CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Texas Health Presbyterian Hospital Flower Mound

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$21,184
about 1.5× the $14,117 Medicare rate · typically $16,158–$29,376
modeled estimate · not a bill or quote
What this hospital charges insurers
$22,015
About the fair price
about $831 over the fair price · 1.6× Medicare
Medicare pays $14,117 Fair price $21,184 This hospital $22,015

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $7,621 Priciest $22,015

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Sepsis treatment (inpatient stay) is about $21,184 (about 1.5× the $14,117 Medicare rate). Texas Health Presbyterian Hospital Flower Mound charges insurers about $22,015 — about the fair price. Located in Flower Mound, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $16,599 - $68,365 118%
Blue Cross Blue Shieldmajor $14,954 - $142,127 106%
Aetnamajor $33,362 - $44,481 236%
Cignamajor $45,431 - $83,064 322%
Humanamajor $15,552 110%
Amerigroup $15,701 111%
Cigna HealthSpring $15,253 108%
Molina $15,701 111%
WellCare $15,701 - $16,449 111%
+ 2 smaller / regional plans $14,954 - $38,600

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 4400 Long Prairie Road, Flower Mound, TX 75028
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals