Ghs sp train/fitting sp device - kx at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$252.75
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.
$421.25
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.
$63.44 with United Healthcare vs $911.53 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $63.44 | ↓ -75% |
| Cook Childrens | Managed Medicaid | $63.44 | ↓ -75% |
| Blue Cross Blue Shield | Managed Medicaid | $63.44 | ↓ -75% |
| Amerigroup | Managed Medicaid | $63.44 | ↓ -75% |
| Superior Wellcare | Managed Medicaid | $66.60 | ↓ -74% |
| Molina | Managed Medicaid | $68.50 | ↓ -73% |
| Aetna | Managed Medicaid | $69.80 | ↓ -72% |
| Blue Cross Blue Shield | Medicare Advantage | $99.85 | ↓ -60% |
| American Health | Medicare Advantage | $99.85 | ↓ -60% |
| HealthSpring | Medicare Advantage | $101.85 | ↓ -60% |
| Humana | Medicare Advantage | $103.85 | ↓ -59% |
| Molina | Medicare Advantage | $104.84 | ↓ -59% |
| Amerigroup | Medicare Advantage | $104.84 | ↓ -59% |
| Superior Wellcare | Medicare Advantage HMO | $104.84 | ↓ -59% |
| Superior Wellcare | Medicare Advantage MMP | $109.84 | ↓ -57% |
| United Healthcare | Medicare Advantage PPO | $110.83 | ↓ -56% |
| United Healthcare | Medicare Advantage HMO | $112.83 | ↓ -55% |
| Blue Cross Blue Shield | Exchange | $162.84 | ↓ -36% |
| Aetna | Whole Health | $172.97 | ↓ -32% |
| City of Fort Worth | Commercial | $197.99 | ↓ -22% |
| Aetna | Commercial | $230.63 | ↓ -9% |
| Fort Worth Firefighters | Commercial | $250.00 | ↓ -1% |
| Quick Trip | Commercial | $252.75 | ↑ +0% |
| PHCS | PPO | $292.77 | ↑ +16% |
| Aetna | Coventry | $295.30 | ↑ +17% |
| Aetna | ASA | $295.30 | ↑ +17% |
| United Healthcare | All Payer | $308.00 | ↑ +22% |
| Blue Cross Blue Shield | HMO | $309.58 | ↑ +22% |
| Healthsmart | Commercial | $315.94 | ↑ +25% |
| Cigna | OAP/HMO | $328.00 | ↑ +30% |
| Blue Cross Blue Shield | PPO | $343.99 | ↑ +36% |
| Multiplan | Commercial | $366.49 | ↑ +45% |
| USA | MCO | $370.70 | ↑ +47% |
| Galaxy | Commercial | $370.70 | ↑ +47% |
| Cigna | PPO | $396.00 | ↑ +57% |
| Cigna | Indemnity | $396.40 | ↑ +57% |
| United Healthcare Options | PPO | $401.00 | ↑ +59% |
| Blue Cross Blue Shield | Traditional | $911.53 | ↑ +261% |
Visitor-reported prices
Comments
Ghs sp train/fitting sp device - kx at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $281.16 | $79.66 – $398.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $310.01 | $63.81 – $465.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $302.20 | $60.44 – $377.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $281.16 | $74.98 – $398.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $310.01 | $99.51 – $465.01 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $310.01 | $155.00 – $465.01 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $302.20 | $100.73 – $453.29 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $281.16 | $74.98 – $398.31 |