Iaadi respiratory synctial virus at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$59.70
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.
$99.50
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.
$11.27 with Blue Cross Blue Shield vs $93.63 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 | $11.27 | ↓ -81% |
| Cook Childrens | Managed Medicaid | $11.27 | ↓ -81% |
| Amerigroup | Managed Medicaid | $11.27 | ↓ -81% |
| United Healthcare | Managed Medicaid | $11.27 | ↓ -81% |
| Superior Wellcare | Managed Medicaid | $11.83 | ↓ -80% |
| Molina | Managed Medicaid | $12.17 | ↓ -80% |
| Aetna | Managed Medicaid | $12.40 | ↓ -79% |
| American Health | Medicare Advantage | $13.42 | ↓ -78% |
| United Healthcare Options | PPO | $13.42 | ↓ -78% |
| United Healthcare | All Payer | $13.42 | ↓ -78% |
| Blue Cross Blue Shield | Medicare Advantage | $13.42 | ↓ -78% |
| HealthSpring | Medicare Advantage | $13.69 | ↓ -77% |
| Humana | Medicare Advantage | $13.96 | ↓ -77% |
| Molina | Medicare Advantage | $14.09 | ↓ -76% |
| Superior Wellcare | Medicare Advantage HMO | $14.09 | ↓ -76% |
| Amerigroup | Medicare Advantage | $14.09 | ↓ -76% |
| Superior Wellcare | Medicare Advantage MMP | $14.76 | ↓ -75% |
| United Healthcare | Medicare Advantage PPO | $14.90 | ↓ -75% |
| United Healthcare | Medicare Advantage HMO | $15.16 | ↓ -75% |
| Blue Cross Blue Shield | Exchange | $18.65 | ↓ -69% |
| Fort Worth Firefighters | Commercial | $23.54 | ↓ -61% |
| Blue Cross Blue Shield | HMO | $26.57 | ↓ -55% |
| Blue Cross Blue Shield | PPO | $29.52 | ↓ -51% |
| Aetna | Whole Health | $39.97 | ↓ -33% |
| City of Fort Worth | Commercial | $46.77 | ↓ -22% |
| Cigna | PPO | $49.42 | ↓ -17% |
| Cigna | OAP/HMO | $49.42 | ↓ -17% |
| Aetna | Commercial | $53.29 | ↓ -11% |
| Quick Trip | Commercial | $59.70 | ↑ +0% |
| PHCS | PPO | $69.15 | ↑ +16% |
| Aetna | Coventry | $69.75 | ↑ +17% |
| Aetna | ASA | $69.75 | ↑ +17% |
| Healthsmart | Commercial | $74.63 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $78.65 | ↑ +32% |
| Multiplan | Commercial | $86.57 | ↑ +45% |
| Galaxy | Commercial | $87.56 | ↑ +47% |
| USA | MCO | $87.56 | ↑ +47% |
| Cigna | Indemnity | $93.63 | ↑ +57% |
Visitor-reported prices
Comments
Iaadi respiratory synctial virus at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CONROE | CONROE | $243.19 | $11.04 – $55.77 |
| HCA HOUSTON NORTHWEST | SPRING | $174.63 | $11.27 – $55.77 |
| Baylor St Luke's Medical Center | Houston | $26.25 | $9.66 – $75.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $26.25 | $9.66 – $75.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $26.25 | $9.66 – $75.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $26.25 | $9.66 – $75.00 |
| Texas Health Presbyterian Hospital Allen | Allen | $130.20 | $11.27 – $49.42 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $130.20 | $11.27 – $49.42 |