Screening hepatitis b non-obstetric high risk at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
not published by hospital
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.
not published by hospital
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.
$23.75 with Cook Childrens vs $31.95 with United Healthcare — 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 |
|---|---|---|---|
| Cook Childrens | Managed Medicaid | $23.75 | — |
| United Healthcare | Managed Medicaid | $23.75 | — |
| Amerigroup | Managed Medicaid | $23.75 | — |
| Blue Cross Blue Shield | Managed Medicaid | $23.75 | — |
| Superior Wellcare | Managed Medicaid | $24.94 | — |
| Molina | Managed Medicaid | $25.65 | — |
| American Health | Medicare Advantage | $28.27 | — |
| Blue Cross Blue Shield | Medicare Advantage | $28.27 | — |
| HealthSpring | Medicare Advantage | $28.84 | — |
| Humana | Medicare Advantage | $29.40 | — |
| Amerigroup | Medicare Advantage | $29.68 | — |
| Molina | Medicare Advantage | $29.68 | — |
| Superior Wellcare | Medicare Advantage HMO | $29.68 | — |
| Superior Wellcare | Medicare Advantage MMP | $31.10 | — |
| United Healthcare | Medicare Advantage PPO | $31.38 | — |
| United Healthcare | Medicare Advantage HMO | $31.95 | — |
Visitor-reported prices
Comments
Screening hepatitis b non-obstetric high risk at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHRISTUS Health - West Beaumont | Beaumont | $144.21 | $25.44 – $108.84 |
| Adventhealth Rollins Brook | Lampasas | not published | $25.44 – $108.84 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $23.75 – $115.70 |
| Covenant Children's Hospital | Lubbock | not published | $61.76 – $123.26 |
| HCA HOUSTON CONROE | CONROE | not published | $23.27 – $115.70 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $23.27 – $115.70 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $23.75 – $115.70 |
| HCA HOUSTON PEARLAND | Pearland | not published | $23.75 – $115.70 |