Heparin assay at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$232.50
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.
$387.50
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.
$11.00 with Blue Cross Blue Shield vs $309.12 with Cigna — 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 | Managed Medicaid | $11.00 | ↓ -95% |
| Cook Childrens | Managed Medicaid | $11.00 | ↓ -95% |
| Amerigroup | Managed Medicaid | $11.00 | ↓ -95% |
| United Healthcare | Managed Medicaid | $11.00 | ↓ -95% |
| Superior Wellcare | Managed Medicaid | $11.55 | ↓ -95% |
| Molina | Managed Medicaid | $11.88 | ↓ -95% |
| Aetna | Managed Medicaid | $12.10 | ↓ -95% |
| American Health | Medicare Advantage | $13.09 | ↓ -94% |
| United Healthcare Options | PPO | $13.09 | ↓ -94% |
| United Healthcare | All Payer | $13.09 | ↓ -94% |
| Blue Cross Blue Shield | Medicare Advantage | $13.09 | ↓ -94% |
| HealthSpring | Medicare Advantage | $13.35 | ↓ -94% |
| Humana | Medicare Advantage | $13.61 | ↓ -94% |
| Molina | Medicare Advantage | $13.74 | ↓ -94% |
| Superior Wellcare | Medicare Advantage HMO | $13.74 | ↓ -94% |
| Amerigroup | Medicare Advantage | $13.74 | ↓ -94% |
| Superior Wellcare | Medicare Advantage MMP | $14.40 | ↓ -94% |
| United Healthcare | Medicare Advantage PPO | $14.53 | ↓ -94% |
| United Healthcare | Medicare Advantage HMO | $14.79 | ↓ -94% |
| Blue Cross Blue Shield | Exchange | $18.20 | ↓ -92% |
| Fort Worth Firefighters | Commercial | $25.69 | ↓ -89% |
| Blue Cross Blue Shield | HMO | $25.92 | ↓ -89% |
| Blue Cross Blue Shield | PPO | $28.80 | ↓ -88% |
| Aetna | Whole Health | $43.63 | ↓ -81% |
| Cigna | PPO | $54.47 | ↓ -77% |
| Cigna | OAP/HMO | $54.47 | ↓ -77% |
| Aetna | Commercial | $58.17 | ↓ -75% |
| Blue Cross Blue Shield | Traditional | $76.72 | ↓ -67% |
| City of Fort Worth | Commercial | $154.40 | ↓ -34% |
| Quick Trip | Commercial | $197.10 | ↓ -15% |
| PHCS | PPO | $228.31 | ↓ -2% |
| Aetna | ASA | $230.28 | ↓ -1% |
| Aetna | Coventry | $230.28 | ↓ -1% |
| Healthsmart | Commercial | $246.38 | ↑ +6% |
| Multiplan | Commercial | $285.80 | ↑ +23% |
| USA | MCO | $289.08 | ↑ +24% |
| Galaxy | Commercial | $289.08 | ↑ +24% |
| Cigna | Indemnity | $309.12 | ↑ +33% |
Visitor-reported prices
Comments
Heparin assay at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $292.44 | $11.78 – $50.40 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $205.45 | $10.00 – $79.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $199.33 | $12.00 – $95.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $167.41 | $11.00 – $79.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $205.45 | $10.00 – $79.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $199.33 | $11.77 – $95.08 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $199.33 | $8.00 – $95.08 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $167.41 | $11.00 – $95.08 |