Colonoscopy w/decompression 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.
$328.50 with Blue Cross Blue Shield vs $6,382.98 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 | $328.50 | — |
| Cook Childrens | Managed Medicaid | $328.50 | — |
| United Healthcare | Managed Medicaid | $328.50 | — |
| Amerigroup | Managed Medicaid | $328.50 | — |
| Superior Wellcare | Managed Medicaid | $344.93 | — |
| Molina | Managed Medicaid | $354.78 | — |
| Aetna | Managed Medicaid | $361.35 | — |
| Blue Cross Blue Shield | Exchange | $878.46 | — |
| Blue Cross Blue Shield | Medicare Advantage | $934.20 | — |
| American Health | Medicare Advantage | $934.20 | — |
| HealthSpring | Medicare Advantage | $952.88 | — |
| Humana | Medicare Advantage | $971.56 | — |
| Superior Wellcare | Medicare Advantage HMO | $980.91 | — |
| Molina | Medicare Advantage | $980.91 | — |
| Amerigroup | Medicare Advantage | $980.91 | — |
| Superior Wellcare | Medicare Advantage MMP | $1,027.61 | — |
| United Healthcare | Medicare Advantage PPO | $1,036.96 | — |
| United Healthcare | Medicare Advantage HMO | $1,055.64 | — |
| Blue Cross Blue Shield | HMO | $1,795.12 | — |
| Blue Cross Blue Shield | PPO | $1,994.49 | — |
| Fort Worth Firefighters | Commercial | $2,319.00 | — |
| United Healthcare | All Payer | $2,923.00 | — |
| United Healthcare Options | PPO | $3,751.00 | — |
| Blue Cross Blue Shield | Traditional | $6,382.98 | — |
Visitor-reported prices
Comments
Colonoscopy w/decompression at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Houston Methodist The Woodlands Hospital | The Woodlands | $670.50 | $934.20 – $1,868.39 |
| Houston Methodist Cypress Hospital | Cypress | $670.50 | $934.20 – $1,821.68 |
| Houston Methodist Willowbrook Hospital | Houston | $670.50 | $934.20 – $1,821.68 |
| Houston Methodist Continuing Care Hospital | Katy | $670.50 | $3,894.00 – $7,542.00 |
| Houston Methodist Clear Lake Hospital | Nassau Bay | $670.50 | $443.05 – $1,821.68 |
| Houston Methodist Sugar Land Hospital | Sugar Land | $670.50 | $934.20 – $1,821.68 |
| Houston Methodist West Hospital | Houston | $670.50 | $934.20 – $3,736.78 |
| Houston Methodist Baytown Hospital | Baytown | $670.50 | $934.20 – $1,821.68 |