Conversion ext bil drg cath at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$2,790.30
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.
$4,650.50
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.
$1,151.54 with Amerigroup vs $4,376.12 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $1,151.54 | ↓ -59% |
| Cook Childrens | Managed Medicaid | $1,151.54 | ↓ -59% |
| Blue Cross Blue Shield | Managed Medicaid | $1,151.54 | ↓ -59% |
| United Healthcare | Managed Medicaid | $1,151.54 | ↓ -59% |
| Superior Wellcare | Managed Medicaid | $1,209.12 | ↓ -57% |
| Molina | Managed Medicaid | $1,243.66 | ↓ -55% |
| Aetna | Managed Medicaid | $1,266.69 | ↓ -55% |
| Blue Cross Blue Shield | Exchange | $1,348.65 | ↓ -52% |
| Aetna | Whole Health | $1,909.50 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $2,042.96 | ↓ -27% |
| Blue Cross Blue Shield | HMO | $2,148.53 | ↓ -23% |
| City of Fort Worth | Commercial | $2,185.74 | ↓ -22% |
| Blue Cross Blue Shield | PPO | $2,390.36 | ↓ -14% |
| United Healthcare | All Payer | $2,405.24 | ↓ -14% |
| Aetna | Commercial | $2,546.15 | ↓ -9% |
| United Healthcare Options | PPO | $2,548.47 | ↓ -9% |
| Cigna | OAP/HMO | $2,570.80 | ↓ -8% |
| Quick Trip | Commercial | $2,790.30 | ↑ +0% |
| PHCS | PPO | $3,232.10 | ↑ +16% |
| Cigna | PPO | $3,241.40 | ↑ +16% |
| Aetna | Coventry | $3,260.00 | ↑ +17% |
| Aetna | ASA | $3,260.00 | ↑ +17% |
| Healthsmart | Commercial | $3,487.88 | ↑ +25% |
| American Health | Medicare Advantage | $3,596.72 | ↑ +29% |
| Blue Cross Blue Shield | Medicare Advantage | $3,596.72 | ↑ +29% |
| HealthSpring | Medicare Advantage | $3,668.65 | ↑ +31% |
| Humana | Medicare Advantage | $3,740.58 | ↑ +34% |
| Superior Wellcare | Medicare Advantage HMO | $3,776.55 | ↑ +35% |
| Amerigroup | Medicare Advantage | $3,776.55 | ↑ +35% |
| Molina | Medicare Advantage | $3,776.55 | ↑ +35% |
| Blue Cross Blue Shield | Traditional | $3,836.66 | ↑ +37% |
| Superior Wellcare | Medicare Advantage MMP | $3,956.39 | ↑ +42% |
| United Healthcare | Medicare Advantage PPO | $3,992.35 | ↑ +43% |
| Multiplan | Commercial | $4,045.94 | ↑ +45% |
| United Healthcare | Medicare Advantage HMO | $4,064.29 | ↑ +46% |
| USA | MCO | $4,092.44 | ↑ +47% |
| Galaxy | Commercial | $4,092.44 | ↑ +47% |
| Cigna | Indemnity | $4,376.12 | ↑ +57% |
Visitor-reported prices
Comments
Conversion ext bil drg cath at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $4,896.87 | $1,151.54 – $8,570.48 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,896.87 | $1,151.54 – $8,570.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,099.56 | $71.00 – $8,649.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,281.71 | $71.00 – $8,649.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,896.87 | $1,151.54 – $8,570.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $4,099.56 | $85.00 – $8,649.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $4,099.56 | $1,151.54 – $8,570.48 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,281.71 | $71.00 – $8,649.00 |