Culture screening strep group a at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$223.05
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.
$371.75
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.
$5.57 with Blue Cross Blue Shield vs $105.63 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $5.57 | ↓ -98% |
| Cook Childrens | Managed Medicaid | $5.57 | ↓ -98% |
| Amerigroup | Managed Medicaid | $5.57 | ↓ -98% |
| United Healthcare | Managed Medicaid | $5.57 | ↓ -98% |
| Superior Wellcare | Managed Medicaid | $5.85 | ↓ -97% |
| Molina | Managed Medicaid | $6.02 | ↓ -97% |
| Aetna | Managed Medicaid | $6.13 | ↓ -97% |
| American Health | Medicare Advantage | $6.63 | ↓ -97% |
| United Healthcare Options | PPO | $6.63 | ↓ -97% |
| United Healthcare | All Payer | $6.63 | ↓ -97% |
| Blue Cross Blue Shield | Medicare Advantage | $6.63 | ↓ -97% |
| HealthSpring | Medicare Advantage | $6.76 | ↓ -97% |
| Humana | Medicare Advantage | $6.90 | ↓ -97% |
| Molina | Medicare Advantage | $6.96 | ↓ -97% |
| Superior Wellcare | Medicare Advantage HMO | $6.96 | ↓ -97% |
| Amerigroup | Medicare Advantage | $6.96 | ↓ -97% |
| Superior Wellcare | Medicare Advantage MMP | $7.29 | ↓ -97% |
| United Healthcare | Medicare Advantage PPO | $7.36 | ↓ -97% |
| United Healthcare | Medicare Advantage HMO | $7.49 | ↓ -97% |
| Blue Cross Blue Shield | Exchange | $9.22 | ↓ -96% |
| Fort Worth Firefighters | Commercial | $13.01 | ↓ -94% |
| Blue Cross Blue Shield | HMO | $13.13 | ↓ -94% |
| Blue Cross Blue Shield | PPO | $14.59 | ↓ -93% |
| Aetna | Whole Health | $22.12 | ↓ -90% |
| Cigna | PPO | $27.22 | ↓ -88% |
| Cigna | OAP/HMO | $27.22 | ↓ -88% |
| Aetna | Commercial | $29.49 | ↓ -87% |
| Blue Cross Blue Shield | Traditional | $38.86 | ↓ -83% |
| City of Fort Worth | Commercial | $52.76 | ↓ -76% |
| Quick Trip | Commercial | $67.35 | ↓ -70% |
| PHCS | PPO | $78.01 | ↓ -65% |
| Aetna | ASA | $78.69 | ↓ -65% |
| Aetna | Coventry | $78.69 | ↓ -65% |
| Healthsmart | Commercial | $84.19 | ↓ -62% |
| Multiplan | Commercial | $97.66 | ↓ -56% |
| USA | MCO | $98.78 | ↓ -56% |
| Galaxy | Commercial | $98.78 | ↓ -56% |
| Cigna | Indemnity | $105.63 | ↓ -53% |
Visitor-reported prices
Comments
Culture screening strep group a at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $216.05 | $5.97 – $25.53 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $107.77 | $5.57 – $87.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $109.97 | $9.72 – $105.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $104.31 | $5.57 – $87.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $107.77 | $5.57 – $87.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $109.97 | $5.96 – $105.19 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $109.97 | $5.57 – $105.19 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $104.31 | $5.57 – $105.19 |