46/100
#1,401 nationally
Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX 75028 · (972) 419-1530
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Texas Health Presbyterian Hospital Flower Mound billed $5.06 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 5.1x
- volume-weighted across all its priced work
- Procedures priced
- 50
- inpatient and outpatient combined
- Rank in TX
- #74
- lower markup ranks higher
- CMS quality stars
- 5/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 40% of U.S. hospitals.
Better than 58% of U.S. hospitals.
Better than 46% of U.S. hospitals.
Better than 32% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
408 | $21,003 | $2,447 | +8% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
304 | $52,574 | $11,766 | -16% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
144 | $9,781 | $1,670 | -17% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
106 | $11,975 | $1,444 | +19% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
96 | $34,902 | $5,166 | about average |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
87 | $22,474 | $3,147 | +9% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
86 | $60,454 | $14,138 | -7% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
73 | $36,611 | $6,459 | -8% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
70 | $41,500 | $9,170 | -4% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
70 | $18,312 | $4,618 | -33% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$9,078 | $617 | +189% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$45,783 | $6,868 | +44% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$24,648 | $2,565 | +39% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$59,415 | $8,312 | +25% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
$26,001 | $3,457 | +19% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$11,975 | $1,444 | +19% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$37,700 | $6,467 | +17% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$26,644 | $3,075 | +15% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
$23,660 | $10,418 | -42% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$12,530 | $2,809 | -34% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$18,312 | $4,618 | -33% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
$130,449 | $37,955 | -26% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$83,736 | $27,952 | -26% |
|
Cervical Spinal Fusion without Complications/mcc
MS-DRG 473 · Inpatient stay |
$67,294 | $16,891 | -26% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
$167,455 | $41,215 | -25% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$44,028 | $11,942 | -23% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.