Epidural lysis on single day 62264 at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$1,393.80
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.
$2,323.00
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.
$340.77 with United Healthcare vs $6,785.49 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 | $340.77 | ↓ -76% |
| Blue Cross Blue Shield | Managed Medicaid | $340.77 | ↓ -76% |
| Cook Childrens | Managed Medicaid | $340.77 | ↓ -76% |
| Amerigroup | Managed Medicaid | $340.77 | ↓ -76% |
| Superior Wellcare | Managed Medicaid | $357.81 | ↓ -74% |
| Molina | Managed Medicaid | $368.03 | ↓ -74% |
| Aetna | Managed Medicaid | $374.85 | ↓ -73% |
| Blue Cross Blue Shield | Medicare Advantage | $888.50 | ↓ -36% |
| American Health | Medicare Advantage | $888.50 | ↓ -36% |
| HealthSpring | Medicare Advantage | $906.27 | ↓ -35% |
| Humana | Medicare Advantage | $924.04 | ↓ -34% |
| Molina | Medicare Advantage | $932.93 | ↓ -33% |
| Amerigroup | Medicare Advantage | $932.93 | ↓ -33% |
| Superior Wellcare | Medicare Advantage HMO | $932.93 | ↓ -33% |
| Blue Cross Blue Shield | Exchange | $933.86 | ↓ -33% |
| Aetna | Whole Health | $958.24 | ↓ -31% |
| Superior Wellcare | Medicare Advantage MMP | $977.35 | ↓ -30% |
| United Healthcare | Medicare Advantage PPO | $986.24 | ↓ -29% |
| United Healthcare | Medicare Advantage HMO | $1,004.01 | ↓ -28% |
| City of Fort Worth | Commercial | $1,091.81 | ↓ -22% |
| Aetna | Commercial | $1,277.65 | ↓ -8% |
| Cigna | OAP/HMO | $1,284.15 | ↓ -8% |
| Quick Trip | Commercial | $1,393.80 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $1,418.19 | ↑ +2% |
| PHCS | PPO | $1,614.49 | ↑ +16% |
| Cigna | PPO | $1,619.13 | ↑ +16% |
| Aetna | Coventry | $1,628.42 | ↑ +17% |
| Aetna | ASA | $1,628.42 | ↑ +17% |
| Healthsmart | Commercial | $1,742.25 | ↑ +25% |
| Blue Cross Blue Shield | HMO | $1,908.32 | ↑ +37% |
| Multiplan | Commercial | $2,021.01 | ↑ +45% |
| USA | MCO | $2,044.24 | ↑ +47% |
| Galaxy | Commercial | $2,044.24 | ↑ +47% |
| Blue Cross Blue Shield | PPO | $2,120.26 | ↑ +52% |
| Cigna | Indemnity | $2,185.94 | ↑ +57% |
| United Healthcare | All Payer | $2,380.00 | ↑ +71% |
| United Healthcare Options | PPO | $3,076.00 | ↑ +121% |
| Blue Cross Blue Shield | Traditional | $6,785.49 | ↑ +387% |
Visitor-reported prices
Comments
Epidural lysis on single day 62264 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,174.23 | $340.77 – $2,717.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,770.80 | $71.00 – $4,156.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,770.80 | $71.00 – $3,463.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,174.23 | $340.77 – $2,717.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,770.80 | $85.00 – $4,156.20 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,770.80 | $340.77 – $4,156.20 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,770.80 | $71.00 – $4,156.20 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,174.23 | $340.77 – $2,717.78 |