Diagnostic radio unlisted proc at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$99.90
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.
$166.50
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.
$68.36 with Aetna vs $722.00 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 |
|---|---|---|---|
| Aetna | Whole Health | $68.36 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $73.14 | ↓ -27% |
| City of Fort Worth | Commercial | $78.26 | ↓ -22% |
| Blue Cross Blue Shield | Managed Medicaid | $86.58 | ↓ -13% |
| Cook Childrens | Managed Medicaid | $86.58 | ↓ -13% |
| United Healthcare | Managed Medicaid | $86.58 | ↓ -13% |
| Amerigroup | Managed Medicaid | $86.58 | ↓ -13% |
| American Health | Medicare Advantage | $87.42 | ↓ -12% |
| Blue Cross Blue Shield | Medicare Advantage | $87.42 | ↓ -12% |
| HealthSpring | Medicare Advantage | $89.17 | ↓ -11% |
| Superior Wellcare | Managed Medicaid | $90.91 | ↓ -9% |
| Humana | Medicare Advantage | $90.92 | ↓ -9% |
| Aetna | Commercial | $91.16 | ↓ -9% |
| Amerigroup | Medicare Advantage | $91.79 | ↓ -8% |
| Molina | Medicare Advantage | $91.79 | ↓ -8% |
| Superior Wellcare | Medicare Advantage HMO | $91.79 | ↓ -8% |
| Cigna | OAP/HMO | $92.04 | ↓ -8% |
| Molina | Managed Medicaid | $93.51 | ↓ -6% |
| Aetna | Managed Medicaid | $95.24 | ↓ -5% |
| Superior Wellcare | Medicare Advantage MMP | $96.16 | ↓ -4% |
| United Healthcare | Medicare Advantage PPO | $97.04 | ↓ -3% |
| United Healthcare | Medicare Advantage HMO | $98.79 | ↓ -1% |
| Quick Trip | Commercial | $99.90 | ↑ +0% |
| PHCS | PPO | $115.72 | ↑ +16% |
| Cigna | PPO | $116.05 | ↑ +16% |
| Aetna | ASA | $116.72 | ↑ +17% |
| Aetna | Coventry | $116.72 | ↑ +17% |
| Healthsmart | Commercial | $124.88 | ↑ +25% |
| Multiplan | Commercial | $144.86 | ↑ +45% |
| USA | MCO | $146.52 | ↑ +47% |
| Galaxy | Commercial | $146.52 | ↑ +47% |
| Cigna | Indemnity | $156.68 | ↑ +57% |
| Blue Cross Blue Shield | HMO | $209.66 | ↑ +110% |
| Blue Cross Blue Shield | Exchange | $215.49 | ↑ +116% |
| Blue Cross Blue Shield | PPO | $232.97 | ↑ +133% |
| United Healthcare | All Payer | $551.00 | ↑ +452% |
| Blue Cross Blue Shield | Traditional | $629.86 | ↑ +530% |
| United Healthcare Options | PPO | $722.00 | ↑ +623% |
Visitor-reported prices
Comments
Diagnostic radio unlisted proc at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,679.11 | $83.05 – $1,197.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,679.11 | $83.05 – $1,197.31 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,679.11 | $83.05 – $1,197.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $2,679.11 | $83.19 – $1,197.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $2,679.11 | $83.05 – $1,197.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $2,679.11 | $83.05 – $1,197.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $2,679.11 | $83.05 – $1,197.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $2,679.11 | $83.05 – $1,197.31 |