Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$123.90
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.
$206.50
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.
$28.33 with American Health vs $401.00 with United Healthcare Options — 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 | $28.33 | ↓ -77% |
| Blue Cross Blue Shield | Medicare Advantage | $28.33 | ↓ -77% |
| HealthSpring | Medicare Advantage | $28.89 | ↓ -77% |
| Humana | Medicare Advantage | $29.46 | ↓ -76% |
| Molina | Medicare Advantage | $29.74 | ↓ -76% |
| Amerigroup | Medicare Advantage | $29.74 | ↓ -76% |
| Superior Wellcare | Medicare Advantage HMO | $29.74 | ↓ -76% |
| Blue Cross Blue Shield | Managed Medicaid | $29.89 | ↓ -76% |
| Cook Childrens | Managed Medicaid | $29.89 | ↓ -76% |
| Amerigroup | Managed Medicaid | $29.89 | ↓ -76% |
| United Healthcare | Managed Medicaid | $29.89 | ↓ -76% |
| Superior Wellcare | Medicare Advantage MMP | $31.16 | ↓ -75% |
| Superior Wellcare | Managed Medicaid | $31.38 | ↓ -75% |
| United Healthcare | Medicare Advantage PPO | $31.44 | ↓ -75% |
| United Healthcare | Medicare Advantage HMO | $32.01 | ↓ -74% |
| Molina | Managed Medicaid | $32.28 | ↓ -74% |
| Aetna | Managed Medicaid | $32.89 | ↓ -73% |
| Blue Cross Blue Shield | Exchange | $45.99 | ↓ -63% |
| Aetna | Whole Health | $81.50 | ↓ -34% |
| Blue Cross Blue Shield | HMO | $87.44 | ↓ -29% |
| City of Fort Worth | Commercial | $93.30 | ↓ -25% |
| Blue Cross Blue Shield | PPO | $97.15 | ↓ -22% |
| Aetna | Commercial | $108.68 | ↓ -12% |
| Quick Trip | Commercial | $119.10 | ↓ -4% |
| Fort Worth Firefighters | Commercial | $121.18 | ↓ -2% |
| PHCS | PPO | $137.96 | ↑ +11% |
| Aetna | Coventry | $139.15 | ↑ +12% |
| Aetna | ASA | $139.15 | ↑ +12% |
| Healthsmart | Commercial | $148.88 | ↑ +20% |
| Multiplan | Commercial | $172.70 | ↑ +39% |
| Galaxy | Commercial | $174.68 | ↑ +41% |
| USA | MCO | $174.68 | ↑ +41% |
| Cigna | Indemnity | $186.79 | ↑ +51% |
| Blue Cross Blue Shield | Traditional | $257.45 | ↑ +108% |
| United Healthcare | All Payer | $308.00 | ↑ +149% |
| Cigna | OAP/HMO | $328.00 | ↑ +165% |
| Cigna | PPO | $396.00 | ↑ +220% |
| United Healthcare Options | PPO | $401.00 | ↑ +224% |
Visitor-reported prices
Comments
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $274.83 | $120.70 – $120.70 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $125.24 | $35.48 – $177.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $149.57 | $30.79 – $224.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $143.44 | $28.69 – $179.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $125.24 | $33.40 – $177.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $149.57 | $48.01 – $224.35 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $149.57 | $77.28 – $224.35 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $143.44 | $47.81 – $215.15 |