Hydrocolld drg <=16 without bdr at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$4.46
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.
$7.43
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.
$0.28 with Cook Childrens vs $10.54 with United Healthcare — 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 |
|---|---|---|---|
| Cook Childrens | Managed Medicaid | $0.28 | ↓ -94% |
| Blue Cross Blue Shield | Managed Medicaid | $0.28 | ↓ -94% |
| United Healthcare | Managed Medicaid | $0.28 | ↓ -94% |
| Amerigroup | Managed Medicaid | $0.28 | ↓ -94% |
| Superior Wellcare | Managed Medicaid | $0.30 | ↓ -93% |
| Aetna | Managed Medicaid | $0.31 | ↓ -93% |
| Molina | Managed Medicaid | $0.31 | ↓ -93% |
| Blue Cross Blue Shield | Exchange | $0.55 | ↓ -88% |
| Aetna | Whole Health | $0.78 | ↓ -83% |
| Fort Worth Firefighters | Commercial | $0.83 | ↓ -81% |
| Blue Cross Blue Shield | HMO | $0.87 | ↓ -80% |
| City of Fort Worth | Commercial | $0.89 | ↓ -80% |
| Blue Cross Blue Shield | PPO | $0.97 | ↓ -78% |
| United Healthcare | All Payer | $0.98 | ↓ -78% |
| Aetna | Commercial | $1.03 | ↓ -77% |
| Cigna | OAP/HMO | $1.04 | ↓ -77% |
| United Healthcare Options | PPO | $1.04 | ↓ -77% |
| Quick Trip | Commercial | $1.13 | ↓ -75% |
| PHCS | PPO | $1.31 | ↓ -71% |
| Cigna | PPO | $1.32 | ↓ -70% |
| Aetna | ASA | $1.32 | ↓ -70% |
| Aetna | Coventry | $1.32 | ↓ -70% |
| Healthsmart | Commercial | $1.42 | ↓ -68% |
| Blue Cross Blue Shield | Traditional | $1.56 | ↓ -65% |
| Multiplan | Commercial | $1.64 | ↓ -63% |
| Galaxy | Commercial | $1.66 | ↓ -63% |
| USA | MCO | $1.66 | ↓ -63% |
| Cigna | Indemnity | $1.78 | ↓ -60% |
| Blue Cross Blue Shield | Medicare Advantage | $9.33 | ↑ +109% |
| American Health | Medicare Advantage | $9.33 | ↑ +109% |
| HealthSpring | Medicare Advantage | $9.52 | ↑ +113% |
| Humana | Medicare Advantage | $9.70 | ↑ +117% |
| Superior Wellcare | Medicare Advantage HMO | $9.80 | ↑ +120% |
| Amerigroup | Medicare Advantage | $9.80 | ↑ +120% |
| Molina | Medicare Advantage | $9.80 | ↑ +120% |
| Superior Wellcare | Medicare Advantage MMP | $10.26 | ↑ +130% |
| United Healthcare | Medicare Advantage PPO | $10.36 | ↑ +132% |
| United Healthcare | Medicare Advantage HMO | $10.54 | ↑ +136% |
Visitor-reported prices
Comments
Hydrocolld drg <=16 without bdr at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $14.00 | $9.14 – $20.06 |
| Covenant Children's Hospital | Lubbock | $17.31 | $8.74 – $8.74 |
| St. Luke's Health Memorial Lufkin | Lufkin | $3.00 | $4.99 – $19.95 |
| Texas Health Presbyterian Hospital Allen | Allen | $4.46 | not published |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $4.46 | not published |
| Texas Health Arlington Memorial Hospital | Arlington | $4.46 | not published |
| Texas Health Presbyterian Hospital Denton | Denton | $4.46 | not published |
| St. Luke's Health Memorial Livingston | Livingston | $3.00 | $4.39 – $19.95 |