Aquatic exercise - group charge at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$246.00
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.
$410.00
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.
$17.60 with American Health vs $401.00 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 |
|---|---|---|---|
| American Health | Medicare Advantage | $17.60 | ↓ -93% |
| Blue Cross Blue Shield | Medicare Advantage | $17.60 | ↓ -93% |
| HealthSpring | Medicare Advantage | $17.95 | ↓ -93% |
| Humana | Medicare Advantage | $18.30 | ↓ -93% |
| Amerigroup | Medicare Advantage | $18.48 | ↓ -92% |
| Molina | Medicare Advantage | $18.48 | ↓ -92% |
| Superior Wellcare | Medicare Advantage HMO | $18.48 | ↓ -92% |
| Superior Wellcare | Medicare Advantage MMP | $19.35 | ↓ -92% |
| United Healthcare | Medicare Advantage PPO | $19.53 | ↓ -92% |
| United Healthcare | Medicare Advantage HMO | $19.88 | ↓ -92% |
| Blue Cross Blue Shield | Exchange | $27.49 | ↓ -89% |
| Blue Cross Blue Shield | Managed Medicaid | $41.30 | ↓ -83% |
| United Healthcare | Managed Medicaid | $41.30 | ↓ -83% |
| Cook Childrens | Managed Medicaid | $41.30 | ↓ -83% |
| Amerigroup | Managed Medicaid | $41.30 | ↓ -83% |
| Superior Wellcare | Managed Medicaid | $43.36 | ↓ -82% |
| Molina | Managed Medicaid | $44.59 | ↓ -82% |
| Aetna | Managed Medicaid | $45.44 | ↓ -82% |
| Blue Cross Blue Shield | HMO | $52.27 | ↓ -79% |
| Blue Cross Blue Shield | PPO | $58.08 | ↓ -76% |
| Aetna | Whole Health | $112.61 | ↓ -54% |
| City of Fort Worth | Commercial | $128.90 | ↓ -48% |
| Aetna | Commercial | $150.15 | ↓ -39% |
| Blue Cross Blue Shield | Traditional | $153.89 | ↓ -37% |
| Quick Trip | Commercial | $164.55 | ↓ -33% |
| Fort Worth Firefighters | Commercial | $167.43 | ↓ -32% |
| PHCS | PPO | $190.60 | ↓ -23% |
| Aetna | ASA | $192.25 | ↓ -22% |
| Aetna | Coventry | $192.25 | ↓ -22% |
| Healthsmart | Commercial | $205.69 | ↓ -16% |
| Multiplan | Commercial | $238.60 | ↓ -3% |
| Galaxy | Commercial | $241.34 | ↓ -2% |
| USA | MCO | $241.34 | ↓ -2% |
| Cigna | Indemnity | $258.07 | ↑ +5% |
| United Healthcare | All Payer | $308.00 | ↑ +25% |
| Cigna | OAP/HMO | $328.00 | ↑ +33% |
| Cigna | PPO | $396.00 | ↑ +61% |
| United Healthcare Options | PPO | $401.00 | ↑ +63% |
Visitor-reported prices
Comments
Aquatic exercise - group charge at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $191.40 | $72.15 – $72.15 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $117.76 | $33.36 – $166.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $117.76 | $24.24 – $176.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $106.47 | $21.29 – $149.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $117.76 | $31.40 – $166.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $117.76 | $37.80 – $176.63 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $117.76 | $52.74 – $253.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $106.47 | $35.49 – $159.71 |