Shield vs $198.92 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $28.51 | ↓ -52% |
| Cook Childrens | Managed Medicaid | $28.51 | ↓ -52% |
| Amerigroup | Managed Medicaid | $28.51 | ↓ -52% |
| United Healthcare | Managed Medicaid | $28.51 | ↓ -52% |
| Superior Wellcare | Managed Medicaid | $29.94 | ↓ -49% |
| Molina | Managed Medicaid | $30.79 | ↓ -48% |
| Aetna | Managed Medicaid | $31.36 | ↓ -47% |
| American Health | Medicare Advantage | $33.94 | ↓ -43% |
| United Healthcare Options | PPO | $33.94 | ↓ -43% |
| United Healthcare | All Payer | $33.94 | ↓ -43% |
| Blue Cross Blue Shield | Medicare Advantage | $33.94 | ↓ -43% |
| HealthSpring | Medicare Advantage | $34.62 | ↓ -41% |
| Humana | Medicare Advantage | $35.30 | ↓ -40% |
| Amerigroup | Medicare Advantage | $35.64 | ↓ -40% |
| Molina | Medicare Advantage | $35.64 | ↓ -40% |
| Superior Wellcare | Medicare Advantage HMO | $35.64 | ↓ -40% |
| Superior Wellcare | Medicare Advantage MMP | $37.33 | ↓ -37% |
| United Healthcare | Medicare Advantage PPO | $37.67 | ↓ -36% |
| United Healthcare | Medicare Advantage HMO | $38.35 | ↓ -35% |
| City of Fort Worth | Commercial | $46.30 | ↓ -22% |
| Blue Cross Blue Shield | Exchange | $47.18 | ↓ -20% |
| Quick Trip | Commercial | $59.10 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $60.13 | ↑ +2% |
| Blue Cross Blue Shield | HMO | $67.20 | ↑ +14% |
| PHCS | PPO | $68.46 | ↑ +16% |
| Aetna | ASA | $69.05 | ↑ +17% |
| Aetna | Coventry | $69.05 | ↑ +17% |
| Healthsmart | Commercial | $73.88 | ↑ +25% |
| Blue Cross Blue Shield | PPO | $74.67 | ↑ +26% |
| Multiplan | Commercial | $85.70 | ↑ +45% |
| Galaxy | Commercial | $86.68 | ↑ +47% |
| USA | MCO | $86.68 | ↑ +47% |
| Cigna | Indemnity | $92.69 | ↑ +57% |
| Aetna | Whole Health | $113.15 | ↑ +91% |
| Cigna | OAP/HMO | $140.19 | ↑ +137% |
| Cigna | PPO | $140.19 | ↑ +137% |
| Aetna | Commercial | $150.86 | ↑ +155% |
| Blue Cross Blue Shield | Traditional | $198.92 | ↑ +237% |
Visitor-reported prices
Comments
Adh-sendout at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $433.43 | $30.55 – $130.67 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $435.33 | $10.00 – $84.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $414.60 | $12.00 – $101.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $414.60 | $12.00 – $84.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $435.33 | $10.00 – $84.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $414.60 | $12.00 – $101.25 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $414.60 | $8.00 – $101.25 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $414.60 | $12.00 – $101.25 |