#flow interp 9 - 15 markers at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$153.90
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.
$256.50
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.
$16.55 with Fort Worth Firefighters vs $386.53 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 |
|---|---|---|---|
| Fort Worth Firefighters | Commercial | $16.55 | ↓ -89% |
| Amerigroup | Managed Medicaid | $38.63 | ↓ -75% |
| United Healthcare | Managed Medicaid | $38.63 | ↓ -75% |
| Blue Cross Blue Shield | Managed Medicaid | $38.63 | ↓ -75% |
| Cook Childrens | Managed Medicaid | $38.63 | ↓ -75% |
| Superior Wellcare | Managed Medicaid | $40.55 | ↓ -74% |
| Molina | Managed Medicaid | $41.71 | ↓ -73% |
| Aetna | Managed Medicaid | $42.50 | ↓ -72% |
| Blue Cross Blue Shield | Medicare Advantage | $57.37 | ↓ -63% |
| American Health | Medicare Advantage | $57.37 | ↓ -63% |
| HealthSpring | Medicare Advantage | $58.52 | ↓ -62% |
| Humana | Medicare Advantage | $59.67 | ↓ -61% |
| Molina | Medicare Advantage | $60.24 | ↓ -61% |
| Amerigroup | Medicare Advantage | $60.24 | ↓ -61% |
| Superior Wellcare | Medicare Advantage HMO | $60.24 | ↓ -61% |
| Superior Wellcare | Medicare Advantage MMP | $63.11 | ↓ -59% |
| United Healthcare | Medicare Advantage PPO | $63.68 | ↓ -59% |
| United Healthcare | Medicare Advantage HMO | $64.83 | ↓ -58% |
| United Healthcare Options | PPO | $66.04 | ↓ -57% |
| United Healthcare | All Payer | $66.04 | ↓ -57% |
| Blue Cross Blue Shield | Exchange | $91.67 | ↓ -40% |
| City of Fort Worth | Commercial | $120.56 | ↓ -22% |
| Blue Cross Blue Shield | HMO | $130.58 | ↓ -15% |
| Blue Cross Blue Shield | PPO | $145.09 | ↓ -6% |
| Quick Trip | Commercial | $153.90 | ↑ +0% |
| PHCS | PPO | $178.27 | ↑ +16% |
| Aetna | Coventry | $179.81 | ↑ +17% |
| Aetna | ASA | $179.81 | ↑ +17% |
| Healthsmart | Commercial | $192.38 | ↑ +25% |
| Aetna | Whole Health | $197.64 | ↑ +28% |
| Cigna | PPO | $199.22 | ↑ +29% |
| Cigna | OAP/HMO | $199.22 | ↑ +29% |
| Multiplan | Commercial | $223.16 | ↑ +45% |
| USA | MCO | $225.72 | ↑ +47% |
| Galaxy | Commercial | $225.72 | ↑ +47% |
| Cigna | Indemnity | $241.37 | ↑ +57% |
| Aetna | Commercial | $263.52 | ↑ +71% |
| Blue Cross Blue Shield | Traditional | $386.53 | ↑ +151% |
Visitor-reported prices
Comments
#flow interp 9 - 15 markers at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $564.24 | $15.26 – $160.92 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $564.24 | $11.09 – $80.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $564.24 | $10.77 – $340.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $564.24 | $14.36 – $240.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $564.24 | $17.29 – $416.14 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $564.24 | $26.00 – $80.80 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $564.24 | $17.96 – $340.96 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $564.24 | $14.36 – $160.92 |