Ghs peritonsillar abscess i andd at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$283.05
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.
$471.75
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.
$87.58 with United Healthcare vs $1,568.00 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $87.58 | ↓ -69% |
| Cook Childrens | Managed Medicaid | $87.58 | ↓ -69% |
| Blue Cross Blue Shield | Managed Medicaid | $87.58 | ↓ -69% |
| Amerigroup | Managed Medicaid | $87.58 | ↓ -69% |
| Superior Wellcare | Managed Medicaid | $91.96 | ↓ -68% |
| Molina | Managed Medicaid | $94.59 | ↓ -67% |
| Aetna | Managed Medicaid | $96.34 | ↓ -66% |
| Blue Cross Blue Shield | Exchange | $149.07 | ↓ -47% |
| Aetna | Whole Health | $199.93 | ↓ -29% |
| City of Fort Worth | Commercial | $221.72 | ↓ -22% |
| American Health | Medicare Advantage | $237.93 | ↓ -16% |
| Blue Cross Blue Shield | Medicare Advantage | $237.93 | ↓ -16% |
| HealthSpring | Medicare Advantage | $242.69 | ↓ -14% |
| Fort Worth Firefighters | Commercial | $246.44 | ↓ -13% |
| Humana | Medicare Advantage | $247.45 | ↓ -13% |
| Molina | Medicare Advantage | $249.83 | ↓ -12% |
| Superior Wellcare | Medicare Advantage HMO | $249.83 | ↓ -12% |
| Amerigroup | Medicare Advantage | $249.83 | ↓ -12% |
| Cigna | OAP/HMO | $260.78 | ↓ -8% |
| Superior Wellcare | Medicare Advantage MMP | $261.72 | ↓ -8% |
| United Healthcare | Medicare Advantage PPO | $264.10 | ↓ -7% |
| Aetna | Commercial | $266.54 | ↓ -6% |
| United Healthcare | Medicare Advantage HMO | $268.86 | ↓ -5% |
| Quick Trip | Commercial | $283.05 | ↑ +0% |
| Blue Cross Blue Shield | PPO | $299.56 | ↑ +6% |
| Blue Cross Blue Shield | HMO | $299.56 | ↑ +6% |
| PHCS | PPO | $327.87 | ↑ +16% |
| Cigna | PPO | $328.81 | ↑ +16% |
| Aetna | Coventry | $330.70 | ↑ +17% |
| Aetna | ASA | $330.70 | ↑ +17% |
| Healthsmart | Commercial | $353.81 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $405.23 | ↑ +43% |
| Multiplan | Commercial | $410.42 | ↑ +45% |
| Galaxy | Commercial | $415.14 | ↑ +47% |
| USA | MCO | $415.14 | ↑ +47% |
| Cigna | Indemnity | $443.92 | ↑ +57% |
| United Healthcare | All Payer | $1,247.00 | ↑ +341% |
| United Healthcare Options | PPO | $1,568.00 | ↑ +454% |
Visitor-reported prices
Comments
Ghs peritonsillar abscess i andd at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,646.52 | $254.55 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,453.82 | $87.58 – $1,817.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $867.02 | $71.00 – $1,300.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $844.18 | $71.00 – $1,055.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,453.82 | $87.58 – $1,817.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $867.02 | $85.00 – $1,300.53 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $867.02 | $87.58 – $1,300.53 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $844.18 | $71.00 – $1,266.26 |