Infect ag ia direct hiv-1 antgn at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$196.95
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.
$328.25
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.
$27.53 with Blue Cross Blue Shield vs $308.88 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 | $27.53 | ↓ -86% |
| Cook Childrens | Managed Medicaid | $27.53 | ↓ -86% |
| Amerigroup | Managed Medicaid | $27.53 | ↓ -86% |
| United Healthcare | Managed Medicaid | $27.53 | ↓ -86% |
| Superior Wellcare | Managed Medicaid | $28.91 | ↓ -85% |
| Molina | Managed Medicaid | $29.73 | ↓ -85% |
| Aetna | Managed Medicaid | $30.28 | ↓ -85% |
| American Health | Medicare Advantage | $32.77 | ↓ -83% |
| United Healthcare Options | PPO | $32.77 | ↓ -83% |
| United Healthcare | All Payer | $32.77 | ↓ -83% |
| Blue Cross Blue Shield | Medicare Advantage | $32.77 | ↓ -83% |
| HealthSpring | Medicare Advantage | $33.43 | ↓ -83% |
| Humana | Medicare Advantage | $34.08 | ↓ -83% |
| Molina | Medicare Advantage | $34.41 | ↓ -83% |
| Superior Wellcare | Medicare Advantage HMO | $34.41 | ↓ -83% |
| Amerigroup | Medicare Advantage | $34.41 | ↓ -83% |
| Superior Wellcare | Medicare Advantage MMP | $36.05 | ↓ -82% |
| United Healthcare | Medicare Advantage PPO | $36.37 | ↓ -82% |
| United Healthcare | Medicare Advantage HMO | $37.03 | ↓ -81% |
| Blue Cross Blue Shield | Exchange | $45.55 | ↓ -77% |
| Blue Cross Blue Shield | HMO | $64.88 | ↓ -67% |
| Blue Cross Blue Shield | PPO | $72.09 | ↓ -63% |
| Aetna | Whole Health | $74.87 | ↓ -62% |
| Aetna | Commercial | $99.83 | ↓ -49% |
| Fort Worth Firefighters | Commercial | $144.20 | ↓ -27% |
| City of Fort Worth | Commercial | $154.28 | ↓ -22% |
| Cigna | OAP/HMO | $181.46 | ↓ -8% |
| Blue Cross Blue Shield | Traditional | $192.06 | ↓ -2% |
| Quick Trip | Commercial | $196.95 | ↑ +0% |
| PHCS | PPO | $228.13 | ↑ +16% |
| Cigna | PPO | $228.79 | ↑ +16% |
| Aetna | ASA | $230.10 | ↑ +17% |
| Aetna | Coventry | $230.10 | ↑ +17% |
| Healthsmart | Commercial | $246.19 | ↑ +25% |
| Multiplan | Commercial | $285.58 | ↑ +45% |
| USA | MCO | $288.86 | ↑ +47% |
| Galaxy | Commercial | $288.86 | ↑ +47% |
| Cigna | Indemnity | $308.88 | ↑ +57% |
Visitor-reported prices
Comments
Infect ag ia direct hiv-1 antgn at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $175.15 | $10.00 – $218.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $175.15 | $10.00 – $218.94 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $175.15 | $10.00 – $218.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $175.15 | $10.00 – $218.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $175.15 | $10.00 – $218.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $175.15 | $10.00 – $218.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $175.15 | $10.00 – $218.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $175.15 | $10.00 – $218.94 |