Foam drg <=16 sq in w/border at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$112.25
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.
$187.08
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.
$0.68 with Cook Childrens vs $15.64 with United Healthcare — 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 |
|---|---|---|---|
| Cook Childrens | Managed Medicaid | $0.68 | ↓ -99% |
| Blue Cross Blue Shield | Managed Medicaid | $0.68 | ↓ -99% |
| United Healthcare | Managed Medicaid | $0.68 | ↓ -99% |
| Amerigroup | Managed Medicaid | $0.68 | ↓ -99% |
| Superior Wellcare | Managed Medicaid | $0.71 | ↓ -99% |
| Molina | Managed Medicaid | $0.73 | ↓ -99% |
| Aetna | Managed Medicaid | $0.75 | ↓ -99% |
| Blue Cross Blue Shield | Exchange | $1.31 | ↓ -99% |
| Aetna | Whole Health | $1.85 | ↓ -98% |
| Fort Worth Firefighters | Commercial | $1.98 | ↓ -98% |
| Blue Cross Blue Shield | HMO | $2.08 | ↓ -98% |
| City of Fort Worth | Commercial | $2.12 | ↓ -98% |
| Blue Cross Blue Shield | PPO | $2.31 | ↓ -98% |
| United Healthcare | All Payer | $2.33 | ↓ -98% |
| Aetna | Commercial | $2.46 | ↓ -98% |
| United Healthcare Options | PPO | $2.47 | ↓ -98% |
| Cigna | OAP/HMO | $2.49 | ↓ -98% |
| Quick Trip | Commercial | $2.70 | ↓ -98% |
| PHCS | PPO | $3.13 | ↓ -97% |
| Cigna | PPO | $3.14 | ↓ -97% |
| Aetna | ASA | $3.15 | ↓ -97% |
| Aetna | Coventry | $3.15 | ↓ -97% |
| Healthsmart | Commercial | $3.38 | ↓ -97% |
| Blue Cross Blue Shield | Traditional | $3.71 | ↓ -97% |
| Multiplan | Commercial | $3.92 | ↓ -97% |
| Galaxy | Commercial | $3.96 | ↓ -96% |
| USA | MCO | $3.96 | ↓ -96% |
| Cigna | Indemnity | $4.23 | ↓ -96% |
| Blue Cross Blue Shield | Medicare Advantage | $13.84 | ↓ -88% |
| American Health | Medicare Advantage | $13.84 | ↓ -88% |
| HealthSpring | Medicare Advantage | $14.12 | ↓ -87% |
| Humana | Medicare Advantage | $14.39 | ↓ -87% |
| Superior Wellcare | Medicare Advantage HMO | $14.53 | ↓ -87% |
| Amerigroup | Medicare Advantage | $14.53 | ↓ -87% |
| Molina | Medicare Advantage | $14.53 | ↓ -87% |
| Superior Wellcare | Medicare Advantage MMP | $15.22 | ↓ -86% |
| United Healthcare | Medicare Advantage PPO | $15.36 | ↓ -86% |
| United Healthcare | Medicare Advantage HMO | $15.64 | ↓ -86% |
Visitor-reported prices
Comments
Foam drg <=16 sq in w/border at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $27.19 | $12.97 – $12.97 |
| St. Joseph Health Madison Hospital | Madisonville | $8.40 | $1.79 – $14.00 |
| St. Joseph Health College Station Hospital | College Station | $8.40 | $6.86 – $14.00 |
| Texas Health Presbyterian Hospital Allen | Allen | $112.25 | not published |
| St. Joseph Health Grimes Hospital | Navasota | $8.40 | $5.08 – $15.54 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $112.25 | not published |
| Texas Health Arlington Memorial Hospital | Arlington | $112.25 | not published |
| Texas Health Presbyterian Hospital Denton | Denton | $112.25 | not published |