Small bowel endoscopy br/wa at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$2,104.50
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.
$3,507.50
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.
$334.95 with United Healthcare vs $6,567.15 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 | $334.95 | ↓ -84% |
| Cook Childrens | Managed Medicaid | $334.95 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $334.95 | ↓ -84% |
| Amerigroup | Managed Medicaid | $334.95 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $351.70 | ↓ -83% |
| Molina | Managed Medicaid | $361.75 | ↓ -83% |
| Aetna | Managed Medicaid | $368.45 | ↓ -82% |
| Blue Cross Blue Shield | Exchange | $903.81 | ↓ -57% |
| Blue Cross Blue Shield | Medicare Advantage | $911.12 | ↓ -57% |
| American Health | Medicare Advantage | $911.12 | ↓ -57% |
| HealthSpring | Medicare Advantage | $929.34 | ↓ -56% |
| Humana | Medicare Advantage | $947.56 | ↓ -55% |
| Amerigroup | Medicare Advantage | $956.67 | ↓ -55% |
| Superior Wellcare | Medicare Advantage HMO | $956.67 | ↓ -55% |
| Molina | Medicare Advantage | $956.67 | ↓ -55% |
| Superior Wellcare | Medicare Advantage MMP | $1,002.23 | ↓ -52% |
| United Healthcare | Medicare Advantage PPO | $1,011.34 | ↓ -52% |
| United Healthcare | Medicare Advantage HMO | $1,029.56 | ↓ -51% |
| Aetna | Whole Health | $1,446.84 | ↓ -31% |
| City of Fort Worth | Commercial | $1,648.53 | ↓ -22% |
| Blue Cross Blue Shield | HMO | $1,846.91 | ↓ -12% |
| Aetna | Commercial | $1,929.13 | ↓ -8% |
| Cigna | OAP/HMO | $1,938.95 | ↓ -8% |
| Blue Cross Blue Shield | PPO | $2,052.04 | ↓ -2% |
| Quick Trip | Commercial | $2,104.50 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $2,141.33 | ↑ +2% |
| PHCS | PPO | $2,437.71 | ↑ +16% |
| Cigna | PPO | $2,444.73 | ↑ +16% |
| Aetna | Coventry | $2,458.76 | ↑ +17% |
| Aetna | ASA | $2,458.76 | ↑ +17% |
| Healthsmart | Commercial | $2,630.63 | ↑ +25% |
| United Healthcare | All Payer | $2,923.00 | ↑ +39% |
| Multiplan | Commercial | $3,051.53 | ↑ +45% |
| Galaxy | Commercial | $3,086.60 | ↑ +47% |
| USA | MCO | $3,086.60 | ↑ +47% |
| Cigna | Indemnity | $3,300.56 | ↑ +57% |
| United Healthcare Options | PPO | $3,751.00 | ↑ +78% |
| Blue Cross Blue Shield | Traditional | $6,567.15 | ↑ +212% |
Visitor-reported prices
Comments
Small bowel endoscopy br/wa at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $2,104.50 | $334.95 – $368.45 |
| Texas Health Arlington Memorial Hospital | Arlington | $2,104.50 | $334.95 – $368.45 |
| Texas Health Presbyterian Hospital Denton | Denton | $2,104.50 | $334.95 – $368.45 |
| Texas Health Presbyterian Hospital Plano | Plano | $2,104.50 | $334.95 – $361.75 |
| Texas Health Hospital Rockwall | Rockwall | $2,104.50 | $334.95 – $361.75 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $2,104.50 | $334.95 – $361.75 |
| Texas Health Hospital Frisco | Frisco | $2,104.50 | $334.95 – $361.75 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth | $2,104.50 | $334.95 – $368.45 |