Diagnostic digital breast tomosynthesis bil at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$73.20
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.
$122.00
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.
$18.37 with United Healthcare vs $742.32 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $18.37 | ↓ -75% |
| Cook Childrens | Managed Medicaid | $18.37 | ↓ -75% |
| Blue Cross Blue Shield | Managed Medicaid | $18.37 | ↓ -75% |
| Amerigroup | Managed Medicaid | $18.37 | ↓ -75% |
| Superior Wellcare | Managed Medicaid | $19.29 | ↓ -74% |
| Molina | Managed Medicaid | $19.84 | ↓ -73% |
| Aetna | Managed Medicaid | $20.22 | ↓ -72% |
| Aetna | Whole Health | $50.09 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $53.59 | ↓ -27% |
| City of Fort Worth | Commercial | $57.34 | ↓ -22% |
| Aetna | Commercial | $66.80 | ↓ -9% |
| Cigna | OAP/HMO | $67.44 | ↓ -8% |
| Quick Trip | Commercial | $73.20 | ↑ +0% |
| PHCS | PPO | $84.79 | ↑ +16% |
| Cigna | PPO | $85.03 | ↑ +16% |
| Aetna | Coventry | $85.52 | ↑ +17% |
| Aetna | ASA | $85.52 | ↑ +17% |
| Healthsmart | Commercial | $91.50 | ↑ +25% |
| Multiplan | Commercial | $106.14 | ↑ +45% |
| Galaxy | Commercial | $107.36 | ↑ +47% |
| USA | MCO | $107.36 | ↑ +47% |
| Cigna | Indemnity | $114.80 | ↑ +57% |
| Blue Cross Blue Shield | HMO | $247.10 | ↑ +238% |
| Blue Cross Blue Shield | Exchange | $253.96 | ↑ +247% |
| Blue Cross Blue Shield | PPO | $274.56 | ↑ +275% |
| United Healthcare | All Payer | $551.00 | ↑ +653% |
| United Healthcare Options | PPO | $722.00 | ↑ +886% |
| Blue Cross Blue Shield | Traditional | $742.32 | ↑ +914% |
| Molina | Medicare Advantage | not published by hospital | — |
| United Healthcare | Medicare Advantage PPO | not published by hospital | — |
| United Healthcare | Medicare Advantage HMO | not published by hospital | — |
| HealthSpring | Medicare Advantage | not published by hospital | — |
| Blue Cross Blue Shield | Medicare Advantage | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| Amerigroup | Medicare Advantage | not published by hospital | — |
| American Health | Medicare Advantage | not published by hospital | — |
| Superior Wellcare | Medicare Advantage HMO | not published by hospital | — |
| Superior Wellcare | Medicare Advantage MMP | not published by hospital | — |
Visitor-reported prices
Comments
Diagnostic digital breast tomosynthesis bil at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $298.70 | $362.13 – $362.13 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $117.94 | $33.42 – $188.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $117.94 | $24.28 – $176.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $117.94 | $23.59 – $316.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $117.94 | $31.45 – $215.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $117.94 | $37.86 – $384.71 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $117.94 | $60.93 – $185.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $117.94 | $39.31 – $316.04 |