Egd w/transmural drain cyst at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$3,571.80
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.
$5,953.00
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.
$2,299.05 with Aetna vs $25,060.31 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 |
|---|---|---|---|
| Aetna | Whole Health | $2,299.05 | ↓ -36% |
| City of Fort Worth | Commercial | $2,797.91 | ↓ -22% |
| Blue Cross Blue Shield | Managed Medicaid | $2,814.82 | ↓ -21% |
| United Healthcare | Managed Medicaid | $2,814.82 | ↓ -21% |
| Amerigroup | Managed Medicaid | $2,814.82 | ↓ -21% |
| Cook Childrens | Managed Medicaid | $2,814.82 | ↓ -21% |
| Superior Wellcare | Managed Medicaid | $2,955.56 | ↓ -17% |
| Molina | Managed Medicaid | $3,040.01 | ↓ -15% |
| Aetna | Commercial | $3,065.80 | ↓ -14% |
| Aetna | Managed Medicaid | $3,096.30 | ↓ -13% |
| Cigna | OAP/HMO | $3,290.82 | ↓ -8% |
| Quick Trip | Commercial | $3,571.80 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $3,634.31 | ↑ +2% |
| Blue Cross Blue Shield | Exchange | $3,769.84 | ↑ +6% |
| PHCS | PPO | $4,137.34 | ↑ +16% |
| Cigna | PPO | $4,149.24 | ↑ +16% |
| Aetna | Coventry | $4,173.05 | ↑ +17% |
| Aetna | ASA | $4,173.05 | ↑ +17% |
| Healthsmart | Commercial | $4,464.75 | ↑ +25% |
| United Healthcare | All Payer | $5,023.00 | ↑ +41% |
| Multiplan | Commercial | $5,179.11 | ↑ +45% |
| USA | MCO | $5,238.64 | ↑ +47% |
| Galaxy | Commercial | $5,238.64 | ↑ +47% |
| Cigna | Indemnity | $5,601.77 | ↑ +57% |
| Blue Cross Blue Shield | Medicare Advantage | $6,098.56 | ↑ +71% |
| American Health | Medicare Advantage | $6,098.56 | ↑ +71% |
| HealthSpring | Medicare Advantage | $6,220.53 | ↑ +74% |
| Humana | Medicare Advantage | $6,342.50 | ↑ +78% |
| Molina | Medicare Advantage | $6,403.49 | ↑ +79% |
| Amerigroup | Medicare Advantage | $6,403.49 | ↑ +79% |
| Superior Wellcare | Medicare Advantage HMO | $6,403.49 | ↑ +79% |
| United Healthcare Options | PPO | $6,494.00 | ↑ +82% |
| Superior Wellcare | Medicare Advantage MMP | $6,708.42 | ↑ +88% |
| United Healthcare | Medicare Advantage PPO | $6,769.40 | ↑ +90% |
| United Healthcare | Medicare Advantage HMO | $6,891.38 | ↑ +93% |
| Blue Cross Blue Shield | HMO | $7,047.84 | ↑ +97% |
| Blue Cross Blue Shield | PPO | $7,830.60 | ↑ +119% |
| Blue Cross Blue Shield | Traditional | $25,060.31 | ↑ +602% |
Visitor-reported prices
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Egd w/transmural drain cyst at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $700.80 | $548.96 – $14,118.49 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $700.80 | $420.48 – $14,118.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $700.80 | $144.25 – $14,118.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $786.71 | $517.13 – $14,118.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $700.80 | $548.96 – $14,118.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $700.80 | $460.66 – $14,118.49 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $700.80 | $642.40 – $14,118.49 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $786.71 | $517.13 – $14,118.49 |