Application finger splntstatic 29130 at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$154.65
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.
$257.75
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.
$38.82 with United Healthcare vs $1,568.00 with United Healthcare Options — 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $38.82 | ↓ -75% |
| Cook Childrens | Managed Medicaid | $38.82 | ↓ -75% |
| Blue Cross Blue Shield | Managed Medicaid | $38.82 | ↓ -75% |
| Amerigroup | Managed Medicaid | $38.82 | ↓ -75% |
| Superior Wellcare | Managed Medicaid | $40.75 | ↓ -74% |
| Molina | Managed Medicaid | $41.91 | ↓ -73% |
| Aetna | Managed Medicaid | $42.71 | ↓ -72% |
| Blue Cross Blue Shield | Exchange | $63.26 | ↓ -59% |
| Aetna | Whole Health | $109.23 | ↓ -29% |
| City of Fort Worth | Commercial | $121.14 | ↓ -22% |
| Blue Cross Blue Shield | HMO | $129.27 | ↓ -16% |
| American Health | Medicare Advantage | $133.65 | ↓ -14% |
| Blue Cross Blue Shield | Medicare Advantage | $133.65 | ↓ -14% |
| Fort Worth Firefighters | Commercial | $134.65 | ↓ -13% |
| HealthSpring | Medicare Advantage | $136.33 | ↓ -12% |
| Humana | Medicare Advantage | $139.00 | ↓ -10% |
| Amerigroup | Medicare Advantage | $140.34 | ↓ -9% |
| Superior Wellcare | Medicare Advantage HMO | $140.34 | ↓ -9% |
| Molina | Medicare Advantage | $140.34 | ↓ -9% |
| Cigna | OAP/HMO | $142.48 | ↓ -8% |
| Blue Cross Blue Shield | PPO | $143.63 | ↓ -7% |
| Aetna | Commercial | $145.63 | ↓ -6% |
| Superior Wellcare | Medicare Advantage MMP | $147.02 | ↓ -5% |
| United Healthcare | Medicare Advantage PPO | $148.36 | ↓ -4% |
| United Healthcare | Medicare Advantage HMO | $151.03 | ↓ -2% |
| Quick Trip | Commercial | $154.65 | ↑ +0% |
| PHCS | PPO | $179.14 | ↑ +16% |
| Cigna | PPO | $179.65 | ↑ +16% |
| Aetna | ASA | $180.68 | ↑ +17% |
| Aetna | Coventry | $180.68 | ↑ +17% |
| Healthsmart | Commercial | $193.31 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $221.41 | ↑ +43% |
| Multiplan | Commercial | $224.24 | ↑ +45% |
| Galaxy | Commercial | $226.82 | ↑ +47% |
| USA | MCO | $226.82 | ↑ +47% |
| Cigna | Indemnity | $242.54 | ↑ +57% |
| United Healthcare | All Payer | $1,247.00 | ↑ +706% |
| United Healthcare Options | PPO | $1,568.00 | ↑ +914% |
Visitor-reported prices
Comments
Application finger splntstatic 29130 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $735.49 | $68.76 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $319.57 | $90.54 – $399.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $302.39 | $62.24 – $453.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $358.57 | $71.00 – $448.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $319.57 | $85.22 – $399.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $302.39 | $85.00 – $453.59 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $302.39 | $155.00 – $453.59 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $358.57 | $71.00 – $537.86 |