Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$441.30
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.
$735.50
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.
$47.34 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 | $47.34 | ↓ -89% |
| Cook Childrens | Managed Medicaid | $47.34 | ↓ -89% |
| Blue Cross Blue Shield | Managed Medicaid | $47.34 | ↓ -89% |
| Amerigroup | Managed Medicaid | $47.34 | ↓ -89% |
| Superior Wellcare | Managed Medicaid | $49.71 | ↓ -89% |
| Molina | Managed Medicaid | $51.13 | ↓ -88% |
| Aetna | Managed Medicaid | $52.07 | ↓ -88% |
| Blue Cross Blue Shield | Exchange | $60.18 | ↓ -86% |
| Blue Cross Blue Shield | HMO | $122.98 | ↓ -72% |
| Blue Cross Blue Shield | PPO | $136.63 | ↓ -69% |
| Aetna | Whole Health | $303.39 | ↓ -31% |
| Blue Cross Blue Shield | Medicare Advantage | $308.35 | ↓ -30% |
| American Health | Medicare Advantage | $308.35 | ↓ -30% |
| HealthSpring | Medicare Advantage | $314.52 | ↓ -29% |
| Humana | Medicare Advantage | $320.68 | ↓ -27% |
| Superior Wellcare | Medicare Advantage HMO | $323.77 | ↓ -27% |
| Amerigroup | Medicare Advantage | $323.77 | ↓ -27% |
| Molina | Medicare Advantage | $323.77 | ↓ -27% |
| Superior Wellcare | Medicare Advantage MMP | $339.19 | ↓ -23% |
| United Healthcare | Medicare Advantage PPO | $342.27 | ↓ -22% |
| City of Fort Worth | Commercial | $345.69 | ↓ -22% |
| United Healthcare | Medicare Advantage HMO | $348.44 | ↓ -21% |
| Aetna | Commercial | $404.53 | ↓ -8% |
| Cigna | OAP/HMO | $406.58 | ↓ -8% |
| Blue Cross Blue Shield | Traditional | $437.27 | ↓ -1% |
| Quick Trip | Commercial | $441.30 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $449.02 | ↑ +2% |
| PHCS | PPO | $511.17 | ↑ +16% |
| Cigna | PPO | $512.64 | ↑ +16% |
| Aetna | Coventry | $515.59 | ↑ +17% |
| Aetna | ASA | $515.59 | ↑ +17% |
| Healthsmart | Commercial | $551.63 | ↑ +25% |
| Multiplan | Commercial | $639.89 | ↑ +45% |
| USA | MCO | $647.24 | ↑ +47% |
| Galaxy | Commercial | $647.24 | ↑ +47% |
| Cigna | Indemnity | $692.11 | ↑ +57% |
| United Healthcare | All Payer | $1,247.00 | ↑ +183% |
| United Healthcare Options | PPO | $1,568.00 | ↑ +255% |
Visitor-reported prices
Comments
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $984.66 | $65.41 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,123.56 | $47.34 – $1,404.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $910.79 | $50.65 – $1,366.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,111.46 | $47.34 – $1,389.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,123.56 | $47.34 – $1,404.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $910.79 | $50.65 – $1,366.18 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $910.79 | $47.34 – $1,366.18 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,111.46 | $47.34 – $1,667.20 |