Coronary thrombolysis/iv infusion 92977 at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$863.25
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.
$1,438.75
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.
$208.32 with Blue Cross Blue Shield 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $208.32 | ↓ -76% |
| Cook Childrens | Managed Medicaid | $208.32 | ↓ -76% |
| United Healthcare | Managed Medicaid | $208.32 | ↓ -76% |
| Amerigroup | Managed Medicaid | $208.32 | ↓ -76% |
| Superior Wellcare | Managed Medicaid | $218.69 | ↓ -75% |
| Molina | Managed Medicaid | $224.92 | ↓ -74% |
| Aetna | Managed Medicaid | $229.20 | ↓ -73% |
| Blue Cross Blue Shield | Exchange | $356.04 | ↓ -59% |
| Aetna | Whole Health | $576.26 | ↓ -33% |
| Blue Cross Blue Shield | HMO | $639.06 | ↓ -26% |
| City of Fort Worth | Commercial | $650.13 | ↓ -25% |
| Blue Cross Blue Shield | PPO | $710.99 | ↓ -18% |
| Fort Worth Firefighters | Commercial | $751.60 | ↓ -13% |
| Cigna | OAP/HMO | $764.66 | ↓ -11% |
| Aetna | Commercial | $768.40 | ↓ -11% |
| Quick Trip | Commercial | $829.95 | ↓ -4% |
| PHCS | PPO | $961.36 | ↑ +11% |
| Cigna | PPO | $964.13 | ↑ +12% |
| Aetna | ASA | $969.66 | ↑ +12% |
| Aetna | Coventry | $969.66 | ↑ +12% |
| Healthsmart | Commercial | $1,037.44 | ↑ +20% |
| Blue Cross Blue Shield | Traditional | $1,141.18 | ↑ +32% |
| Multiplan | Commercial | $1,203.43 | ↑ +39% |
| USA | MCO | $1,217.26 | ↑ +41% |
| Galaxy | Commercial | $1,217.26 | ↑ +41% |
| United Healthcare | All Payer | $1,247.00 | ↑ +44% |
| Cigna | Indemnity | $1,301.64 | ↑ +51% |
| United Healthcare Options | PPO | $1,568.00 | ↑ +82% |
| Molina | Medicare Advantage | not published by hospital | — |
| United Healthcare | Medicare Advantage PPO | not published by hospital | — |
| United Healthcare | Medicare Advantage HMO | not published by hospital | — |
| HealthSpring | Medicare Advantage | not published by hospital | — |
| Blue Cross Blue Shield | Medicare Advantage | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| Amerigroup | Medicare Advantage | not published by hospital | — |
| American Health | Medicare Advantage | not published by hospital | — |
| Superior Wellcare | Medicare Advantage HMO | not published by hospital | — |
| Superior Wellcare | Medicare Advantage MMP | not published by hospital | — |
Visitor-reported prices
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Coronary thrombolysis/iv infusion 92977 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,033.69 | $292.88 – $1,464.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $484.37 | $99.70 – $838.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $462.36 | $92.47 – $838.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,033.69 | $275.65 – $1,464.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $484.37 | $113.00 – $838.97 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $484.37 | $250.26 – $838.97 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $462.36 | $113.00 – $838.97 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,033.69 | $275.65 – $1,464.39 |