Initiation & management bipap/cpap initial day at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$1,305.00
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.
$2,175.00
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.
$219.97 with American Health vs $2,046.68 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 |
|---|---|---|---|
| American Health | Medicare Advantage | $219.97 | ↓ -83% |
| Blue Cross Blue Shield | Medicare Advantage | $219.97 | ↓ -83% |
| HealthSpring | Medicare Advantage | $224.37 | ↓ -83% |
| Humana | Medicare Advantage | $228.77 | ↓ -82% |
| Molina | Medicare Advantage | $230.97 | ↓ -82% |
| Amerigroup | Medicare Advantage | $230.97 | ↓ -82% |
| Superior Wellcare | Medicare Advantage HMO | $230.97 | ↓ -82% |
| Superior Wellcare | Medicare Advantage MMP | $241.97 | ↓ -81% |
| United Healthcare | Medicare Advantage PPO | $244.17 | ↓ -81% |
| United Healthcare | Medicare Advantage HMO | $248.57 | ↓ -81% |
| Blue Cross Blue Shield | Exchange | $269.87 | ↓ -79% |
| Blue Cross Blue Shield | Managed Medicaid | $327.56 | ↓ -75% |
| United Healthcare | Managed Medicaid | $327.56 | ↓ -75% |
| Cook Childrens | Managed Medicaid | $327.56 | ↓ -75% |
| Amerigroup | Managed Medicaid | $327.56 | ↓ -75% |
| Superior Wellcare | Managed Medicaid | $343.87 | ↓ -74% |
| Molina | Managed Medicaid | $353.66 | ↓ -73% |
| Aetna | Managed Medicaid | $360.40 | ↓ -72% |
| Blue Cross Blue Shield | HMO | $513.06 | ↓ -61% |
| Blue Cross Blue Shield | PPO | $570.09 | ↓ -56% |
| United Healthcare | All Payer | $577.00 | ↓ -56% |
| United Healthcare Options | PPO | $764.00 | ↓ -41% |
| Aetna | Whole Health | $893.06 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $955.48 | ↓ -27% |
| City of Fort Worth | Commercial | $1,022.25 | ↓ -22% |
| Aetna | Commercial | $1,190.81 | ↓ -9% |
| Cigna | OAP/HMO | $1,202.34 | ↓ -8% |
| Quick Trip | Commercial | $1,305.00 | ↑ +0% |
| Blue Cross Blue Shield | Traditional | $1,510.68 | ↑ +16% |
| PHCS | PPO | $1,511.63 | ↑ +16% |
| Cigna | PPO | $1,515.98 | ↑ +16% |
| Aetna | ASA | $1,524.68 | ↑ +17% |
| Aetna | Coventry | $1,524.68 | ↑ +17% |
| Healthsmart | Commercial | $1,631.25 | ↑ +25% |
| Multiplan | Commercial | $1,892.25 | ↑ +45% |
| USA | MCO | $1,914.00 | ↑ +47% |
| Galaxy | Commercial | $1,914.00 | ↑ +47% |
| Cigna | Indemnity | $2,046.68 | ↑ +57% |
Visitor-reported prices
Comments
Initiation & management bipap/cpap initial day at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $2,597.51 | $708.25 – $708.25 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $927.61 | $208.97 – $1,159.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $927.61 | $190.93 – $1,391.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $927.61 | $185.52 – $1,159.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $927.61 | $208.97 – $1,159.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $927.61 | $208.97 – $1,391.41 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $927.61 | $479.26 – $3,235.82 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $927.61 | $208.97 – $1,391.41 |