Ghs ot dds rom at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$109.65
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.
$182.75
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.
$11.63 with Blue Cross Blue Shield vs $401.00 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Exchange | $11.63 | ↓ -89% |
| Blue Cross Blue Shield | HMO | $22.12 | ↓ -80% |
| Blue Cross Blue Shield | PPO | $24.58 | ↓ -78% |
| Blue Cross Blue Shield | Medicare Advantage | $24.98 | ↓ -77% |
| American Health | Medicare Advantage | $24.98 | ↓ -77% |
| HealthSpring | Medicare Advantage | $25.48 | ↓ -77% |
| Humana | Medicare Advantage | $25.98 | ↓ -76% |
| Molina | Medicare Advantage | $26.23 | ↓ -76% |
| Amerigroup | Medicare Advantage | $26.23 | ↓ -76% |
| Superior Wellcare | Medicare Advantage HMO | $26.23 | ↓ -76% |
| Superior Wellcare | Medicare Advantage MMP | $27.48 | ↓ -75% |
| Cook Childrens | Managed Medicaid | $27.52 | ↓ -75% |
| Amerigroup | Managed Medicaid | $27.52 | ↓ -75% |
| Blue Cross Blue Shield | Managed Medicaid | $27.52 | ↓ -75% |
| United Healthcare | Managed Medicaid | $27.52 | ↓ -75% |
| United Healthcare | Medicare Advantage PPO | $27.73 | ↓ -75% |
| United Healthcare | Medicare Advantage HMO | $28.23 | ↓ -74% |
| Superior Wellcare | Managed Medicaid | $28.89 | ↓ -74% |
| Molina | Managed Medicaid | $29.72 | ↓ -73% |
| Aetna | Managed Medicaid | $30.28 | ↓ -72% |
| Blue Cross Blue Shield | Traditional | $65.12 | ↓ -41% |
| Aetna | Whole Health | $75.04 | ↓ -32% |
| City of Fort Worth | Commercial | $85.89 | ↓ -22% |
| Aetna | Commercial | $100.06 | ↓ -9% |
| Quick Trip | Commercial | $109.65 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $111.57 | ↑ +2% |
| PHCS | PPO | $127.01 | ↑ +16% |
| Aetna | ASA | $128.11 | ↑ +17% |
| Aetna | Coventry | $128.11 | ↑ +17% |
| Healthsmart | Commercial | $137.06 | ↑ +25% |
| Multiplan | Commercial | $158.99 | ↑ +45% |
| Galaxy | Commercial | $160.82 | ↑ +47% |
| USA | MCO | $160.82 | ↑ +47% |
| Cigna | Indemnity | $171.97 | ↑ +57% |
| United Healthcare | All Payer | $308.00 | ↑ +181% |
| Cigna | OAP/HMO | $328.00 | ↑ +199% |
| Cigna | PPO | $396.00 | ↑ +261% |
| United Healthcare Options | PPO | $401.00 | ↑ +266% |
Visitor-reported prices
Comments
Ghs ot dds rom at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $134.00 | $23.95 – $201.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $106.09 | $21.22 – $157.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $134.00 | $29.26 – $201.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $134.00 | $69.23 – $253.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $106.09 | $23.95 – $159.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $134.00 | $23.95 – $189.83 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $134.00 | $23.95 – $201.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $106.09 | $19.45 – $159.14 |