Immune complex assay at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$363.15
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.
$605.25
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.
$20.47 with Blue Cross Blue Shield vs $271.71 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $20.47 | ↓ -94% |
| Cook Childrens | Managed Medicaid | $20.47 | ↓ -94% |
| Amerigroup | Managed Medicaid | $20.47 | ↓ -94% |
| United Healthcare | Managed Medicaid | $20.47 | ↓ -94% |
| Superior Wellcare | Managed Medicaid | $21.49 | ↓ -94% |
| Molina | Managed Medicaid | $22.11 | ↓ -94% |
| Aetna | Managed Medicaid | $22.52 | ↓ -94% |
| American Health | Medicare Advantage | $24.37 | ↓ -93% |
| United Healthcare Options | PPO | $24.37 | ↓ -93% |
| United Healthcare | All Payer | $24.37 | ↓ -93% |
| Blue Cross Blue Shield | Medicare Advantage | $24.37 | ↓ -93% |
| HealthSpring | Medicare Advantage | $24.86 | ↓ -93% |
| Humana | Medicare Advantage | $25.34 | ↓ -93% |
| Molina | Medicare Advantage | $25.59 | ↓ -93% |
| Superior Wellcare | Medicare Advantage HMO | $25.59 | ↓ -93% |
| Amerigroup | Medicare Advantage | $25.59 | ↓ -93% |
| Superior Wellcare | Medicare Advantage MMP | $26.81 | ↓ -93% |
| United Healthcare | Medicare Advantage PPO | $27.05 | ↓ -93% |
| United Healthcare | Medicare Advantage HMO | $27.54 | ↓ -92% |
| Blue Cross Blue Shield | Exchange | $33.87 | ↓ -91% |
| Fort Worth Firefighters | Commercial | $47.83 | ↓ -87% |
| Blue Cross Blue Shield | HMO | $48.25 | ↓ -87% |
| Blue Cross Blue Shield | PPO | $53.61 | ↓ -85% |
| Aetna | Whole Health | $81.23 | ↓ -78% |
| Cigna | PPO | $100.81 | ↓ -72% |
| Cigna | OAP/HMO | $100.81 | ↓ -72% |
| Aetna | Commercial | $108.30 | ↓ -70% |
| City of Fort Worth | Commercial | $135.71 | ↓ -63% |
| Blue Cross Blue Shield | Traditional | $142.83 | ↓ -61% |
| Quick Trip | Commercial | $173.25 | ↓ -52% |
| PHCS | PPO | $200.68 | ↓ -45% |
| Aetna | ASA | $202.41 | ↓ -44% |
| Aetna | Coventry | $202.41 | ↓ -44% |
| Healthsmart | Commercial | $216.56 | ↓ -40% |
| Multiplan | Commercial | $251.21 | ↓ -31% |
| USA | MCO | $254.10 | ↓ -30% |
| Galaxy | Commercial | $254.10 | ↓ -30% |
| Cigna | Indemnity | $271.71 | ↓ -25% |
Visitor-reported prices
Comments
Immune complex assay at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $141.71 | $10.00 – $155.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $174.76 | $12.00 – $186.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $163.65 | $12.00 – $155.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $141.71 | $10.00 – $155.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $174.76 | $12.00 – $186.06 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $174.76 | $8.00 – $186.06 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $163.65 | $12.00 – $186.06 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $141.71 | $10.00 – $155.05 |