Cysto impl 4 or more at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
not published by hospital
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.
not published by hospital
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.
$5,756.02 with Blue Cross Blue Shield vs $67,415.62 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $5,756.02 | — |
| Cook Childrens | Managed Medicaid | $5,756.02 | — |
| United Healthcare | Managed Medicaid | $5,756.02 | — |
| Amerigroup | Managed Medicaid | $5,756.02 | — |
| Superior Wellcare | Managed Medicaid | $6,043.82 | — |
| Molina | Managed Medicaid | $6,216.50 | — |
| Aetna | Managed Medicaid | $6,331.62 | — |
| Blue Cross Blue Shield | Exchange | $9,278.12 | — |
| Blue Cross Blue Shield | Medicare Advantage | $9,509.60 | — |
| American Health | Medicare Advantage | $9,509.60 | — |
| HealthSpring | Medicare Advantage | $9,699.79 | — |
| Humana | Medicare Advantage | $9,889.98 | — |
| Amerigroup | Medicare Advantage | $9,985.08 | — |
| Molina | Medicare Advantage | $9,985.08 | — |
| Superior Wellcare | Medicare Advantage HMO | $9,985.08 | — |
| Superior Wellcare | Medicare Advantage MMP | $10,460.56 | — |
| United Healthcare | Medicare Advantage PPO | $10,555.66 | — |
| Fort Worth Firefighters | Commercial | $10,576.00 | — |
| United Healthcare | Medicare Advantage HMO | $10,745.85 | — |
| United Healthcare | All Payer | $16,982.00 | — |
| Blue Cross Blue Shield | HMO | $18,959.64 | — |
| Blue Cross Blue Shield | PPO | $21,065.37 | — |
| United Healthcare Options | PPO | $21,607.00 | — |
| Blue Cross Blue Shield | Traditional | $67,415.62 | — |
Visitor-reported prices
Comments
Cysto impl 4 or more at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $6,571.50 | $3,942.90 – $22,821.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $6,900.08 | $71.00 – $22,821.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $6,860.21 | $71.00 – $22,821.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $6,571.50 | $4,052.43 – $22,821.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $6,900.08 | $85.00 – $22,821.27 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $6,900.08 | $5,750.06 – $22,821.27 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $6,860.21 | $71.00 – $22,821.27 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $6,571.50 | $4,052.43 – $22,821.27 |