Diagnostic anoscopy spx 46600 at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$136.80
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.
$228.00
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.
$34.34 with Blue Cross Blue Shield vs $1,568.00 with United Healthcare Options — 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 | $34.34 | ↓ -75% |
| Cook Childrens | Managed Medicaid | $34.34 | ↓ -75% |
| United Healthcare | Managed Medicaid | $34.34 | ↓ -75% |
| Amerigroup | Managed Medicaid | $34.34 | ↓ -75% |
| Superior Wellcare | Managed Medicaid | $36.05 | ↓ -74% |
| Molina | Managed Medicaid | $37.07 | ↓ -73% |
| Aetna | Managed Medicaid | $37.78 | ↓ -72% |
| Aetna | Whole Health | $94.05 | ↓ -31% |
| City of Fort Worth | Commercial | $107.16 | ↓ -22% |
| Blue Cross Blue Shield | Exchange | $125.38 | ↓ -8% |
| Aetna | Commercial | $125.40 | ↓ -8% |
| Cigna | OAP/HMO | $126.04 | ↓ -8% |
| American Health | Medicare Advantage | $133.65 | ↓ -2% |
| Blue Cross Blue Shield | Medicare Advantage | $133.65 | ↓ -2% |
| HealthSpring | Medicare Advantage | $136.33 | ↓ -0% |
| Quick Trip | Commercial | $136.80 | ↑ +0% |
| Humana | Medicare Advantage | $139.00 | ↑ +2% |
| Fort Worth Firefighters | Commercial | $139.19 | ↑ +2% |
| Molina | Medicare Advantage | $140.34 | ↑ +3% |
| Superior Wellcare | Medicare Advantage HMO | $140.34 | ↑ +3% |
| Amerigroup | Medicare Advantage | $140.34 | ↑ +3% |
| Superior Wellcare | Medicare Advantage MMP | $147.02 | ↑ +7% |
| United Healthcare | Medicare Advantage PPO | $148.36 | ↑ +8% |
| United Healthcare | Medicare Advantage HMO | $151.03 | ↑ +10% |
| PHCS | PPO | $158.46 | ↑ +16% |
| Cigna | PPO | $158.92 | ↑ +16% |
| Aetna | Coventry | $159.83 | ↑ +17% |
| Aetna | ASA | $159.83 | ↑ +17% |
| Healthsmart | Commercial | $171.00 | ↑ +25% |
| Multiplan | Commercial | $198.36 | ↑ +45% |
| Galaxy | Commercial | $200.64 | ↑ +47% |
| USA | MCO | $200.64 | ↑ +47% |
| Cigna | Indemnity | $214.55 | ↑ +57% |
| Blue Cross Blue Shield | HMO | $256.22 | ↑ +87% |
| Blue Cross Blue Shield | PPO | $284.68 | ↑ +108% |
| Blue Cross Blue Shield | Traditional | $911.05 | ↑ +566% |
| United Healthcare | All Payer | $1,247.00 | ↑ +812% |
| United Healthcare Options | PPO | $1,568.00 | ↑ +1046% |
Visitor-reported prices
Comments
Diagnostic anoscopy spx 46600 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $358.84 | $101.67 – $448.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $134.55 | $27.69 – $316.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $134.55 | $26.91 – $316.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $358.84 | $95.69 – $448.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $134.55 | $43.19 – $316.45 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $134.55 | $69.52 – $316.45 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $134.55 | $44.85 – $316.45 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $358.84 | $95.69 – $448.55 |