Ins/rplcm prq eltrd ra pn ea at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$14,173.20
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.
$23,622.00
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.
$996.00 with Fort Worth Firefighters vs $22,228.30 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 |
|---|---|---|---|
| Fort Worth Firefighters | Commercial | $996.00 | ↓ -93% |
| United Healthcare | All Payer | $1,247.00 | ↓ -91% |
| United Healthcare Options | PPO | $1,568.00 | ↓ -89% |
| United Healthcare | Managed Medicaid | $3,557.47 | ↓ -75% |
| Blue Cross Blue Shield | Managed Medicaid | $3,557.47 | ↓ -75% |
| Amerigroup | Managed Medicaid | $3,557.47 | ↓ -75% |
| Cook Childrens | Managed Medicaid | $3,557.47 | ↓ -75% |
| Superior Wellcare | Managed Medicaid | $3,734.64 | ↓ -74% |
| Molina | Managed Medicaid | $3,840.94 | ↓ -73% |
| Aetna | Managed Medicaid | $3,914.17 | ↓ -72% |
| Blue Cross Blue Shield | Exchange | $6,850.38 | ↓ -52% |
| Aetna | Whole Health | $9,744.08 | ↓ -31% |
| Blue Cross Blue Shield | HMO | $10,913.36 | ↓ -23% |
| City of Fort Worth | Commercial | $11,102.34 | ↓ -22% |
| Blue Cross Blue Shield | PPO | $12,141.71 | ↓ -14% |
| Aetna | Commercial | $12,992.10 | ↓ -8% |
| Cigna | OAP/HMO | $13,058.24 | ↓ -8% |
| Quick Trip | Commercial | $14,173.20 | ↑ +0% |
| PHCS | PPO | $16,417.29 | ↑ +16% |
| Cigna | PPO | $16,464.53 | ↑ +16% |
| Aetna | ASA | $16,559.02 | ↑ +17% |
| Aetna | Coventry | $16,559.02 | ↑ +17% |
| Healthsmart | Commercial | $17,716.50 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $19,488.15 | ↑ +38% |
| Multiplan | Commercial | $20,551.14 | ↑ +45% |
| USA | MCO | $20,787.36 | ↑ +47% |
| Galaxy | Commercial | $20,787.36 | ↑ +47% |
| Cigna | Indemnity | $22,228.30 | ↑ +57% |
| Molina | Medicare Advantage | not published by hospital | — |
| United Healthcare | Medicare Advantage PPO | not published by hospital | — |
| United Healthcare | Medicare Advantage HMO | not published by hospital | — |
| HealthSpring | Medicare Advantage | not published by hospital | — |
| Blue Cross Blue Shield | Medicare Advantage | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| Amerigroup | Medicare Advantage | not published by hospital | — |
| American Health | Medicare Advantage | not published by hospital | — |
| Superior Wellcare | Medicare Advantage HMO | not published by hospital | — |
| Superior Wellcare | Medicare Advantage MMP | not published by hospital | — |
Visitor-reported prices
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Ins/rplcm prq eltrd ra pn ea at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Allen | Allen | $14,173.20 | not published |
| Texas Health Hospital Rockwall | Rockwall | $14,173.20 | not published |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $14,173.20 | not published |
| Texas Health Hospital Frisco | Frisco | $14,173.20 | not published |
| Texas Health Harris Methodist Hospital Southlake | Southlake | $14,173.20 | not published |
| Adventhealth Rollins Brook | Lampasas | not published | $4,826.69 – $4,826.69 |
| CHRISTUS Children's Hospital | San Antonio | not published | $3,381.00 – $3,381.00 |
| Covenant Children's Hospital | Lubbock | not published | $2,444.00 – $2,444.00 |