Clearance of airways at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$150.45
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.
$250.75
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.
$37.76 with Cook Childrens vs $764.00 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 |
|---|---|---|---|
| Cook Childrens | Managed Medicaid | $37.76 | ↓ -75% |
| United Healthcare | Managed Medicaid | $37.76 | ↓ -75% |
| Amerigroup | Managed Medicaid | $37.76 | ↓ -75% |
| Blue Cross Blue Shield | Managed Medicaid | $37.76 | ↓ -75% |
| Superior Wellcare | Managed Medicaid | $39.64 | ↓ -74% |
| Molina | Managed Medicaid | $40.77 | ↓ -73% |
| Aetna | Managed Medicaid | $41.55 | ↓ -72% |
| Blue Cross Blue Shield | Exchange | $72.72 | ↓ -52% |
| Aetna | Whole Health | $102.96 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $110.15 | ↓ -27% |
| Blue Cross Blue Shield | HMO | $115.85 | ↓ -23% |
| City of Fort Worth | Commercial | $117.85 | ↓ -22% |
| Blue Cross Blue Shield | PPO | $128.89 | ↓ -14% |
| Aetna | Commercial | $137.29 | ↓ -9% |
| Cigna | OAP/HMO | $138.61 | ↓ -8% |
| Quick Trip | Commercial | $150.45 | ↑ +0% |
| PHCS | PPO | $174.27 | ↑ +16% |
| Cigna | PPO | $174.77 | ↑ +16% |
| Aetna | Coventry | $175.78 | ↑ +17% |
| Aetna | ASA | $175.78 | ↑ +17% |
| Healthsmart | Commercial | $188.06 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $206.87 | ↑ +38% |
| Multiplan | Commercial | $218.15 | ↑ +45% |
| American Health | Medicare Advantage | $219.97 | ↑ +46% |
| Blue Cross Blue Shield | Medicare Advantage | $219.97 | ↑ +46% |
| USA | MCO | $220.66 | ↑ +47% |
| Galaxy | Commercial | $220.66 | ↑ +47% |
| HealthSpring | Medicare Advantage | $224.37 | ↑ +49% |
| Humana | Medicare Advantage | $228.77 | ↑ +52% |
| Amerigroup | Medicare Advantage | $230.97 | ↑ +54% |
| Molina | Medicare Advantage | $230.97 | ↑ +54% |
| Superior Wellcare | Medicare Advantage HMO | $230.97 | ↑ +54% |
| Cigna | Indemnity | $235.96 | ↑ +57% |
| Superior Wellcare | Medicare Advantage MMP | $241.97 | ↑ +61% |
| United Healthcare | Medicare Advantage PPO | $244.17 | ↑ +62% |
| United Healthcare | Medicare Advantage HMO | $248.57 | ↑ +65% |
| United Healthcare | All Payer | $577.00 | ↑ +284% |
| United Healthcare Options | PPO | $764.00 | ↑ +408% |
Visitor-reported prices
Comments
Clearance of airways at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $278.30 | $78.85 – $528.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $203.35 | $41.86 – $528.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $246.73 | $49.35 – $528.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $278.30 | $74.21 – $528.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $203.35 | $65.27 – $528.37 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $203.35 | $105.06 – $3,235.82 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $246.73 | $71.00 – $528.37 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $278.30 | $74.21 – $528.37 |