New Patient Office Visit (level 5) at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$831.15
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.
$1,385.25
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.
$38.82 with Amerigroup vs $1,405.81 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $38.82 | ↓ -95% |
| Cook Childrens | Managed Medicaid | $38.82 | ↓ -95% |
| United Healthcare | Managed Medicaid | $38.82 | ↓ -95% |
| Blue Cross Blue Shield | Managed Medicaid | $38.82 | ↓ -95% |
| Superior Wellcare | Managed Medicaid | $40.75 | ↓ -95% |
| Molina | Managed Medicaid | $41.91 | ↓ -95% |
| Aetna | Managed Medicaid | $42.71 | ↓ -95% |
| Aetna | Whole Health | $105.83 | ↓ -87% |
| Fort Worth Firefighters | Commercial | $113.23 | ↓ -86% |
| City of Fort Worth | Commercial | $121.14 | ↓ -85% |
| United Healthcare | All Payer | $133.31 | ↓ -84% |
| Aetna | Commercial | $141.12 | ↓ -83% |
| United Healthcare Options | PPO | $141.25 | ↓ -83% |
| Cigna | OAP/HMO | $142.48 | ↓ -83% |
| Quick Trip | Commercial | $154.65 | ↓ -81% |
| PHCS | PPO | $179.14 | ↓ -78% |
| Cigna | PPO | $179.65 | ↓ -78% |
| Aetna | Coventry | $180.68 | ↓ -78% |
| Aetna | ASA | $180.68 | ↓ -78% |
| Healthsmart | Commercial | $193.31 | ↓ -77% |
| Multiplan | Commercial | $224.24 | ↓ -73% |
| USA | MCO | $226.82 | ↓ -73% |
| Galaxy | Commercial | $226.82 | ↓ -73% |
| Blue Cross Blue Shield | Medicare Advantage | $230.14 | ↓ -72% |
| American Health | Medicare Advantage | $230.14 | ↓ -72% |
| HealthSpring | Medicare Advantage | $234.75 | ↓ -72% |
| Humana | Medicare Advantage | $239.35 | ↓ -71% |
| Superior Wellcare | Medicare Advantage HMO | $241.65 | ↓ -71% |
| Amerigroup | Medicare Advantage | $241.65 | ↓ -71% |
| Molina | Medicare Advantage | $241.65 | ↓ -71% |
| Cigna | Indemnity | $242.54 | ↓ -71% |
| Blue Cross Blue Shield | Exchange | $251.14 | ↓ -70% |
| Superior Wellcare | Medicare Advantage MMP | $253.16 | ↓ -70% |
| United Healthcare | Medicare Advantage PPO | $255.46 | ↓ -69% |
| United Healthcare | Medicare Advantage HMO | $260.06 | ↓ -69% |
| Blue Cross Blue Shield | HMO | $477.45 | ↓ -43% |
| Blue Cross Blue Shield | PPO | $530.52 | ↓ -36% |
| Blue Cross Blue Shield | Traditional | $1,405.81 | ↑ +69% |
Visitor-reported prices
Comments
New Patient Office Visit (level 5) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,075.78 | $659.08 – $659.08 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $1,210.66 | $351.91 – $400.58 |
| Baylor St Luke's Medical Center | Houston | $251.65 | $82.00 – $719.00 |
| St. Joseph Health Madison Hospital | Madisonville | $208.78 | $37.59 – $295.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $246.90 | $100.00 – $671.98 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $251.65 | $74.00 – $719.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $251.65 | $74.00 – $719.00 |
| St. Joseph Health College Station Hospital | College Station | $208.78 | $77.00 – $363.58 |