Inj, sezaby, 1 mg at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$288.11
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.
?
What you pay up front if you don't use insurance.
$480.18
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.19 with American Health vs $451.85 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1.19 | ↓ -100% |
| Blue Cross Blue Shield | Medicare Advantage | $1.19 | ↓ -100% |
| HealthSpring | Medicare Advantage | $1.22 | ↓ -100% |
| Humana | Medicare Advantage | $1.24 | ↓ -100% |
| Molina | Medicare Advantage | $1.25 | ↓ -100% |
| Amerigroup | Medicare Advantage | $1.25 | ↓ -100% |
| Superior Wellcare | Medicare Advantage HMO | $1.25 | ↓ -100% |
| Superior Wellcare | Medicare Advantage MMP | $1.31 | ↓ -100% |
| United Healthcare | Medicare Advantage PPO | $1.33 | ↓ -100% |
| United Healthcare | Medicare Advantage HMO | $1.35 | ↓ -100% |
| Blue Cross Blue Shield | HMO | $2.72 | ↓ -99% |
| Blue Cross Blue Shield | Exchange | $2.79 | ↓ -99% |
| Blue Cross Blue Shield | PPO | $3.03 | ↓ -99% |
| Blue Cross Blue Shield | Traditional | $12.38 | ↓ -96% |
| Blue Cross Blue Shield | Managed Medicaid | $72.32 | ↓ -75% |
| United Healthcare | Managed Medicaid | $72.32 | ↓ -75% |
| Amerigroup | Managed Medicaid | $72.32 | ↓ -75% |
| Cook Childrens | Managed Medicaid | $72.32 | ↓ -75% |
| Superior Wellcare | Managed Medicaid | $75.92 | ↓ -74% |
| Molina | Managed Medicaid | $78.08 | ↓ -73% |
| Aetna | Managed Medicaid | $79.57 | ↓ -72% |
| Aetna | Whole Health | $166.05 | ↓ -42% |
| Fort Worth Firefighters | Commercial | $210.94 | ↓ -27% |
| Aetna | Commercial | $221.36 | ↓ -23% |
| City of Fort Worth | Commercial | $225.68 | ↓ -22% |
| United Healthcare | All Payer | $248.35 | ↓ -14% |
| United Healthcare Options | PPO | $263.14 | ↓ -9% |
| Cigna | OAP/HMO | $265.44 | ↓ -8% |
| Quick Trip | Commercial | $288.11 | ↑ +0% |
| PHCS | PPO | $333.73 | ↑ +16% |
| Cigna | PPO | $334.69 | ↑ +16% |
| Aetna | Coventry | $336.61 | ↑ +17% |
| Aetna | ASA | $336.61 | ↑ +17% |
| Healthsmart | Commercial | $360.14 | ↑ +25% |
| Multiplan | Commercial | $417.76 | ↑ +45% |
| USA | MCO | $422.56 | ↑ +47% |
| Galaxy | Commercial | $422.56 | ↑ +47% |
| Cigna | Indemnity | $451.85 | ↑ +57% |
Visitor-reported prices
Comments
Inj, sezaby, 1 mg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Allen | Allen | $288.11 | $1.74 – $1.74 |
| HCA HOUSTON WEST | HOUSTON | $15.00 | $1.95 – $3.29 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $288.11 | $1.74 – $1.74 |
| Texas Health Arlington Memorial Hospital | Arlington | $288.11 | $1.74 – $1.74 |
| Texas Health Presbyterian Hospital Denton | Denton | $288.11 | $1.74 – $1.74 |
| Texas Health Presbyterian Hospital Plano | Plano | $288.11 | $1.74 – $1.74 |
| Texas Health Hospital Rockwall | Rockwall | $288.11 | $2.72 – $2.72 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $288.11 | $2.72 – $2.72 |