Icd crtd cobalt hf MRI is1 df1 at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$30,006.00
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.
$50,010.00
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.
$4,518.75 with Amerigroup vs $28,234.71 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $4,518.75 | ↓ -85% |
| Cook Childrens | Managed Medicaid | $4,518.75 | ↓ -85% |
| Blue Cross Blue Shield | Managed Medicaid | $4,518.75 | ↓ -85% |
| United Healthcare | Managed Medicaid | $4,518.75 | ↓ -85% |
| Superior Wellcare | Managed Medicaid | $4,743.79 | ↓ -84% |
| Molina | Managed Medicaid | $4,878.81 | ↓ -84% |
| Aetna | Managed Medicaid | $4,971.83 | ↓ -83% |
| Blue Cross Blue Shield | Exchange | $9,301.55 | ↓ -69% |
| Aetna | Whole Health | $12,320.05 | ↓ -59% |
| Fort Worth Firefighters | Commercial | $13,181.20 | ↓ -56% |
| City of Fort Worth | Commercial | $14,102.35 | ↓ -53% |
| Blue Cross Blue Shield | HMO | $15,002.50 | ↓ -50% |
| Aetna | Commercial | $16,427.74 | ↓ -45% |
| Cigna | OAP/HMO | $16,586.76 | ↓ -45% |
| Blue Cross Blue Shield | PPO | $16,682.78 | ↓ -44% |
| Blue Cross Blue Shield | Traditional | $16,682.78 | ↓ -44% |
| Quick Trip | Commercial | $18,003.00 | ↓ -40% |
| United Healthcare | All Payer | $18,912.15 | ↓ -37% |
| United Healthcare Options | PPO | $20,004.33 | ↓ -33% |
| PHCS | PPO | $20,853.48 | ↓ -31% |
| Cigna | PPO | $20,913.49 | ↓ -30% |
| Aetna | ASA | $21,033.51 | ↓ -30% |
| Aetna | Coventry | $21,033.51 | ↓ -30% |
| Healthsmart | Commercial | $22,503.75 | ↓ -25% |
| Multiplan | Commercial | $26,104.35 | ↓ -13% |
| USA | MCO | $26,404.40 | ↓ -12% |
| Galaxy | Commercial | $26,404.40 | ↓ -12% |
| Cigna | Indemnity | $28,234.71 | ↓ -6% |
| Molina | Medicare Advantage | not published by hospital | — |
| United Healthcare | Medicare Advantage PPO | not published by hospital | — |
| United Healthcare | Medicare Advantage HMO | not published by hospital | — |
| HealthSpring | Medicare Advantage | not published by hospital | — |
| Blue Cross Blue Shield | Medicare Advantage | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| Amerigroup | Medicare Advantage | not published by hospital | — |
| American Health | Medicare Advantage | not published by hospital | — |
| Superior Wellcare | Medicare Advantage HMO | not published by hospital | — |
| Superior Wellcare | Medicare Advantage MMP | not published by hospital | — |
Visitor-reported prices
Comments
Icd crtd cobalt hf MRI is1 df1 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $35,622.20 | $4,697.76 – $22,107.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $54,763.80 | $3,291.47 – $23,986.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $54,763.80 | $3,198.19 – $21,321.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $35,622.20 | $4,421.42 – $22,107.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $54,763.80 | $5,133.09 – $23,986.40 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $54,763.80 | $8,261.98 – $23,986.40 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $54,763.80 | $5,330.31 – $23,986.40 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $35,622.20 | $4,421.42 – $22,107.10 |