Ins/rplc spi npg/rcvr pocket at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$24,061.80
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.
$40,103.00
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.
$7,857.00 with Fort Worth Firefighters vs $243,316.19 with Blue Cross Blue Shield — 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 |
|---|---|---|---|
| Fort Worth Firefighters | Commercial | $7,857.00 | ↓ -67% |
| United Healthcare | All Payer | $10,695.00 | ↓ -56% |
| United Healthcare Options | PPO | $13,603.00 | ↓ -43% |
| Aetna | Whole Health | $16,542.49 | ↓ -31% |
| City of Fort Worth | Commercial | $18,848.41 | ↓ -22% |
| Blue Cross Blue Shield | Managed Medicaid | $19,537.92 | ↓ -19% |
| Cook Childrens | Managed Medicaid | $19,537.92 | ↓ -19% |
| United Healthcare | Managed Medicaid | $19,537.92 | ↓ -19% |
| Amerigroup | Managed Medicaid | $19,537.92 | ↓ -19% |
| Superior Wellcare | Managed Medicaid | $20,514.82 | ↓ -15% |
| Molina | Managed Medicaid | $21,100.95 | ↓ -12% |
| Aetna | Managed Medicaid | $21,491.71 | ↓ -11% |
| Aetna | Commercial | $22,056.65 | ↓ -8% |
| Cigna | OAP/HMO | $22,168.94 | ↓ -8% |
| Quick Trip | Commercial | $24,061.80 | ↑ +0% |
| PHCS | PPO | $27,871.59 | ↑ +16% |
| Cigna | PPO | $27,951.79 | ↑ +16% |
| Aetna | Coventry | $28,112.20 | ↑ +17% |
| Aetna | ASA | $28,112.20 | ↑ +17% |
| Healthsmart | Commercial | $30,077.25 | ↑ +25% |
| Blue Cross Blue Shield | Medicare Advantage | $30,998.31 | ↑ +29% |
| American Health | Medicare Advantage | $30,998.31 | ↑ +29% |
| HealthSpring | Medicare Advantage | $31,618.28 | ↑ +31% |
| Humana | Medicare Advantage | $32,238.25 | ↑ +34% |
| Amerigroup | Medicare Advantage | $32,548.23 | ↑ +35% |
| Superior Wellcare | Medicare Advantage HMO | $32,548.23 | ↑ +35% |
| Molina | Medicare Advantage | $32,548.23 | ↑ +35% |
| Blue Cross Blue Shield | Exchange | $33,486.55 | ↑ +39% |
| Superior Wellcare | Medicare Advantage MMP | $34,098.15 | ↑ +42% |
| United Healthcare | Medicare Advantage PPO | $34,408.13 | ↑ +43% |
| Multiplan | Commercial | $34,889.61 | ↑ +45% |
| United Healthcare | Medicare Advantage HMO | $35,028.09 | ↑ +46% |
| Galaxy | Commercial | $35,290.64 | ↑ +47% |
| USA | MCO | $35,290.64 | ↑ +47% |
| Cigna | Indemnity | $37,736.92 | ↑ +57% |
| Blue Cross Blue Shield | HMO | $68,429.04 | ↑ +184% |
| Blue Cross Blue Shield | PPO | $76,029.03 | ↑ +216% |
| Blue Cross Blue Shield | Traditional | $243,316.19 | ↑ +911% |
Visitor-reported prices
Comments
Ins/rplc spi npg/rcvr pocket at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $12,814.70 | $71.00 – $76,924.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $29,286.38 | $71.00 – $76,924.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $12,814.70 | $85.00 – $76,924.35 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $12,814.70 | $2,416.00 – $76,924.35 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $29,286.38 | $71.00 – $76,924.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $12,814.70 | $71.00 – $76,924.35 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $12,814.70 | $71.00 – $76,924.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $29,286.38 | $71.00 – $76,924.35 |