Injection, caplacizumab-yhdp at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$16,319.16
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.
$27,198.60
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.
$802.49 with American Health vs $25,593.88 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 |
|---|---|---|---|
| American Health | Medicare Advantage | $802.49 | ↓ -95% |
| Blue Cross Blue Shield | Medicare Advantage | $802.49 | ↓ -95% |
| HealthSpring | Medicare Advantage | $818.54 | ↓ -95% |
| Humana | Medicare Advantage | $834.59 | ↓ -95% |
| Superior Wellcare | Medicare Advantage HMO | $842.62 | ↓ -95% |
| Molina | Medicare Advantage | $842.62 | ↓ -95% |
| Amerigroup | Medicare Advantage | $842.62 | ↓ -95% |
| Superior Wellcare | Medicare Advantage MMP | $882.74 | ↓ -95% |
| United Healthcare | Medicare Advantage PPO | $890.77 | ↓ -95% |
| United Healthcare | Medicare Advantage HMO | $906.81 | ↓ -94% |
| Blue Cross Blue Shield | HMO | $1,411.87 | ↓ -91% |
| Blue Cross Blue Shield | Exchange | $1,447.72 | ↓ -91% |
| Blue Cross Blue Shield | PPO | $1,569.05 | ↓ -90% |
| United Healthcare Options | PPO | $2,879.34 | ↓ -82% |
| United Healthcare | All Payer | $2,879.34 | ↓ -82% |
| Cook Childrens | Managed Medicaid | $4,096.11 | ↓ -75% |
| United Healthcare | Managed Medicaid | $4,096.11 | ↓ -75% |
| Blue Cross Blue Shield | Managed Medicaid | $4,096.11 | ↓ -75% |
| Amerigroup | Managed Medicaid | $4,096.11 | ↓ -75% |
| Superior Wellcare | Managed Medicaid | $4,300.10 | ↓ -74% |
| Molina | Managed Medicaid | $4,422.49 | ↓ -73% |
| Aetna | Managed Medicaid | $4,506.81 | ↓ -72% |
| Blue Cross Blue Shield | Traditional | $6,419.60 | ↓ -61% |
| Aetna | Whole Health | $9,405.28 | ↓ -42% |
| Fort Worth Firefighters | Commercial | $11,948.34 | ↓ -27% |
| Aetna | Commercial | $12,538.55 | ↓ -23% |
| City of Fort Worth | Commercial | $12,783.34 | ↓ -22% |
| Cigna | OAP/HMO | $15,035.39 | ↓ -8% |
| Quick Trip | Commercial | $16,319.16 | ↑ +0% |
| PHCS | PPO | $18,903.03 | ↑ +16% |
| Cigna | PPO | $18,957.42 | ↑ +16% |
| Aetna | Coventry | $19,066.22 | ↑ +17% |
| Aetna | ASA | $19,066.22 | ↑ +17% |
| Healthsmart | Commercial | $20,398.95 | ↑ +25% |
| Multiplan | Commercial | $23,662.78 | ↑ +45% |
| Galaxy | Commercial | $23,934.77 | ↑ +47% |
| USA | MCO | $23,934.77 | ↑ +47% |
| Cigna | Indemnity | $25,593.88 | ↑ +57% |
Visitor-reported prices
Comments
Injection, caplacizumab-yhdp at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $16,745.11 | $620.45 – $47,843.16 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $16,745.11 | $751.44 – $47,843.16 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $16,745.11 | $751.44 – $47,843.16 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $16,745.11 | $751.44 – $47,843.16 |
| Texas Health Presbyterian Hospital Allen | Allen | $16,319.16 | $899.65 – $2,879.34 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $16,319.16 | $899.65 – $2,879.34 |
| Texas Health Arlington Memorial Hospital | Arlington | $16,319.16 | $899.65 – $2,879.34 |
| Texas Health Presbyterian Hospital Denton | Denton | $16,319.16 | $899.65 – $2,879.34 |