Avul nail plate addl at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$80.25
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.
$133.75
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.
$12.52 with United Healthcare vs $125.86 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $12.52 | ↓ -84% |
| Cook Childrens | Managed Medicaid | $12.52 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $12.52 | ↓ -84% |
| Amerigroup | Managed Medicaid | $12.52 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $13.15 | ↓ -84% |
| Molina | Managed Medicaid | $13.52 | ↓ -83% |
| Aetna | Managed Medicaid | $13.78 | ↓ -83% |
| Blue Cross Blue Shield | Medicare Advantage | $31.33 | ↓ -61% |
| American Health | Medicare Advantage | $31.33 | ↓ -61% |
| HealthSpring | Medicare Advantage | $31.96 | ↓ -60% |
| Humana | Medicare Advantage | $32.58 | ↓ -59% |
| Molina | Medicare Advantage | $32.90 | ↓ -59% |
| Superior Wellcare | Medicare Advantage HMO | $32.90 | ↓ -59% |
| Amerigroup | Medicare Advantage | $32.90 | ↓ -59% |
| Superior Wellcare | Medicare Advantage MMP | $34.46 | ↓ -57% |
| United Healthcare | Medicare Advantage PPO | $34.78 | ↓ -57% |
| United Healthcare | Medicare Advantage HMO | $35.40 | ↓ -56% |
| Blue Cross Blue Shield | Exchange | $53.77 | ↓ -33% |
| Aetna | Whole Health | $54.92 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $58.76 | ↓ -27% |
| City of Fort Worth | Commercial | $62.86 | ↓ -22% |
| United Healthcare | All Payer | $69.18 | ↓ -14% |
| Aetna | Commercial | $73.23 | ↓ -9% |
| United Healthcare Options | PPO | $73.30 | ↓ -9% |
| Cigna | OAP/HMO | $73.94 | ↓ -8% |
| Quick Trip | Commercial | $80.25 | ↑ +0% |
| Blue Cross Blue Shield | HMO | $84.93 | ↑ +6% |
| PHCS | PPO | $92.96 | ↑ +16% |
| Cigna | PPO | $93.22 | ↑ +16% |
| Aetna | Coventry | $93.76 | ↑ +17% |
| Aetna | ASA | $93.76 | ↑ +17% |
| Blue Cross Blue Shield | PPO | $94.29 | ↑ +17% |
| Healthsmart | Commercial | $100.31 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $114.89 | ↑ +43% |
| Multiplan | Commercial | $116.36 | ↑ +45% |
| USA | MCO | $117.70 | ↑ +47% |
| Galaxy | Commercial | $117.70 | ↑ +47% |
| Cigna | Indemnity | $125.86 | ↑ +57% |
Visitor-reported prices
Comments
Avul nail plate addl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $244.70 | $44.86 – $346.66 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $244.70 | $69.33 – $346.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $274.56 | $56.51 – $411.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $249.59 | $49.92 – $311.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $244.70 | $65.25 – $346.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $274.56 | $85.00 – $411.84 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $274.56 | $141.86 – $411.84 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $249.59 | $71.00 – $374.38 |