ER Visit (level 3) at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$579.15
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.
$965.25
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.
$145.37 with United Healthcare vs $9,653.00 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 | $145.37 | ↓ -75% |
| Cook Childrens | Managed Medicaid | $145.37 | ↓ -75% |
| Blue Cross Blue Shield | Managed Medicaid | $145.37 | ↓ -75% |
| Amerigroup | Managed Medicaid | $145.37 | ↓ -75% |
| Superior Wellcare | Managed Medicaid | $152.61 | ↓ -74% |
| Molina | Managed Medicaid | $156.95 | ↓ -73% |
| Aetna | Managed Medicaid | $159.94 | ↓ -72% |
| Blue Cross Blue Shield | Medicare Advantage | $274.22 | ↓ -53% |
| American Health | Medicare Advantage | $274.22 | ↓ -53% |
| HealthSpring | Medicare Advantage | $279.71 | ↓ -52% |
| Humana | Medicare Advantage | $285.19 | ↓ -51% |
| Molina | Medicare Advantage | $287.93 | ↓ -50% |
| Superior Wellcare | Medicare Advantage HMO | $287.93 | ↓ -50% |
| Amerigroup | Medicare Advantage | $287.93 | ↓ -50% |
| Superior Wellcare | Medicare Advantage MMP | $301.64 | ↓ -48% |
| United Healthcare | Medicare Advantage PPO | $304.39 | ↓ -47% |
| United Healthcare | Medicare Advantage HMO | $309.87 | ↓ -46% |
| Aetna | Whole Health | $409.07 | ↓ -29% |
| City of Fort Worth | Commercial | $453.67 | ↓ -22% |
| Fort Worth Firefighters | Commercial | $504.25 | ↓ -13% |
| Cigna | OAP/HMO | $533.59 | ↓ -8% |
| Aetna | Commercial | $545.37 | ↓ -6% |
| Quick Trip | Commercial | $579.15 | ↑ +0% |
| PHCS | PPO | $670.85 | ↑ +16% |
| Cigna | PPO | $672.78 | ↑ +16% |
| Aetna | Coventry | $676.64 | ↑ +17% |
| Aetna | ASA | $676.64 | ↑ +17% |
| Healthsmart | Commercial | $723.94 | ↑ +25% |
| Multiplan | Commercial | $839.77 | ↑ +45% |
| USA | MCO | $849.42 | ↑ +47% |
| Galaxy | Commercial | $849.42 | ↑ +47% |
| Cigna | Indemnity | $908.30 | ↑ +57% |
| Blue Cross Blue Shield | Exchange | $4,735.00 | ↑ +718% |
| United Healthcare | All Payer | $6,468.00 | ↑ +1017% |
| United Healthcare Options | PPO | $8,657.00 | ↑ +1395% |
| Blue Cross Blue Shield | HMO | $8,688.00 | ↑ +1400% |
| Blue Cross Blue Shield | Traditional | $9,554.00 | ↑ +1550% |
| Blue Cross Blue Shield | PPO | $9,653.00 | ↑ +1567% |
Visitor-reported prices
Comments
ER Visit (level 3) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,470.35 | $859.86 – $859.86 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $770.04 | $218.18 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $886.75 | $182.52 – $2,805.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,006.17 | $201.23 – $2,805.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $770.04 | $205.34 – $2,691.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $886.75 | $260.51 – $2,805.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $886.75 | $458.16 – $2,410.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,006.17 | $260.51 – $2,410.00 |