Critical care each additional 30 minutes at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$731.40
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.
$1,219.00
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.
$130.59 with American Health vs $45,861.00 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 |
|---|---|---|---|
| American Health | Medicare Advantage | $130.59 | ↓ -82% |
| Blue Cross Blue Shield | Medicare Advantage | $130.59 | ↓ -82% |
| HealthSpring | Medicare Advantage | $133.20 | ↓ -82% |
| Humana | Medicare Advantage | $135.81 | ↓ -81% |
| Molina | Medicare Advantage | $137.12 | ↓ -81% |
| Amerigroup | Medicare Advantage | $137.12 | ↓ -81% |
| Superior Wellcare | Medicare Advantage HMO | $137.12 | ↓ -81% |
| Superior Wellcare | Medicare Advantage MMP | $143.64 | ↓ -80% |
| United Healthcare | Medicare Advantage PPO | $144.95 | ↓ -80% |
| United Healthcare | Medicare Advantage HMO | $147.56 | ↓ -80% |
| United Healthcare | Managed Medicaid | $183.58 | ↓ -75% |
| Cook Childrens | Managed Medicaid | $183.58 | ↓ -75% |
| Blue Cross Blue Shield | Managed Medicaid | $183.58 | ↓ -75% |
| Amerigroup | Managed Medicaid | $183.58 | ↓ -75% |
| Superior Wellcare | Managed Medicaid | $192.72 | ↓ -74% |
| Molina | Managed Medicaid | $198.21 | ↓ -73% |
| Aetna | Managed Medicaid | $201.99 | ↓ -72% |
| Aetna | Whole Health | $516.61 | ↓ -29% |
| City of Fort Worth | Commercial | $572.93 | ↓ -22% |
| Fort Worth Firefighters | Commercial | $636.81 | ↓ -13% |
| Cigna | OAP/HMO | $673.86 | ↓ -8% |
| Aetna | Commercial | $688.74 | ↓ -6% |
| Quick Trip | Commercial | $731.40 | ↑ +0% |
| PHCS | PPO | $847.21 | ↑ +16% |
| Cigna | PPO | $849.64 | ↑ +16% |
| Aetna | Coventry | $854.52 | ↑ +17% |
| Aetna | ASA | $854.52 | ↑ +17% |
| Healthsmart | Commercial | $914.25 | ↑ +25% |
| Multiplan | Commercial | $1,060.53 | ↑ +45% |
| USA | MCO | $1,072.72 | ↑ +47% |
| Galaxy | Commercial | $1,072.72 | ↑ +47% |
| Cigna | Indemnity | $1,147.08 | ↑ +57% |
| United Healthcare | All Payer | $10,377.00 | ↑ +1319% |
| United Healthcare Options | PPO | $13,659.00 | ↑ +1768% |
| Blue Cross Blue Shield | Exchange | $22,089.00 | ↑ +2920% |
| Blue Cross Blue Shield | HMO | $41,275.00 | ↑ +5543% |
| Blue Cross Blue Shield | Traditional | $45,218.00 | ↑ +6082% |
| Blue Cross Blue Shield | PPO | $45,861.00 | ↑ +6170% |
Visitor-reported prices
Comments
Critical care each additional 30 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,597.43 | $437.05 – $437.05 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $845.09 | $239.44 – $3,000.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $686.86 | $141.38 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,013.20 | $202.64 – $7,280.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $845.09 | $225.36 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $686.86 | $220.48 – $10,880.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $686.86 | $354.88 – $1,030.28 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,013.20 | $337.73 – $7,280.00 |