Dactinomycin 0.5 mg intravenous solution at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$5,362.91
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.
$8,938.18
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.
$328.34 with American Health vs $9,775.83 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 |
|---|---|---|---|
| American Health | Medicare Advantage | $328.34 | ↓ -94% |
| Blue Cross Blue Shield | Medicare Advantage | $328.34 | ↓ -94% |
| HealthSpring | Medicare Advantage | $334.90 | ↓ -94% |
| Humana | Medicare Advantage | $341.47 | ↓ -94% |
| Molina | Medicare Advantage | $344.75 | ↓ -94% |
| Amerigroup | Medicare Advantage | $344.75 | ↓ -94% |
| Superior Wellcare | Medicare Advantage HMO | $344.75 | ↓ -94% |
| Superior Wellcare | Medicare Advantage MMP | $361.17 | ↓ -93% |
| United Healthcare | Medicare Advantage PPO | $364.46 | ↓ -93% |
| United Healthcare | Medicare Advantage HMO | $371.02 | ↓ -93% |
| Cook Childrens | Managed Medicaid | $836.61 | ↓ -84% |
| Amerigroup | Managed Medicaid | $836.61 | ↓ -84% |
| United Healthcare | Managed Medicaid | $836.61 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $836.61 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $878.62 | ↓ -84% |
| Molina | Managed Medicaid | $903.65 | ↓ -83% |
| Aetna | Managed Medicaid | $920.63 | ↓ -83% |
| Blue Cross Blue Shield | Exchange | $1,370.00 | ↓ -74% |
| Blue Cross Blue Shield | HMO | $2,150.01 | ↓ -60% |
| United Healthcare Options | PPO | $2,298.04 | ↓ -57% |
| United Healthcare | All Payer | $2,298.04 | ↓ -57% |
| Blue Cross Blue Shield | PPO | $2,389.37 | ↓ -55% |
| Aetna | Whole Health | $3,090.82 | ↓ -42% |
| Fort Worth Firefighters | Commercial | $3,926.54 | ↓ -27% |
| Aetna | Commercial | $4,120.50 | ↓ -23% |
| City of Fort Worth | Commercial | $4,200.94 | ↓ -22% |
| Cigna | OAP/HMO | $4,941.03 | ↓ -8% |
| Quick Trip | Commercial | $5,362.91 | ↑ +0% |
| PHCS | PPO | $6,212.04 | ↑ +16% |
| Cigna | PPO | $6,229.91 | ↑ +16% |
| Aetna | Coventry | $6,265.66 | ↑ +17% |
| Aetna | ASA | $6,265.66 | ↑ +17% |
| Healthsmart | Commercial | $6,703.64 | ↑ +25% |
| Multiplan | Commercial | $7,776.22 | ↑ +45% |
| Galaxy | Commercial | $7,865.60 | ↑ +47% |
| USA | MCO | $7,865.60 | ↑ +47% |
| Cigna | Indemnity | $8,410.83 | ↑ +57% |
| Blue Cross Blue Shield | Traditional | $9,775.83 | ↑ +82% |
Visitor-reported prices
Comments
Dactinomycin 0.5 mg intravenous solution at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $4,905.37 | $320.79 – $6,131.72 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,905.37 | $320.79 – $6,131.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,905.37 | $371.44 – $7,358.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,905.37 | $320.79 – $6,131.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,905.37 | $320.79 – $6,131.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $4,905.37 | $320.79 – $7,358.06 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $4,905.37 | $371.44 – $7,358.06 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $4,905.37 | $320.79 – $7,358.06 |