Coombs indirect qualitative each reagent red cell reference at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$102.90
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.
$171.50
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.
$4.80 with Amerigroup vs $841.05 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $4.80 | ↓ -95% |
| Cook Childrens | Managed Medicaid | $4.80 | ↓ -95% |
| Blue Cross Blue Shield | Managed Medicaid | $4.80 | ↓ -95% |
| United Healthcare | Managed Medicaid | $4.80 | ↓ -95% |
| Superior Wellcare | Managed Medicaid | $5.04 | ↓ -95% |
| Molina | Managed Medicaid | $5.18 | ↓ -95% |
| Aetna | Managed Medicaid | $5.28 | ↓ -95% |
| United Healthcare | All Payer | $5.72 | ↓ -94% |
| United Healthcare Options | PPO | $5.72 | ↓ -94% |
| Fort Worth Firefighters | Commercial | $11.22 | ↓ -89% |
| Aetna | Whole Health | $19.08 | ↓ -81% |
| Cigna | PPO | $23.20 | ↓ -77% |
| Cigna | OAP/HMO | $23.20 | ↓ -77% |
| Aetna | Commercial | $25.44 | ↓ -75% |
| City of Fort Worth | Commercial | $80.61 | ↓ -22% |
| Quick Trip | Commercial | $102.90 | ↑ +0% |
| PHCS | PPO | $119.19 | ↑ +16% |
| Aetna | Coventry | $120.22 | ↑ +17% |
| Aetna | ASA | $120.22 | ↑ +17% |
| Healthsmart | Commercial | $128.63 | ↑ +25% |
| Multiplan | Commercial | $149.21 | ↑ +45% |
| Galaxy | Commercial | $150.92 | ↑ +47% |
| USA | MCO | $150.92 | ↑ +47% |
| Cigna | Indemnity | $161.38 | ↑ +57% |
| American Health | Medicare Advantage | $171.15 | ↑ +66% |
| Blue Cross Blue Shield | Medicare Advantage | $171.15 | ↑ +66% |
| HealthSpring | Medicare Advantage | $174.57 | ↑ +70% |
| Humana | Medicare Advantage | $177.99 | ↑ +73% |
| Amerigroup | Medicare Advantage | $179.70 | ↑ +75% |
| Molina | Medicare Advantage | $179.70 | ↑ +75% |
| Superior Wellcare | Medicare Advantage HMO | $179.70 | ↑ +75% |
| Superior Wellcare | Medicare Advantage MMP | $188.26 | ↑ +83% |
| United Healthcare | Medicare Advantage PPO | $189.97 | ↑ +85% |
| United Healthcare | Medicare Advantage HMO | $193.40 | ↑ +88% |
| Blue Cross Blue Shield | Exchange | $199.47 | ↑ +94% |
| Blue Cross Blue Shield | HMO | $284.13 | ↑ +176% |
| Blue Cross Blue Shield | PPO | $315.70 | ↑ +207% |
| Blue Cross Blue Shield | Traditional | $841.05 | ↑ +717% |
Visitor-reported prices
Comments
Coombs indirect qualitative each reagent red cell reference at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $60.26 | $4.80 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $74.68 | $8.39 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $50.65 | $4.80 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $60.26 | $4.80 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $74.68 | $5.14 – $423.12 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $74.68 | $4.80 – $423.12 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $50.65 | $4.80 – $423.12 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $60.26 | $4.80 – $423.12 |