Unlisted ultrasound procedure at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$184.20
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.
$307.00
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.
$86.58 with Cook Childrens vs $629.86 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 |
|---|---|---|---|
| Cook Childrens | Managed Medicaid | $86.58 | ↓ -53% |
| Amerigroup | Managed Medicaid | $86.58 | ↓ -53% |
| Blue Cross Blue Shield | Managed Medicaid | $86.58 | ↓ -53% |
| United Healthcare | Managed Medicaid | $86.58 | ↓ -53% |
| Blue Cross Blue Shield | Medicare Advantage | $87.42 | ↓ -53% |
| American Health | Medicare Advantage | $87.42 | ↓ -53% |
| HealthSpring | Medicare Advantage | $89.17 | ↓ -52% |
| Superior Wellcare | Managed Medicaid | $90.91 | ↓ -51% |
| Humana | Medicare Advantage | $90.92 | ↓ -51% |
| Amerigroup | Medicare Advantage | $91.79 | ↓ -50% |
| Superior Wellcare | Medicare Advantage HMO | $91.79 | ↓ -50% |
| Molina | Medicare Advantage | $91.79 | ↓ -50% |
| Molina | Managed Medicaid | $93.51 | ↓ -49% |
| Aetna | Managed Medicaid | $95.24 | ↓ -48% |
| Superior Wellcare | Medicare Advantage MMP | $96.16 | ↓ -48% |
| United Healthcare | Medicare Advantage PPO | $97.04 | ↓ -47% |
| United Healthcare | Medicare Advantage HMO | $98.79 | ↓ -46% |
| Aetna | Whole Health | $126.05 | ↓ -32% |
| City of Fort Worth | Commercial | $144.29 | ↓ -22% |
| Aetna | Commercial | $168.08 | ↓ -9% |
| Cigna | OAP/HMO | $169.71 | ↓ -8% |
| Quick Trip | Commercial | $184.20 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $187.42 | ↑ +2% |
| Blue Cross Blue Shield | HMO | $209.66 | ↑ +14% |
| PHCS | PPO | $213.37 | ↑ +16% |
| Cigna | PPO | $213.98 | ↑ +16% |
| Aetna | ASA | $215.21 | ↑ +17% |
| Aetna | Coventry | $215.21 | ↑ +17% |
| Blue Cross Blue Shield | Exchange | $215.49 | ↑ +17% |
| Healthsmart | Commercial | $230.25 | ↑ +25% |
| Blue Cross Blue Shield | PPO | $232.97 | ↑ +26% |
| Multiplan | Commercial | $267.09 | ↑ +45% |
| USA | MCO | $270.16 | ↑ +47% |
| Galaxy | Commercial | $270.16 | ↑ +47% |
| Cigna | Indemnity | $288.89 | ↑ +57% |
| United Healthcare | All Payer | $440.00 | ↑ +139% |
| United Healthcare Options | PPO | $578.00 | ↑ +214% |
| Blue Cross Blue Shield | Traditional | $629.86 | ↑ +242% |
Visitor-reported prices
Comments
Unlisted ultrasound procedure at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,231.09 | $81.00 – $225.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,861.95 | $53.35 – $388.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,075.41 | $83.05 – $340.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,231.09 | $83.05 – $225.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,861.95 | $83.05 – $388.80 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,861.95 | $86.58 – $388.80 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,075.41 | $83.05 – $408.24 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,231.09 | $83.05 – $225.11 |