Trml dstrj ios bvn ea addl at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$10,624.65
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.
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What you pay up front if you don't use insurance.
$17,707.75
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.
$164.47 with American Health vs $16,662.99 with Cigna — 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 |
|---|---|---|---|
| American Health | Medicare Advantage | $164.47 | ↓ -98% |
| Blue Cross Blue Shield | Medicare Advantage | $164.47 | ↓ -98% |
| HealthSpring | Medicare Advantage | $167.76 | ↓ -98% |
| Humana | Medicare Advantage | $171.05 | ↓ -98% |
| Molina | Medicare Advantage | $172.70 | ↓ -98% |
| Amerigroup | Medicare Advantage | $172.70 | ↓ -98% |
| Superior Wellcare | Medicare Advantage HMO | $172.70 | ↓ -98% |
| Superior Wellcare | Medicare Advantage MMP | $180.92 | ↓ -98% |
| United Healthcare | Medicare Advantage PPO | $182.57 | ↓ -98% |
| United Healthcare | Medicare Advantage HMO | $185.86 | ↓ -98% |
| Fort Worth Firefighters | Commercial | $996.00 | ↓ -91% |
| United Healthcare | All Payer | $1,247.00 | ↓ -88% |
| United Healthcare Options | PPO | $1,568.00 | ↓ -85% |
| Blue Cross Blue Shield | Managed Medicaid | $2,666.79 | ↓ -75% |
| United Healthcare | Managed Medicaid | $2,666.79 | ↓ -75% |
| Cook Childrens | Managed Medicaid | $2,666.79 | ↓ -75% |
| Amerigroup | Managed Medicaid | $2,666.79 | ↓ -75% |
| Superior Wellcare | Managed Medicaid | $2,799.60 | ↓ -74% |
| Molina | Managed Medicaid | $2,879.28 | ↓ -73% |
| Aetna | Managed Medicaid | $2,934.17 | ↓ -72% |
| Blue Cross Blue Shield | Exchange | $5,135.25 | ↓ -52% |
| Aetna | Whole Health | $7,304.45 | ↓ -31% |
| Blue Cross Blue Shield | HMO | $8,180.98 | ↓ -23% |
| City of Fort Worth | Commercial | $8,322.64 | ↓ -22% |
| Blue Cross Blue Shield | PPO | $9,101.78 | ↓ -14% |
| Aetna | Commercial | $9,739.26 | ↓ -8% |
| Cigna | OAP/HMO | $9,788.84 | ↓ -8% |
| Quick Trip | Commercial | $10,624.65 | ↑ +0% |
| PHCS | PPO | $12,306.89 | ↑ +16% |
| Cigna | PPO | $12,342.30 | ↑ +16% |
| Aetna | Coventry | $12,413.13 | ↑ +17% |
| Aetna | ASA | $12,413.13 | ↑ +17% |
| Healthsmart | Commercial | $13,280.81 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $14,608.89 | ↑ +37% |
| Multiplan | Commercial | $15,405.74 | ↑ +45% |
| USA | MCO | $15,582.82 | ↑ +47% |
| Galaxy | Commercial | $15,582.82 | ↑ +47% |
| Cigna | Indemnity | $16,662.99 | ↑ +57% |
Visitor-reported prices
Comments
Trml dstrj ios bvn ea addl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $10,353.85 | $1,896.00 – $14,667.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $10,353.85 | $2,131.17 – $15,530.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $10,353.85 | $1,896.00 – $14,667.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $10,353.85 | $2,959.00 – $15,530.77 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $10,353.85 | $1,667.00 – $15,530.77 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $10,353.85 | $1,896.00 – $14,667.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $10,353.85 | $1,896.00 – $14,667.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $10,353.85 | $1,019.00 – $14,667.95 |