Bx breast pq tomo guide at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$3,426.15
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.
$5,710.25
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.
$353.57 with Cook Childrens vs $4,444.60 with United Healthcare — 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 |
|---|---|---|---|
| Cook Childrens | Managed Medicaid | $353.57 | ↓ -90% |
| Blue Cross Blue Shield | Managed Medicaid | $353.57 | ↓ -90% |
| United Healthcare | Managed Medicaid | $353.57 | ↓ -90% |
| Amerigroup | Managed Medicaid | $353.57 | ↓ -90% |
| Superior Wellcare | Managed Medicaid | $371.33 | ↓ -89% |
| Molina | Managed Medicaid | $381.91 | ↓ -89% |
| Aetna | Managed Medicaid | $389.08 | ↓ -89% |
| Blue Cross Blue Shield | Exchange | $1,095.48 | ↓ -68% |
| Aetna | Whole Health | $1,551.04 | ↓ -55% |
| Fort Worth Firefighters | Commercial | $1,659.46 | ↓ -52% |
| Blue Cross Blue Shield | HMO | $1,745.21 | ↓ -49% |
| City of Fort Worth | Commercial | $1,775.43 | ↓ -48% |
| Blue Cross Blue Shield | PPO | $1,941.64 | ↓ -43% |
| United Healthcare | All Payer | $1,953.72 | ↓ -43% |
| Aetna | Commercial | $2,068.18 | ↓ -40% |
| United Healthcare Options | PPO | $2,070.07 | ↓ -40% |
| Cigna | OAP/HMO | $2,088.20 | ↓ -39% |
| Quick Trip | Commercial | $2,266.50 | ↓ -34% |
| PHCS | PPO | $2,625.36 | ↓ -23% |
| Cigna | PPO | $2,632.92 | ↓ -23% |
| Aetna | ASA | $2,648.03 | ↓ -23% |
| Aetna | Coventry | $2,648.03 | ↓ -23% |
| Healthsmart | Commercial | $2,833.13 | ↓ -17% |
| Blue Cross Blue Shield | Traditional | $3,116.44 | ↓ -9% |
| Multiplan | Commercial | $3,286.43 | ↓ -4% |
| Galaxy | Commercial | $3,324.20 | ↓ -3% |
| USA | MCO | $3,324.20 | ↓ -3% |
| Cigna | Indemnity | $3,554.63 | ↑ +4% |
| Blue Cross Blue Shield | Medicare Advantage | $3,933.28 | ↑ +15% |
| American Health | Medicare Advantage | $3,933.28 | ↑ +15% |
| HealthSpring | Medicare Advantage | $4,011.94 | ↑ +17% |
| Humana | Medicare Advantage | $4,090.61 | ↑ +19% |
| Superior Wellcare | Medicare Advantage HMO | $4,129.94 | ↑ +21% |
| Amerigroup | Medicare Advantage | $4,129.94 | ↑ +21% |
| Molina | Medicare Advantage | $4,129.94 | ↑ +21% |
| Superior Wellcare | Medicare Advantage MMP | $4,326.60 | ↑ +26% |
| United Healthcare | Medicare Advantage PPO | $4,365.94 | ↑ +27% |
| United Healthcare | Medicare Advantage HMO | $4,444.60 | ↑ +30% |
Visitor-reported prices
Comments
Bx breast pq tomo guide at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $8,632.80 | $881.09 – $9,442.65 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $8,632.80 | $881.09 – $9,442.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $8,632.80 | $71.00 – $9,442.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $8,632.80 | $71.00 – $9,442.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $8,632.80 | $881.09 – $9,442.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $8,632.80 | $85.00 – $9,442.65 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $8,632.80 | $2,612.50 – $9,442.65 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $8,632.80 | $71.00 – $9,442.65 |