Cystouretero w/lithotripsy at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$18,681.30
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.
$31,135.50
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.
$1,689.43 with United Healthcare vs $35,359.42 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $1,689.43 | ↓ -91% |
| Cook Childrens | Managed Medicaid | $1,689.43 | ↓ -91% |
| Blue Cross Blue Shield | Managed Medicaid | $1,689.43 | ↓ -91% |
| Amerigroup | Managed Medicaid | $1,689.43 | ↓ -91% |
| Superior Wellcare | Managed Medicaid | $1,773.90 | ↓ -91% |
| Molina | Managed Medicaid | $1,824.58 | ↓ -90% |
| Aetna | Managed Medicaid | $1,858.37 | ↓ -90% |
| Blue Cross Blue Shield | Exchange | $5,319.15 | ↓ -72% |
| Blue Cross Blue Shield | Medicare Advantage | $5,386.23 | ↓ -71% |
| American Health | Medicare Advantage | $5,386.23 | ↓ -71% |
| HealthSpring | Medicare Advantage | $5,493.95 | ↓ -71% |
| Humana | Medicare Advantage | $5,601.68 | ↓ -70% |
| Superior Wellcare | Medicare Advantage HMO | $5,655.54 | ↓ -70% |
| Amerigroup | Medicare Advantage | $5,655.54 | ↓ -70% |
| Molina | Medicare Advantage | $5,655.54 | ↓ -70% |
| Superior Wellcare | Medicare Advantage MMP | $5,924.85 | ↓ -68% |
| United Healthcare | Medicare Advantage PPO | $5,978.71 | ↓ -68% |
| United Healthcare | Medicare Advantage HMO | $6,086.44 | ↓ -67% |
| Fort Worth Firefighters | Commercial | $9,883.00 | ↓ -47% |
| Blue Cross Blue Shield | HMO | $9,944.31 | ↓ -47% |
| Aetna | Whole Health | $10,725.00 | ↓ -43% |
| Blue Cross Blue Shield | PPO | $11,048.76 | ↓ -41% |
| United Healthcare | All Payer | $13,429.00 | ↓ -28% |
| City of Fort Worth | Commercial | $14,633.69 | ↓ -22% |
| United Healthcare Options | PPO | $17,117.00 | ↓ -8% |
| Cigna | OAP/HMO | $17,211.70 | ↓ -8% |
| Aetna | Commercial | $17,632.03 | ↓ -6% |
| Quick Trip | Commercial | $18,681.30 | ↑ +0% |
| PHCS | PPO | $21,639.17 | ↑ +16% |
| Cigna | PPO | $21,701.44 | ↑ +16% |
| Aetna | Coventry | $21,825.99 | ↑ +17% |
| Aetna | ASA | $21,825.99 | ↑ +17% |
| Healthsmart | Commercial | $23,351.63 | ↑ +25% |
| Multiplan | Commercial | $27,087.89 | ↑ +45% |
| USA | MCO | $27,399.24 | ↑ +47% |
| Galaxy | Commercial | $27,399.24 | ↑ +47% |
| Cigna | Indemnity | $29,298.51 | ↑ +57% |
| Blue Cross Blue Shield | Traditional | $35,359.42 | ↑ +89% |
Visitor-reported prices
Comments
Cystouretero w/lithotripsy at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $6,914.84 | $71.00 – $12,818.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $7,440.61 | $71.00 – $12,818.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $6,914.84 | $85.00 – $12,818.21 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $6,914.84 | $1,689.43 – $12,818.21 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $7,440.61 | $71.00 – $12,818.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $6,914.84 | $71.00 – $12,818.21 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $6,914.84 | $71.00 – $12,818.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $7,440.61 | $71.00 – $12,818.21 |