Diabetes (HbA1c) Test at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$133.20
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.
$222.00
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.
$8.16 with Amerigroup vs $83.51 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $8.16 | ↓ -94% |
| Blue Cross Blue Shield | Managed Medicaid | $8.16 | ↓ -94% |
| United Healthcare | Managed Medicaid | $8.16 | ↓ -94% |
| Cook Childrens | Managed Medicaid | $8.16 | ↓ -94% |
| Superior Wellcare | Managed Medicaid | $8.57 | ↓ -94% |
| Molina | Managed Medicaid | $8.81 | ↓ -93% |
| Aetna | Managed Medicaid | $8.98 | ↓ -93% |
| Blue Cross Blue Shield | Medicare Advantage | $9.71 | ↓ -93% |
| United Healthcare Options | PPO | $9.71 | ↓ -93% |
| United Healthcare | All Payer | $9.71 | ↓ -93% |
| American Health | Medicare Advantage | $9.71 | ↓ -93% |
| HealthSpring | Medicare Advantage | $9.90 | ↓ -93% |
| Humana | Medicare Advantage | $10.10 | ↓ -92% |
| Molina | Medicare Advantage | $10.20 | ↓ -92% |
| Amerigroup | Medicare Advantage | $10.20 | ↓ -92% |
| Superior Wellcare | Medicare Advantage HMO | $10.20 | ↓ -92% |
| Superior Wellcare | Medicare Advantage MMP | $10.68 | ↓ -92% |
| United Healthcare | Medicare Advantage PPO | $10.78 | ↓ -92% |
| United Healthcare | Medicare Advantage HMO | $10.97 | ↓ -92% |
| Blue Cross Blue Shield | Exchange | $13.50 | ↓ -90% |
| Fort Worth Firefighters | Commercial | $19.04 | ↓ -86% |
| Blue Cross Blue Shield | HMO | $19.23 | ↓ -86% |
| Blue Cross Blue Shield | PPO | $21.36 | ↓ -84% |
| Aetna | Whole Health | $32.36 | ↓ -76% |
| Cigna | OAP/HMO | $40.34 | ↓ -70% |
| Cigna | PPO | $40.34 | ↓ -70% |
| City of Fort Worth | Commercial | $41.71 | ↓ -69% |
| Aetna | Commercial | $43.15 | ↓ -68% |
| Quick Trip | Commercial | $53.25 | ↓ -60% |
| Blue Cross Blue Shield | Traditional | $56.91 | ↓ -57% |
| PHCS | PPO | $61.68 | ↓ -54% |
| Aetna | ASA | $62.21 | ↓ -53% |
| Aetna | Coventry | $62.21 | ↓ -53% |
| Healthsmart | Commercial | $66.56 | ↓ -50% |
| Multiplan | Commercial | $77.21 | ↓ -42% |
| USA | MCO | $78.10 | ↓ -41% |
| Galaxy | Commercial | $78.10 | ↓ -41% |
| Cigna | Indemnity | $83.51 | ↓ -37% |
Visitor-reported prices
Comments
Diabetes (HbA1c) Test at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $193.18 | $8.74 – $37.38 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $111.51 | $8.16 – $115.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $92.09 | $12.00 – $129.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $123.97 | $8.16 – $115.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $111.51 | $8.16 – $115.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $92.09 | $8.73 – $129.45 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $92.09 | $8.00 – $129.45 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $123.97 | $8.16 – $138.13 |