Close lac/mouth vest/2.5 cm or < 40830 at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$286.50
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.
$477.50
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.
$87.58 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 | $87.58 | ↓ -69% |
| Cook Childrens | Managed Medicaid | $87.58 | ↓ -69% |
| Amerigroup | Managed Medicaid | $87.58 | ↓ -69% |
| Blue Cross Blue Shield | Managed Medicaid | $87.58 | ↓ -69% |
| Superior Wellcare | Managed Medicaid | $91.96 | ↓ -68% |
| Molina | Managed Medicaid | $94.59 | ↓ -67% |
| Aetna | Managed Medicaid | $96.34 | ↓ -66% |
| Blue Cross Blue Shield | Exchange | $150.89 | ↓ -47% |
| Aetna | Whole Health | $202.36 | ↓ -29% |
| City of Fort Worth | Commercial | $224.43 | ↓ -22% |
| American Health | Medicare Advantage | $237.93 | ↓ -17% |
| Blue Cross Blue Shield | Medicare Advantage | $237.93 | ↓ -17% |
| HealthSpring | Medicare Advantage | $242.69 | ↓ -15% |
| Humana | Medicare Advantage | $247.45 | ↓ -14% |
| Fort Worth Firefighters | Commercial | $249.45 | ↓ -13% |
| Molina | Medicare Advantage | $249.83 | ↓ -13% |
| Superior Wellcare | Medicare Advantage HMO | $249.83 | ↓ -13% |
| Amerigroup | Medicare Advantage | $249.83 | ↓ -13% |
| Superior Wellcare | Medicare Advantage MMP | $261.72 | ↓ -9% |
| Cigna | OAP/HMO | $263.96 | ↓ -8% |
| United Healthcare | Medicare Advantage PPO | $264.10 | ↓ -8% |
| United Healthcare | Medicare Advantage HMO | $268.86 | ↓ -6% |
| Aetna | Commercial | $269.79 | ↓ -6% |
| Quick Trip | Commercial | $286.50 | ↑ +0% |
| Blue Cross Blue Shield | HMO | $303.21 | ↑ +6% |
| Blue Cross Blue Shield | PPO | $303.21 | ↑ +6% |
| PHCS | PPO | $331.86 | ↑ +16% |
| Cigna | PPO | $332.82 | ↑ +16% |
| Aetna | Coventry | $334.73 | ↑ +17% |
| Aetna | ASA | $334.73 | ↑ +17% |
| Healthsmart | Commercial | $358.13 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $410.17 | ↑ +43% |
| Multiplan | Commercial | $415.43 | ↑ +45% |
| USA | MCO | $420.20 | ↑ +47% |
| Galaxy | Commercial | $420.20 | ↑ +47% |
| Cigna | Indemnity | $449.33 | ↑ +57% |
| United Healthcare | All Payer | $1,247.00 | ↑ +335% |
| United Healthcare Options | PPO | $1,568.00 | ↑ +447% |
Visitor-reported prices
Comments
Close lac/mouth vest/2.5 cm or < 40830 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,350.29 | $254.55 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $523.20 | $87.58 – $654.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $553.04 | $71.00 – $829.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $487.69 | $71.00 – $609.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $523.20 | $87.58 – $654.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $553.04 | $85.00 – $829.56 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $553.04 | $87.58 – $829.56 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $487.69 | $71.00 – $731.53 |