_afb id by dna probe rflx ast at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$133.35
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.
$222.25
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.
$16.84 with Blue Cross Blue Shield vs $209.14 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $16.84 | ↓ -87% |
| Cook Childrens | Managed Medicaid | $16.84 | ↓ -87% |
| Amerigroup | Managed Medicaid | $16.84 | ↓ -87% |
| United Healthcare | Managed Medicaid | $16.84 | ↓ -87% |
| Superior Wellcare | Managed Medicaid | $17.68 | ↓ -87% |
| Molina | Managed Medicaid | $18.19 | ↓ -86% |
| Aetna | Managed Medicaid | $18.52 | ↓ -86% |
| American Health | Medicare Advantage | $20.05 | ↓ -85% |
| United Healthcare Options | PPO | $20.05 | ↓ -85% |
| United Healthcare | All Payer | $20.05 | ↓ -85% |
| Blue Cross Blue Shield | Medicare Advantage | $20.05 | ↓ -85% |
| HealthSpring | Medicare Advantage | $20.45 | ↓ -85% |
| Humana | Medicare Advantage | $20.85 | ↓ -84% |
| Molina | Medicare Advantage | $21.05 | ↓ -84% |
| Superior Wellcare | Medicare Advantage HMO | $21.05 | ↓ -84% |
| Amerigroup | Medicare Advantage | $21.05 | ↓ -84% |
| Superior Wellcare | Medicare Advantage MMP | $22.06 | ↓ -83% |
| United Healthcare | Medicare Advantage PPO | $22.26 | ↓ -83% |
| Blue Cross Blue Shield | Exchange | $22.30 | ↓ -83% |
| United Healthcare | Medicare Advantage HMO | $22.66 | ↓ -83% |
| Fort Worth Firefighters | Commercial | $39.35 | ↓ -70% |
| Blue Cross Blue Shield | HMO | $39.70 | ↓ -70% |
| Blue Cross Blue Shield | PPO | $44.11 | ↓ -67% |
| Aetna | Whole Health | $66.82 | ↓ -50% |
| Cigna | OAP/HMO | $82.69 | ↓ -38% |
| Cigna | PPO | $82.69 | ↓ -38% |
| Aetna | Commercial | $89.09 | ↓ -33% |
| City of Fort Worth | Commercial | $104.46 | ↓ -22% |
| Blue Cross Blue Shield | Traditional | $117.51 | ↓ -12% |
| Quick Trip | Commercial | $133.35 | ↑ +0% |
| PHCS | PPO | $154.46 | ↑ +16% |
| Aetna | ASA | $155.80 | ↑ +17% |
| Aetna | Coventry | $155.80 | ↑ +17% |
| Healthsmart | Commercial | $166.69 | ↑ +25% |
| Multiplan | Commercial | $193.36 | ↑ +45% |
| USA | MCO | $195.58 | ↑ +47% |
| Galaxy | Commercial | $195.58 | ↑ +47% |
| Cigna | Indemnity | $209.14 | ↑ +57% |
Visitor-reported prices
Comments
_afb id by dna probe rflx ast at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $307.03 | $10.00 – $166.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $307.03 | $10.00 – $166.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $292.41 | $12.00 – $166.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $292.41 | $12.00 – $161.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $307.03 | $10.00 – $166.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $292.41 | $12.00 – $166.44 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $292.41 | $8.00 – $166.44 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $292.41 | $12.00 – $193.43 |