CT upper extremity w/contrast (both sides) at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$1,991.85
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.
$3,319.75
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.
$206.49 with United Healthcare vs $3,123.88 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $206.49 | ↓ -90% |
| Cook Childrens | Managed Medicaid | $206.49 | ↓ -90% |
| Blue Cross Blue Shield | Managed Medicaid | $206.49 | ↓ -90% |
| Amerigroup | Managed Medicaid | $206.49 | ↓ -90% |
| Superior Wellcare | Managed Medicaid | $216.81 | ↓ -89% |
| Molina | Managed Medicaid | $223.01 | ↓ -89% |
| Aetna | Managed Medicaid | $227.14 | ↓ -89% |
| Blue Cross Blue Shield | Medicare Advantage | $350.46 | ↓ -82% |
| American Health | Medicare Advantage | $350.46 | ↓ -82% |
| HealthSpring | Medicare Advantage | $357.47 | ↓ -82% |
| Humana | Medicare Advantage | $364.48 | ↓ -82% |
| Molina | Medicare Advantage | $367.99 | ↓ -82% |
| Superior Wellcare | Medicare Advantage HMO | $367.99 | ↓ -82% |
| Amerigroup | Medicare Advantage | $367.99 | ↓ -82% |
| Superior Wellcare | Medicare Advantage MMP | $385.51 | ↓ -81% |
| United Healthcare | Medicare Advantage PPO | $389.01 | ↓ -80% |
| United Healthcare | Medicare Advantage HMO | $396.02 | ↓ -80% |
| Aetna | Whole Health | $916.50 | ↓ -54% |
| Fort Worth Firefighters | Commercial | $963.00 | ↓ -52% |
| United Healthcare | All Payer | $1,115.00 | ↓ -44% |
| Aetna | Commercial | $1,222.00 | ↓ -39% |
| Blue Cross Blue Shield | HMO | $1,288.74 | ↓ -35% |
| Blue Cross Blue Shield | Exchange | $1,420.48 | ↓ -29% |
| Blue Cross Blue Shield | PPO | $1,431.94 | ↓ -28% |
| United Healthcare Options | PPO | $1,458.00 | ↓ -27% |
| City of Fort Worth | Commercial | $1,560.28 | ↓ -22% |
| Cigna | OAP/HMO | $1,792.00 | ↓ -10% |
| Quick Trip | Commercial | $1,991.85 | ↑ +0% |
| Cigna | PPO | $2,053.00 | ↑ +3% |
| PHCS | PPO | $2,307.23 | ↑ +16% |
| Aetna | Coventry | $2,327.14 | ↑ +17% |
| Aetna | ASA | $2,327.14 | ↑ +17% |
| Healthsmart | Commercial | $2,489.81 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $2,706.93 | ↑ +36% |
| Multiplan | Commercial | $2,888.18 | ↑ +45% |
| Galaxy | Commercial | $2,921.38 | ↑ +47% |
| USA | MCO | $2,921.38 | ↑ +47% |
| Cigna | Indemnity | $3,123.88 | ↑ +57% |
Visitor-reported prices
Comments
CT upper extremity w/contrast (both sides) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $4,549.97 | $1,779.42 – $1,779.42 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,394.81 | $206.49 – $2,993.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,824.46 | $375.53 – $2,736.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,067.90 | $206.49 – $2,584.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,394.81 | $206.49 – $2,993.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,824.46 | $220.94 – $2,736.68 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,824.46 | $206.49 – $2,736.68 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,067.90 | $206.49 – $3,101.85 |