Ot re-evaluation patient/family at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$306.75
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.
$511.25
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.
$25.98 with United Healthcare vs $523.84 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $25.98 | ↓ -92% |
| Cook Childrens | Managed Medicaid | $25.98 | ↓ -92% |
| Blue Cross Blue Shield | Managed Medicaid | $25.98 | ↓ -92% |
| Amerigroup | Managed Medicaid | $25.98 | ↓ -92% |
| Superior Wellcare | Managed Medicaid | $27.27 | ↓ -91% |
| Molina | Managed Medicaid | $28.05 | ↓ -91% |
| Aetna | Managed Medicaid | $28.58 | ↓ -91% |
| Blue Cross Blue Shield | Medicare Advantage | $66.60 | ↓ -78% |
| American Health | Medicare Advantage | $66.60 | ↓ -78% |
| HealthSpring | Medicare Advantage | $67.93 | ↓ -78% |
| Humana | Medicare Advantage | $69.26 | ↓ -77% |
| Amerigroup | Medicare Advantage | $69.93 | ↓ -77% |
| Superior Wellcare | Medicare Advantage HMO | $69.93 | ↓ -77% |
| Molina | Medicare Advantage | $69.93 | ↓ -77% |
| Aetna | Whole Health | $70.83 | ↓ -77% |
| Superior Wellcare | Medicare Advantage MMP | $73.26 | ↓ -76% |
| United Healthcare | Medicare Advantage PPO | $73.93 | ↓ -76% |
| United Healthcare | Medicare Advantage HMO | $75.26 | ↓ -75% |
| City of Fort Worth | Commercial | $81.08 | ↓ -74% |
| Blue Cross Blue Shield | Exchange | $93.58 | ↓ -69% |
| Aetna | Commercial | $94.44 | ↓ -69% |
| Quick Trip | Commercial | $103.50 | ↓ -66% |
| Fort Worth Firefighters | Commercial | $105.31 | ↓ -66% |
| PHCS | PPO | $119.89 | ↓ -61% |
| Aetna | Coventry | $120.92 | ↓ -61% |
| Aetna | ASA | $120.92 | ↓ -61% |
| Healthsmart | Commercial | $129.38 | ↓ -58% |
| Multiplan | Commercial | $150.08 | ↓ -51% |
| Galaxy | Commercial | $151.80 | ↓ -51% |
| USA | MCO | $151.80 | ↓ -51% |
| Cigna | Indemnity | $162.32 | ↓ -47% |
| Blue Cross Blue Shield | HMO | $177.91 | ↓ -42% |
| Blue Cross Blue Shield | PPO | $197.69 | ↓ -36% |
| United Healthcare | All Payer | $308.00 | ↑ +0% |
| Cigna | OAP/HMO | $328.00 | ↑ +7% |
| Cigna | PPO | $396.00 | ↑ +29% |
| United Healthcare Options | PPO | $401.00 | ↑ +31% |
| Blue Cross Blue Shield | Traditional | $523.84 | ↑ +71% |
Visitor-reported prices
Comments
Ot re-evaluation patient/family at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $333.87 | $245.59 – $245.59 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $227.06 | $64.33 – $321.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $229.21 | $47.18 – $343.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $245.25 | $49.05 – $306.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $227.06 | $60.55 – $321.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $229.21 | $73.58 – $343.82 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $229.21 | $118.43 – $343.82 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $245.25 | $81.75 – $367.88 |