Consultation pathology during surgery frozen section each additional block at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$377.25
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.
$628.75
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.
$16.57 with Fort Worth Firefighters vs $591.65 with Cigna — 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 |
|---|---|---|---|
| Fort Worth Firefighters | Commercial | $16.57 | ↓ -96% |
| United Healthcare Options | PPO | $23.10 | ↓ -94% |
| United Healthcare | All Payer | $23.10 | ↓ -94% |
| Aetna | Whole Health | $24.14 | ↓ -94% |
| Cigna | OAP/HMO | $27.33 | ↓ -93% |
| Cigna | PPO | $27.33 | ↓ -93% |
| Blue Cross Blue Shield | Exchange | $30.55 | ↓ -92% |
| Aetna | Commercial | $32.18 | ↓ -91% |
| Blue Cross Blue Shield | HMO | $43.52 | ↓ -88% |
| Blue Cross Blue Shield | PPO | $48.36 | ↓ -87% |
| Blue Cross Blue Shield | Medicare Advantage | $51.67 | ↓ -86% |
| American Health | Medicare Advantage | $51.67 | ↓ -86% |
| HealthSpring | Medicare Advantage | $52.71 | ↓ -86% |
| Humana | Medicare Advantage | $53.74 | ↓ -86% |
| Molina | Medicare Advantage | $54.26 | ↓ -86% |
| Amerigroup | Medicare Advantage | $54.26 | ↓ -86% |
| Superior Wellcare | Medicare Advantage HMO | $54.26 | ↓ -86% |
| Superior Wellcare | Medicare Advantage MMP | $56.84 | ↓ -85% |
| United Healthcare | Medicare Advantage PPO | $57.36 | ↓ -85% |
| United Healthcare | Medicare Advantage HMO | $58.39 | ↓ -85% |
| Amerigroup | Managed Medicaid | $94.69 | ↓ -75% |
| United Healthcare | Managed Medicaid | $94.69 | ↓ -75% |
| Cook Childrens | Managed Medicaid | $94.69 | ↓ -75% |
| Blue Cross Blue Shield | Managed Medicaid | $94.69 | ↓ -75% |
| Superior Wellcare | Managed Medicaid | $99.41 | ↓ -74% |
| Molina | Managed Medicaid | $102.23 | ↓ -73% |
| Aetna | Managed Medicaid | $104.18 | ↓ -72% |
| Blue Cross Blue Shield | Traditional | $128.82 | ↓ -66% |
| City of Fort Worth | Commercial | $295.51 | ↓ -22% |
| Quick Trip | Commercial | $377.25 | ↑ +0% |
| PHCS | PPO | $436.98 | ↑ +16% |
| Aetna | Coventry | $440.75 | ↑ +17% |
| Aetna | ASA | $440.75 | ↑ +17% |
| Healthsmart | Commercial | $471.56 | ↑ +25% |
| Multiplan | Commercial | $547.01 | ↑ +45% |
| Galaxy | Commercial | $553.30 | ↑ +47% |
| USA | MCO | $553.30 | ↑ +47% |
| Cigna | Indemnity | $591.65 | ↑ +57% |
Visitor-reported prices
Comments
Consultation pathology during surgery frozen section each additional block at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $154.18 | $35.00 – $218.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $152.96 | $31.49 – $229.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $117.67 | $23.53 – $147.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $154.18 | $35.00 – $218.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $152.96 | $36.00 – $229.45 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $152.96 | $26.00 – $229.45 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $117.67 | $36.00 – $176.51 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $154.18 | $35.00 – $218.42 |