Gi tract capsule endoscopy (pillcam) 91110 at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$1,842.15
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.
$3,070.25
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.
$732.90 with United Healthcare vs $6,253.52 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 | $732.90 | ↓ -60% |
| Cook Childrens | Managed Medicaid | $732.90 | ↓ -60% |
| Blue Cross Blue Shield | Managed Medicaid | $732.90 | ↓ -60% |
| Amerigroup | Managed Medicaid | $732.90 | ↓ -60% |
| Superior Wellcare | Managed Medicaid | $769.55 | ↓ -58% |
| Molina | Managed Medicaid | $791.53 | ↓ -57% |
| Aetna | Managed Medicaid | $806.19 | ↓ -56% |
| Blue Cross Blue Shield | Medicare Advantage | $911.12 | ↓ -51% |
| American Health | Medicare Advantage | $911.12 | ↓ -51% |
| HealthSpring | Medicare Advantage | $929.34 | ↓ -50% |
| Humana | Medicare Advantage | $947.56 | ↓ -49% |
| Amerigroup | Medicare Advantage | $956.67 | ↓ -48% |
| Superior Wellcare | Medicare Advantage HMO | $956.67 | ↓ -48% |
| Molina | Medicare Advantage | $956.67 | ↓ -48% |
| Superior Wellcare | Medicare Advantage MMP | $1,002.23 | ↓ -46% |
| United Healthcare | Medicare Advantage PPO | $1,011.34 | ↓ -45% |
| United Healthcare | Medicare Advantage HMO | $1,029.56 | ↓ -44% |
| Blue Cross Blue Shield | Exchange | $1,117.14 | ↓ -39% |
| Aetna | Whole Health | $1,266.48 | ↓ -31% |
| City of Fort Worth | Commercial | $1,443.02 | ↓ -22% |
| Aetna | Commercial | $1,688.64 | ↓ -8% |
| Cigna | OAP/HMO | $1,697.23 | ↓ -8% |
| Quick Trip | Commercial | $1,842.15 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $1,874.39 | ↑ +2% |
| Blue Cross Blue Shield | HMO | $2,123.85 | ↑ +15% |
| PHCS | PPO | $2,133.82 | ↑ +16% |
| Cigna | PPO | $2,139.96 | ↑ +16% |
| Aetna | Coventry | $2,152.25 | ↑ +17% |
| Aetna | ASA | $2,152.25 | ↑ +17% |
| Healthsmart | Commercial | $2,302.69 | ↑ +25% |
| Blue Cross Blue Shield | PPO | $2,359.92 | ↑ +28% |
| Multiplan | Commercial | $2,671.12 | ↑ +45% |
| USA | MCO | $2,701.82 | ↑ +47% |
| Galaxy | Commercial | $2,701.82 | ↑ +47% |
| Cigna | Indemnity | $2,889.11 | ↑ +57% |
| United Healthcare | All Payer | $2,923.00 | ↑ +59% |
| United Healthcare Options | PPO | $3,751.00 | ↑ +104% |
| Blue Cross Blue Shield | Traditional | $6,253.52 | ↑ +239% |
Visitor-reported prices
Comments
Gi tract capsule endoscopy (pillcam) 91110 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,418.92 | $732.90 – $3,023.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,992.73 | $410.17 – $2,989.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,539.87 | $732.90 – $3,174.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,418.92 | $732.90 – $3,023.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,992.73 | $784.20 – $2,989.09 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,992.73 | $732.90 – $2,989.09 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,539.87 | $732.90 – $3,809.80 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,418.92 | $732.90 – $3,023.65 |