Coombs direct at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$160.35
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.
$267.25
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.
$4.53 with Cook Childrens vs $195.93 with Blue Cross Blue Shield — 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 | $4.53 | ↓ -97% |
| United Healthcare | Managed Medicaid | $4.53 | ↓ -97% |
| Amerigroup | Managed Medicaid | $4.53 | ↓ -97% |
| Blue Cross Blue Shield | Managed Medicaid | $4.53 | ↓ -97% |
| Superior Wellcare | Managed Medicaid | $4.76 | ↓ -97% |
| Molina | Managed Medicaid | $4.89 | ↓ -97% |
| Aetna | Managed Medicaid | $4.98 | ↓ -97% |
| United Healthcare | All Payer | $5.39 | ↓ -97% |
| United Healthcare Options | PPO | $5.39 | ↓ -97% |
| Fort Worth Firefighters | Commercial | $10.53 | ↓ -93% |
| Aetna | Whole Health | $17.93 | ↓ -89% |
| Cigna | OAP/HMO | $22.19 | ↓ -86% |
| Cigna | PPO | $22.19 | ↓ -86% |
| Aetna | Commercial | $23.91 | ↓ -85% |
| Blue Cross Blue Shield | Exchange | $37.17 | ↓ -77% |
| American Health | Medicare Advantage | $59.26 | ↓ -63% |
| Blue Cross Blue Shield | Medicare Advantage | $59.26 | ↓ -63% |
| HealthSpring | Medicare Advantage | $60.45 | ↓ -62% |
| Humana | Medicare Advantage | $61.63 | ↓ -62% |
| Molina | Medicare Advantage | $62.22 | ↓ -61% |
| Amerigroup | Medicare Advantage | $62.22 | ↓ -61% |
| Superior Wellcare | Medicare Advantage HMO | $62.22 | ↓ -61% |
| City of Fort Worth | Commercial | $62.86 | ↓ -61% |
| Superior Wellcare | Medicare Advantage MMP | $65.19 | ↓ -59% |
| United Healthcare | Medicare Advantage PPO | $65.78 | ↓ -59% |
| Blue Cross Blue Shield | HMO | $66.19 | ↓ -59% |
| United Healthcare | Medicare Advantage HMO | $66.97 | ↓ -58% |
| Blue Cross Blue Shield | PPO | $73.55 | ↓ -54% |
| Quick Trip | Commercial | $80.25 | ↓ -50% |
| PHCS | PPO | $92.96 | ↓ -42% |
| Aetna | ASA | $93.76 | ↓ -42% |
| Aetna | Coventry | $93.76 | ↓ -42% |
| Healthsmart | Commercial | $100.31 | ↓ -37% |
| Multiplan | Commercial | $116.36 | ↓ -27% |
| USA | MCO | $117.70 | ↓ -27% |
| Galaxy | Commercial | $117.70 | ↓ -27% |
| Cigna | Indemnity | $125.86 | ↓ -22% |
| Blue Cross Blue Shield | Traditional | $195.93 | ↑ +22% |
Visitor-reported prices
Comments
Coombs direct at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $98.01 | $4.53 – $151.53 |
| Adventhealth Rollins Brook | Lampasas | $153.56 | $4.85 – $128.71 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $98.01 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $71.74 | $3.76 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $77.75 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $98.01 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $71.74 | $4.85 – $151.53 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $71.74 | $4.53 – $151.53 |