Dup scan/ue art/graft/bilat/comp 93930 at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$985.20
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.
$1,642.00
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.
$197.14 with Amerigroup vs $1,545.12 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 | $197.14 | ↓ -80% |
| Cook Childrens | Managed Medicaid | $197.14 | ↓ -80% |
| Blue Cross Blue Shield | Managed Medicaid | $197.14 | ↓ -80% |
| United Healthcare | Managed Medicaid | $197.14 | ↓ -80% |
| Blue Cross Blue Shield | Exchange | $205.70 | ↓ -79% |
| Superior Wellcare | Managed Medicaid | $207.00 | ↓ -79% |
| Molina | Managed Medicaid | $212.91 | ↓ -78% |
| Aetna | Managed Medicaid | $216.85 | ↓ -78% |
| American Health | Medicare Advantage | $239.69 | ↓ -76% |
| Blue Cross Blue Shield | Medicare Advantage | $239.69 | ↓ -76% |
| HealthSpring | Medicare Advantage | $244.48 | ↓ -75% |
| Humana | Medicare Advantage | $249.28 | ↓ -75% |
| Molina | Medicare Advantage | $251.67 | ↓ -74% |
| Amerigroup | Medicare Advantage | $251.67 | ↓ -74% |
| Superior Wellcare | Medicare Advantage HMO | $251.67 | ↓ -74% |
| Superior Wellcare | Medicare Advantage MMP | $263.66 | ↓ -73% |
| United Healthcare | Medicare Advantage PPO | $266.06 | ↓ -73% |
| United Healthcare | Medicare Advantage HMO | $270.85 | ↓ -73% |
| Blue Cross Blue Shield | HMO | $424.07 | ↓ -57% |
| Blue Cross Blue Shield | PPO | $471.23 | ↓ -52% |
| United Healthcare | All Payer | $588.00 | ↓ -40% |
| Aetna | Whole Health | $674.21 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $721.33 | ↓ -27% |
| City of Fort Worth | Commercial | $771.74 | ↓ -22% |
| United Healthcare Options | PPO | $784.00 | ↓ -20% |
| Aetna | Commercial | $899.00 | ↓ -9% |
| Cigna | OAP/HMO | $907.70 | ↓ -8% |
| Quick Trip | Commercial | $985.20 | ↑ +0% |
| PHCS | PPO | $1,141.19 | ↑ +16% |
| Cigna | PPO | $1,144.47 | ↑ +16% |
| Aetna | Coventry | $1,151.04 | ↑ +17% |
| Aetna | ASA | $1,151.04 | ↑ +17% |
| Healthsmart | Commercial | $1,231.50 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $1,249.23 | ↑ +27% |
| Multiplan | Commercial | $1,428.54 | ↑ +45% |
| USA | MCO | $1,444.96 | ↑ +47% |
| Galaxy | Commercial | $1,444.96 | ↑ +47% |
| Cigna | Indemnity | $1,545.12 | ↑ +57% |
Visitor-reported prices
Comments
Dup scan/ue art/graft/bilat/comp 93930 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $1,005.61 | $197.14 – $1,257.01 |
| Adventhealth Rollins Brook | Lampasas | $2,124.64 | $650.73 – $650.73 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,005.61 | $197.14 – $1,257.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $904.78 | $186.23 – $1,357.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $838.98 | $197.14 – $1,117.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,005.61 | $197.14 – $1,257.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $904.78 | $210.94 – $1,357.17 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $904.78 | $197.14 – $1,357.17 |