Ot training self care/home management direct contact each 15 minutes at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$225.45
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.
$375.75
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.
$28.01 with United Healthcare 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $28.01 | ↓ -88% |
| Cook Childrens | Managed Medicaid | $28.01 | ↓ -88% |
| Blue Cross Blue Shield | Managed Medicaid | $28.01 | ↓ -88% |
| Amerigroup | Managed Medicaid | $28.01 | ↓ -88% |
| Superior Wellcare | Managed Medicaid | $29.41 | ↓ -87% |
| Molina | Managed Medicaid | $30.24 | ↓ -87% |
| Aetna | Managed Medicaid | $30.82 | ↓ -86% |
| Blue Cross Blue Shield | Medicare Advantage | $31.50 | ↓ -86% |
| American Health | Medicare Advantage | $31.50 | ↓ -86% |
| HealthSpring | Medicare Advantage | $32.13 | ↓ -86% |
| Humana | Medicare Advantage | $32.76 | ↓ -85% |
| Superior Wellcare | Medicare Advantage HMO | $33.07 | ↓ -85% |
| Amerigroup | Medicare Advantage | $33.07 | ↓ -85% |
| Molina | Medicare Advantage | $33.07 | ↓ -85% |
| Superior Wellcare | Medicare Advantage MMP | $34.65 | ↓ -85% |
| United Healthcare | Medicare Advantage PPO | $34.96 | ↓ -84% |
| United Healthcare | Medicare Advantage HMO | $35.59 | ↓ -84% |
| Blue Cross Blue Shield | Exchange | $51.29 | ↓ -77% |
| Aetna | Whole Health | $76.37 | ↓ -66% |
| City of Fort Worth | Commercial | $87.42 | ↓ -61% |
| Blue Cross Blue Shield | HMO | $97.50 | ↓ -57% |
| Aetna | Commercial | $101.84 | ↓ -55% |
| Blue Cross Blue Shield | PPO | $108.34 | ↓ -52% |
| Quick Trip | Commercial | $111.60 | ↓ -50% |
| Fort Worth Firefighters | Commercial | $113.55 | ↓ -50% |
| PHCS | PPO | $129.27 | ↓ -43% |
| Aetna | Coventry | $130.39 | ↓ -42% |
| Aetna | ASA | $130.39 | ↓ -42% |
| Healthsmart | Commercial | $139.50 | ↓ -38% |
| Multiplan | Commercial | $161.82 | ↓ -28% |
| Galaxy | Commercial | $163.68 | ↓ -27% |
| USA | MCO | $163.68 | ↓ -27% |
| Cigna | Indemnity | $175.03 | ↓ -22% |
| Blue Cross Blue Shield | Traditional | $287.09 | ↑ +27% |
| United Healthcare | All Payer | $308.00 | ↑ +37% |
| Cigna | OAP/HMO | $328.00 | ↑ +45% |
| Cigna | PPO | $396.00 | ↑ +76% |
| United Healthcare Options | PPO | $401.00 | ↑ +78% |
Visitor-reported prices
Comments
Ot training self care/home management direct contact each 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $356.82 | $134.60 – $134.60 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $118.90 | $33.69 – $168.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $141.30 | $29.08 – $211.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $151.65 | $30.33 – $189.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $118.90 | $31.71 – $168.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $141.30 | $45.36 – $211.95 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $141.30 | $73.00 – $211.95 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $151.65 | $50.55 – $227.47 |