Cdna analysis for variants at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$804.00
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.
$1,340.00
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.
$155.57 with Blue Cross Blue Shield vs $1,085.46 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 | $155.57 | ↓ -81% |
| Cook Childrens | Managed Medicaid | $155.57 | ↓ -81% |
| Amerigroup | Managed Medicaid | $155.57 | ↓ -81% |
| United Healthcare | Managed Medicaid | $155.57 | ↓ -81% |
| Superior Wellcare | Managed Medicaid | $163.35 | ↓ -80% |
| Molina | Managed Medicaid | $168.02 | ↓ -79% |
| Aetna | Managed Medicaid | $171.13 | ↓ -79% |
| American Health | Medicare Advantage | $185.20 | ↓ -77% |
| United Healthcare Options | PPO | $185.20 | ↓ -77% |
| United Healthcare | All Payer | $185.20 | ↓ -77% |
| Blue Cross Blue Shield | Medicare Advantage | $185.20 | ↓ -77% |
| HealthSpring | Medicare Advantage | $188.90 | ↓ -77% |
| Humana | Medicare Advantage | $192.61 | ↓ -76% |
| Molina | Medicare Advantage | $194.46 | ↓ -76% |
| Superior Wellcare | Medicare Advantage HMO | $194.46 | ↓ -76% |
| Amerigroup | Medicare Advantage | $194.46 | ↓ -76% |
| Superior Wellcare | Medicare Advantage MMP | $203.72 | ↓ -75% |
| United Healthcare | Medicare Advantage PPO | $205.57 | ↓ -74% |
| United Healthcare | Medicare Advantage HMO | $209.28 | ↓ -74% |
| Blue Cross Blue Shield | Exchange | $257.43 | ↓ -68% |
| Blue Cross Blue Shield | HMO | $366.70 | ↓ -54% |
| Fort Worth Firefighters | Commercial | $377.69 | ↓ -53% |
| City of Fort Worth | Commercial | $404.08 | ↓ -50% |
| Blue Cross Blue Shield | PPO | $407.44 | ↓ -49% |
| Cigna | OAP/HMO | $475.27 | ↓ -41% |
| Aetna | Whole Health | $508.94 | ↓ -37% |
| Quick Trip | Commercial | $515.85 | ↓ -36% |
| PHCS | PPO | $597.53 | ↓ -26% |
| Cigna | PPO | $599.25 | ↓ -25% |
| Aetna | Coventry | $602.68 | ↓ -25% |
| Aetna | ASA | $602.68 | ↓ -25% |
| Healthsmart | Commercial | $644.81 | ↓ -20% |
| Aetna | Commercial | $678.59 | ↓ -16% |
| Multiplan | Commercial | $747.98 | ↓ -7% |
| Galaxy | Commercial | $756.58 | ↓ -6% |
| USA | MCO | $756.58 | ↓ -6% |
| Cigna | Indemnity | $809.02 | ↑ +1% |
| Blue Cross Blue Shield | Traditional | $1,085.46 | ↑ +35% |
Visitor-reported prices
Comments
Cdna analysis for variants at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $750.00 | $10.00 – $444.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $750.00 | $12.00 – $444.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $750.00 | $12.00 – $444.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $750.00 | $10.00 – $444.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $750.00 | $12.00 – $444.48 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $750.00 | $8.00 – $444.48 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $750.00 | $12.00 – $444.48 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $750.00 | $10.00 – $444.48 |