Arthrp w/prostc dstl ulna at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
not published by hospital
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.
not published by hospital
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.
$10,433.50 with Amerigroup vs $133,245.44 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $10,433.50 | — |
| Cook Childrens | Managed Medicaid | $10,433.50 | — |
| United Healthcare | Managed Medicaid | $10,433.50 | — |
| Blue Cross Blue Shield | Managed Medicaid | $10,433.50 | — |
| Superior Wellcare | Managed Medicaid | $10,955.18 | — |
| Molina | Managed Medicaid | $11,268.18 | — |
| Aetna | Managed Medicaid | $11,476.85 | — |
| Fort Worth Firefighters | Commercial | $14,351.00 | — |
| Blue Cross Blue Shield | Medicare Advantage | $17,613.72 | — |
| American Health | Medicare Advantage | $17,613.72 | — |
| HealthSpring | Medicare Advantage | $17,965.99 | — |
| Humana | Medicare Advantage | $18,318.27 | — |
| Blue Cross Blue Shield | Exchange | $18,337.99 | — |
| Amerigroup | Medicare Advantage | $18,494.40 | — |
| Superior Wellcare | Medicare Advantage HMO | $18,494.40 | — |
| Molina | Medicare Advantage | $18,494.40 | — |
| Superior Wellcare | Medicare Advantage MMP | $19,375.09 | — |
| United Healthcare | All Payer | $19,497.00 | — |
| United Healthcare | Medicare Advantage PPO | $19,551.23 | — |
| United Healthcare | Medicare Advantage HMO | $19,903.50 | — |
| United Healthcare Options | PPO | $24,806.00 | — |
| Blue Cross Blue Shield | HMO | $37,473.29 | — |
| Blue Cross Blue Shield | PPO | $41,635.21 | — |
| Blue Cross Blue Shield | Traditional | $133,245.44 | — |
Visitor-reported prices
Comments
Arthrp w/prostc dstl ulna at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $11,088.26 | $71.00 – $46,166.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $16,139.55 | $71.00 – $46,166.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $11,088.26 | $85.00 – $46,166.33 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $11,088.26 | $3,879.00 – $46,166.33 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $16,139.55 | $71.00 – $46,166.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $11,088.26 | $71.00 – $46,166.33 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $11,088.26 | $71.00 – $46,166.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $16,139.55 | $71.00 – $46,166.33 |