Torsion straight knee joint at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$318.65
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.
?
What you pay up front if you don't use insurance.
$531.07
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.
?
The hospital's undiscounted list price — almost no one pays this.
$79.98 with United Healthcare vs $499.74 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $79.98 | ↓ -75% |
| Cook Childrens | Managed Medicaid | $79.98 | ↓ -75% |
| Blue Cross Blue Shield | Managed Medicaid | $79.98 | ↓ -75% |
| Amerigroup | Managed Medicaid | $79.98 | ↓ -75% |
| Superior Wellcare | Managed Medicaid | $83.96 | ↓ -74% |
| Molina | Managed Medicaid | $86.35 | ↓ -73% |
| Aetna | Managed Medicaid | $88.00 | ↓ -72% |
| Blue Cross Blue Shield | Exchange | $164.63 | ↓ -48% |
| Blue Cross Blue Shield | Medicare Advantage | $188.63 | ↓ -41% |
| American Health | Medicare Advantage | $188.63 | ↓ -41% |
| HealthSpring | Medicare Advantage | $192.40 | ↓ -40% |
| Humana | Medicare Advantage | $196.18 | ↓ -38% |
| Molina | Medicare Advantage | $198.06 | ↓ -38% |
| Amerigroup | Medicare Advantage | $198.06 | ↓ -38% |
| Superior Wellcare | Medicare Advantage HMO | $198.06 | ↓ -38% |
| Superior Wellcare | Medicare Advantage MMP | $207.49 | ↓ -35% |
| United Healthcare | Medicare Advantage PPO | $209.38 | ↓ -34% |
| United Healthcare | Medicare Advantage HMO | $213.15 | ↓ -33% |
| Aetna | Whole Health | $218.06 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $233.30 | ↓ -27% |
| City of Fort Worth | Commercial | $249.60 | ↓ -22% |
| Blue Cross Blue Shield | HMO | $265.54 | ↓ -17% |
| Aetna | Commercial | $290.76 | ↓ -9% |
| Cigna | OAP/HMO | $293.58 | ↓ -8% |
| Blue Cross Blue Shield | PPO | $295.27 | ↓ -7% |
| Blue Cross Blue Shield | Traditional | $295.27 | ↓ -7% |
| Quick Trip | Commercial | $318.64 | ↓ -0% |
| United Healthcare | All Payer | $334.73 | ↑ +5% |
| United Healthcare Options | PPO | $354.06 | ↑ +11% |
| PHCS | PPO | $369.09 | ↑ +16% |
| Cigna | PPO | $370.16 | ↑ +16% |
| Aetna | Coventry | $372.28 | ↑ +17% |
| Aetna | ASA | $372.28 | ↑ +17% |
| Healthsmart | Commercial | $398.30 | ↑ +25% |
| Multiplan | Commercial | $462.03 | ↑ +45% |
| USA | MCO | $467.34 | ↑ +47% |
| Galaxy | Commercial | $467.34 | ↑ +47% |
| Cigna | Indemnity | $499.74 | ↑ +57% |
Visitor-reported prices
Comments
Torsion straight knee joint at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Allen | Allen | $318.65 | not published |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $318.65 | not published |
| Texas Health Arlington Memorial Hospital | Arlington | $318.65 | not published |
| Texas Health Presbyterian Hospital Denton | Denton | $318.65 | not published |
| Texas Health Presbyterian Hospital Plano | Plano | $318.65 | not published |
| Texas Health Hospital Rockwall | Rockwall | $318.65 | not published |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $318.65 | not published |
| Texas Health Harris Methodist Hospital Azle | Azle | $318.65 | not published |