Omalizumab 150 mg/ml subcutaneous syringe (wrapper) at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$2,742.21
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.
$4,570.34
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.
$44.60 with American Health vs $2,150.35 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 | $44.60 | ↓ -98% |
| Blue Cross Blue Shield | Medicare Advantage | $44.60 | ↓ -98% |
| HealthSpring | Medicare Advantage | $45.49 | ↓ -98% |
| Humana | Medicare Advantage | $46.38 | ↓ -98% |
| Molina | Medicare Advantage | $46.83 | ↓ -98% |
| Amerigroup | Medicare Advantage | $46.83 | ↓ -98% |
| Superior Wellcare | Medicare Advantage HMO | $46.83 | ↓ -98% |
| Superior Wellcare | Medicare Advantage MMP | $49.06 | ↓ -98% |
| United Healthcare | Medicare Advantage PPO | $49.50 | ↓ -98% |
| United Healthcare | Medicare Advantage HMO | $50.39 | ↓ -98% |
| Blue Cross Blue Shield | HMO | $73.79 | ↓ -97% |
| Blue Cross Blue Shield | Exchange | $75.66 | ↓ -97% |
| Blue Cross Blue Shield | PPO | $82.00 | ↓ -97% |
| United Healthcare | All Payer | $152.21 | ↓ -94% |
| United Healthcare Options | PPO | $152.21 | ↓ -94% |
| Blue Cross Blue Shield | Traditional | $335.51 | ↓ -88% |
| Blue Cross Blue Shield | Managed Medicaid | $344.15 | ↓ -87% |
| United Healthcare | Managed Medicaid | $344.15 | ↓ -87% |
| Amerigroup | Managed Medicaid | $344.15 | ↓ -87% |
| Cook Childrens | Managed Medicaid | $344.15 | ↓ -87% |
| Superior Wellcare | Managed Medicaid | $361.29 | ↓ -87% |
| Molina | Managed Medicaid | $371.57 | ↓ -86% |
| Aetna | Managed Medicaid | $378.65 | ↓ -86% |
| Aetna | Whole Health | $790.22 | ↓ -71% |
| Fort Worth Firefighters | Commercial | $1,003.88 | ↓ -63% |
| Aetna | Commercial | $1,053.47 | ↓ -62% |
| City of Fort Worth | Commercial | $1,074.03 | ↓ -61% |
| Cigna | OAP/HMO | $1,263.25 | ↓ -54% |
| Quick Trip | Commercial | $1,371.11 | ↓ -50% |
| PHCS | PPO | $1,588.20 | ↓ -42% |
| Cigna | PPO | $1,592.77 | ↓ -42% |
| Aetna | Coventry | $1,601.91 | ↓ -42% |
| Aetna | ASA | $1,601.91 | ↓ -42% |
| Healthsmart | Commercial | $1,713.89 | ↓ -37% |
| Multiplan | Commercial | $1,988.11 | ↓ -27% |
| USA | MCO | $2,010.96 | ↓ -27% |
| Galaxy | Commercial | $2,010.96 | ↓ -27% |
| Cigna | Indemnity | $2,150.35 | ↓ -22% |
Visitor-reported prices
Comments
Omalizumab 150 mg/ml subcutaneous syringe (wrapper) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $15,857.67 | $138.72 – $138.72 |
| Covenant Children's Hospital | Lubbock | $9,291.21 | $134.75 – $149.95 |
| HCA HOUSTON CONROE | CONROE | $8,742.30 | $45.50 – $361.06 |
| HCA HOUSTON KINGWOOD | HUMBLE | $8,110.59 | $45.50 – $361.06 |
| St. Luke's Health Memorial Lufkin | Lufkin | $3,778.61 | $43.27 – $22,671.61 |
| HCA HOUSTON SOUTHEAST | PASADENA | $12,316.40 | $40.12 – $361.06 |
| Texas Health Presbyterian Hospital Allen | Allen | $2,742.21 | $47.02 – $152.21 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $2,742.21 | $47.02 – $152.21 |