Anoscopy and biopsy at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$702.60
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.
$1,171.00
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.
$201.27 with United Healthcare vs $3,751.00 with United Healthcare Options — 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $201.27 | ↓ -71% |
| Amerigroup | Managed Medicaid | $201.27 | ↓ -71% |
| Cook Childrens | Managed Medicaid | $201.27 | ↓ -71% |
| Blue Cross Blue Shield | Managed Medicaid | $201.27 | ↓ -71% |
| Superior Wellcare | Managed Medicaid | $211.33 | ↓ -70% |
| Molina | Managed Medicaid | $217.37 | ↓ -69% |
| Aetna | Managed Medicaid | $221.40 | ↓ -68% |
| Blue Cross Blue Shield | Exchange | $268.56 | ↓ -62% |
| Aetna | Whole Health | $452.24 | ↓ -36% |
| Blue Cross Blue Shield | HMO | $502.08 | ↓ -29% |
| City of Fort Worth | Commercial | $550.37 | ↓ -22% |
| Blue Cross Blue Shield | PPO | $557.84 | ↓ -21% |
| Aetna | Commercial | $603.07 | ↓ -14% |
| Cigna | OAP/HMO | $647.33 | ↓ -8% |
| Quick Trip | Commercial | $702.60 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $714.90 | ↑ +2% |
| PHCS | PPO | $813.85 | ↑ +16% |
| Cigna | PPO | $816.19 | ↑ +16% |
| Aetna | Coventry | $820.87 | ↑ +17% |
| Aetna | ASA | $820.87 | ↑ +17% |
| Healthsmart | Commercial | $878.25 | ↑ +25% |
| Multiplan | Commercial | $1,018.77 | ↑ +45% |
| Galaxy | Commercial | $1,030.48 | ↑ +47% |
| USA | MCO | $1,030.48 | ↑ +47% |
| Cigna | Indemnity | $1,101.91 | ↑ +57% |
| Blue Cross Blue Shield | Medicare Advantage | $1,202.09 | ↑ +71% |
| American Health | Medicare Advantage | $1,202.09 | ↑ +71% |
| HealthSpring | Medicare Advantage | $1,226.14 | ↑ +75% |
| Humana | Medicare Advantage | $1,250.18 | ↑ +78% |
| Molina | Medicare Advantage | $1,262.20 | ↑ +80% |
| Amerigroup | Medicare Advantage | $1,262.20 | ↑ +80% |
| Superior Wellcare | Medicare Advantage HMO | $1,262.20 | ↑ +80% |
| Superior Wellcare | Medicare Advantage MMP | $1,322.30 | ↑ +88% |
| United Healthcare | Medicare Advantage PPO | $1,334.32 | ↑ +90% |
| United Healthcare | Medicare Advantage HMO | $1,358.37 | ↑ +93% |
| Blue Cross Blue Shield | Traditional | $1,785.26 | ↑ +154% |
| United Healthcare | All Payer | $2,923.00 | ↑ +316% |
| United Healthcare Options | PPO | $3,751.00 | ↑ +434% |
Visitor-reported prices
Comments
Anoscopy and biopsy at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $981.05 | $756.81 – $2,803.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $981.05 | $756.81 – $2,803.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $981.05 | $756.81 – $2,803.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $981.05 | $756.81 – $2,803.00 |
| Texas Health Presbyterian Hospital Allen | Allen | $702.60 | $201.27 – $217.37 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $702.60 | $201.27 – $221.40 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $702.60 | $201.27 – $221.40 |
| St. Luke's Health - The Vintage Hospital | Houston | $981.05 | $756.81 – $2,803.00 |