Phenobarbital therapeutic drug level at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$29.52
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.
$49.20
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.
$12.85 with Blue Cross Blue Shield vs $89.67 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $12.85 | ↓ -56% |
| Cook Childrens | Managed Medicaid | $12.85 | ↓ -56% |
| Amerigroup | Managed Medicaid | $12.85 | ↓ -56% |
| United Healthcare | Managed Medicaid | $12.85 | ↓ -56% |
| Superior Wellcare | Managed Medicaid | $13.49 | ↓ -54% |
| Molina | Managed Medicaid | $13.88 | ↓ -53% |
| Aetna | Managed Medicaid | $14.14 | ↓ -52% |
| American Health | Medicare Advantage | $15.30 | ↓ -48% |
| United Healthcare Options | PPO | $15.30 | ↓ -48% |
| United Healthcare | All Payer | $15.30 | ↓ -48% |
| Blue Cross Blue Shield | Medicare Advantage | $15.30 | ↓ -48% |
| HealthSpring | Medicare Advantage | $15.61 | ↓ -47% |
| Humana | Medicare Advantage | $15.91 | ↓ -46% |
| Molina | Medicare Advantage | $16.07 | ↓ -46% |
| Superior Wellcare | Medicare Advantage HMO | $16.07 | ↓ -46% |
| Amerigroup | Medicare Advantage | $16.07 | ↓ -46% |
| Superior Wellcare | Medicare Advantage MMP | $16.83 | ↓ -43% |
| United Healthcare | Medicare Advantage PPO | $16.98 | ↓ -42% |
| United Healthcare | Medicare Advantage HMO | $17.29 | ↓ -41% |
| Blue Cross Blue Shield | Exchange | $21.27 | ↓ -28% |
| Fort Worth Firefighters | Commercial | $22.49 | ↓ -24% |
| City of Fort Worth | Commercial | $23.12 | ↓ -22% |
| Quick Trip | Commercial | $29.52 | ↑ +0% |
| Blue Cross Blue Shield | HMO | $30.29 | ↑ +3% |
| Blue Cross Blue Shield | PPO | $33.66 | ↑ +14% |
| PHCS | PPO | $34.19 | ↑ +16% |
| Aetna | Coventry | $34.49 | ↑ +17% |
| Aetna | ASA | $34.49 | ↑ +17% |
| Healthsmart | Commercial | $36.90 | ↑ +25% |
| Aetna | Whole Health | $38.18 | ↑ +29% |
| Multiplan | Commercial | $42.80 | ↑ +45% |
| USA | MCO | $43.30 | ↑ +47% |
| Galaxy | Commercial | $43.30 | ↑ +47% |
| Cigna | Indemnity | $46.30 | ↑ +57% |
| Cigna | OAP/HMO | $47.38 | ↑ +61% |
| Cigna | PPO | $47.38 | ↑ +61% |
| Aetna | Commercial | $50.90 | ↑ +72% |
| Blue Cross Blue Shield | Traditional | $89.67 | ↑ +204% |
Visitor-reported prices
Comments
Phenobarbital therapeutic drug level at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $292.48 | $13.77 – $58.91 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $124.42 | $10.00 – $155.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $109.10 | $12.00 – $163.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $121.59 | $12.00 – $151.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $124.42 | $10.00 – $155.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $109.10 | $12.00 – $163.66 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $109.10 | $8.00 – $163.66 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $121.59 | $12.00 – $182.38 |