Thrombectomy/inf pq dialysis circuit w/pta at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$11,787.75
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.
$19,646.25
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.
$4,535.02 with Amerigroup vs $82,795.26 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $4,535.02 | ↓ -62% |
| Cook Childrens | Managed Medicaid | $4,535.02 | ↓ -62% |
| United Healthcare | Managed Medicaid | $4,535.02 | ↓ -62% |
| Blue Cross Blue Shield | Managed Medicaid | $4,535.02 | ↓ -62% |
| Superior Wellcare | Managed Medicaid | $4,761.77 | ↓ -60% |
| Molina | Managed Medicaid | $4,897.82 | ↓ -58% |
| Aetna | Managed Medicaid | $4,988.52 | ↓ -58% |
| Aetna | Whole Health | $8,104.08 | ↓ -31% |
| City of Fort Worth | Commercial | $9,233.74 | ↓ -22% |
| Aetna | Commercial | $10,805.44 | ↓ -8% |
| Cigna | OAP/HMO | $10,860.45 | ↓ -8% |
| Blue Cross Blue Shield | Exchange | $11,394.75 | ↓ -3% |
| American Health | Medicare Advantage | $11,596.79 | ↓ -2% |
| Blue Cross Blue Shield | Medicare Advantage | $11,596.79 | ↓ -2% |
| Quick Trip | Commercial | $11,787.75 | ↑ +0% |
| HealthSpring | Medicare Advantage | $11,828.73 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $11,994.04 | ↑ +2% |
| Humana | Medicare Advantage | $12,060.67 | ↑ +2% |
| Superior Wellcare | Medicare Advantage HMO | $12,176.63 | ↑ +3% |
| Molina | Medicare Advantage | $12,176.63 | ↑ +3% |
| Amerigroup | Medicare Advantage | $12,176.63 | ↑ +3% |
| Superior Wellcare | Medicare Advantage MMP | $12,756.47 | ↑ +8% |
| United Healthcare | Medicare Advantage PPO | $12,872.44 | ↑ +9% |
| United Healthcare | Medicare Advantage HMO | $13,104.38 | ↑ +11% |
| PHCS | PPO | $13,654.14 | ↑ +16% |
| Cigna | PPO | $13,693.44 | ↑ +16% |
| Aetna | Coventry | $13,772.02 | ↑ +17% |
| Aetna | ASA | $13,772.02 | ↑ +17% |
| Healthsmart | Commercial | $14,734.69 | ↑ +25% |
| Multiplan | Commercial | $17,092.24 | ↑ +45% |
| USA | MCO | $17,288.70 | ↑ +47% |
| Galaxy | Commercial | $17,288.70 | ↑ +47% |
| Cigna | Indemnity | $18,487.12 | ↑ +57% |
| United Healthcare | All Payer | $19,497.00 | ↑ +65% |
| Blue Cross Blue Shield | HMO | $23,284.93 | ↑ +98% |
| United Healthcare Options | PPO | $24,806.00 | ↑ +110% |
| Blue Cross Blue Shield | PPO | $25,871.04 | ↑ +119% |
| Blue Cross Blue Shield | Traditional | $82,795.26 | ↑ +602% |
Visitor-reported prices
Comments
Thrombectomy/inf pq dialysis circuit w/pta at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $19,636.34 | $4,535.02 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $21,396.97 | $71.00 – $32,095.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $19,636.34 | $71.00 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $19,636.34 | $4,535.02 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $21,396.97 | $85.00 – $32,095.46 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $21,396.97 | $4,535.02 – $32,095.46 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $19,636.34 | $71.00 – $29,454.52 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $19,636.34 | $4,535.02 – $27,252.71 |