ER Visit (level 2) at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$298.65
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.
$497.75
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.
$46.59 with United Healthcare vs $5,556.00 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 | $46.59 | ↓ -84% |
| Cook Childrens | Managed Medicaid | $46.59 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $46.59 | ↓ -84% |
| Amerigroup | Managed Medicaid | $46.59 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $48.93 | ↓ -84% |
| Molina | Managed Medicaid | $50.32 | ↓ -83% |
| Aetna | Managed Medicaid | $51.27 | ↓ -83% |
| Blue Cross Blue Shield | Medicare Advantage | $154.24 | ↓ -48% |
| American Health | Medicare Advantage | $154.24 | ↓ -48% |
| HealthSpring | Medicare Advantage | $157.33 | ↓ -47% |
| Humana | Medicare Advantage | $160.41 | ↓ -46% |
| Molina | Medicare Advantage | $161.96 | ↓ -46% |
| Superior Wellcare | Medicare Advantage HMO | $161.96 | ↓ -46% |
| Amerigroup | Medicare Advantage | $161.96 | ↓ -46% |
| Superior Wellcare | Medicare Advantage MMP | $169.67 | ↓ -43% |
| United Healthcare | Medicare Advantage PPO | $171.21 | ↓ -43% |
| United Healthcare | Medicare Advantage HMO | $174.30 | ↓ -42% |
| City of Fort Worth | Commercial | $233.94 | ↓ -22% |
| Aetna | Whole Health | $255.40 | ↓ -14% |
| Fort Worth Firefighters | Commercial | $260.02 | ↓ -13% |
| Cigna | OAP/HMO | $275.16 | ↓ -8% |
| Quick Trip | Commercial | $298.65 | ↑ +0% |
| Aetna | Commercial | $340.51 | ↑ +14% |
| PHCS | PPO | $345.94 | ↑ +16% |
| Cigna | PPO | $346.93 | ↑ +16% |
| Aetna | Coventry | $348.92 | ↑ +17% |
| Aetna | ASA | $348.92 | ↑ +17% |
| Healthsmart | Commercial | $373.31 | ↑ +25% |
| Multiplan | Commercial | $433.04 | ↑ +45% |
| USA | MCO | $438.02 | ↑ +47% |
| Galaxy | Commercial | $438.02 | ↑ +47% |
| Cigna | Indemnity | $468.38 | ↑ +57% |
| United Healthcare | All Payer | $1,060.00 | ↑ +255% |
| United Healthcare Options | PPO | $1,416.00 | ↑ +374% |
| Blue Cross Blue Shield | Exchange | $2,762.00 | ↑ +825% |
| Blue Cross Blue Shield | HMO | $5,000.00 | ↑ +1574% |
| Blue Cross Blue Shield | Traditional | $5,494.00 | ↑ +1740% |
| Blue Cross Blue Shield | PPO | $5,556.00 | ↑ +1760% |
Visitor-reported prices
Comments
ER Visit (level 2) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $469.39 | $86.05 – $1,718.00 |
| Adventhealth Rollins Brook | Lampasas | $873.97 | $492.65 – $492.65 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $469.39 | $132.99 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $481.37 | $99.08 – $1,718.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $561.69 | $112.34 – $1,718.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $469.39 | $125.17 – $1,718.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $481.37 | $146.53 – $1,718.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $481.37 | $248.71 – $1,185.00 |