Ghs intermed repair over 30 cm - 12037 at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$3,840.60
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.
$6,401.00
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.
$709.01 with United Healthcare vs $6,023.34 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $709.01 | ↓ -82% |
| Cook Childrens | Managed Medicaid | $709.01 | ↓ -82% |
| Blue Cross Blue Shield | Managed Medicaid | $709.01 | ↓ -82% |
| Amerigroup | Managed Medicaid | $709.01 | ↓ -82% |
| Superior Wellcare | Managed Medicaid | $744.46 | ↓ -81% |
| Molina | Managed Medicaid | $765.73 | ↓ -80% |
| Aetna | Managed Medicaid | $779.91 | ↓ -80% |
| Blue Cross Blue Shield | Exchange | $2,039.78 | ↓ -47% |
| Blue Cross Blue Shield | Medicare Advantage | $2,072.68 | ↓ -46% |
| American Health | Medicare Advantage | $2,072.68 | ↓ -46% |
| HealthSpring | Medicare Advantage | $2,114.14 | ↓ -45% |
| Humana | Medicare Advantage | $2,155.59 | ↓ -44% |
| Amerigroup | Medicare Advantage | $2,176.32 | ↓ -43% |
| Superior Wellcare | Medicare Advantage HMO | $2,176.32 | ↓ -43% |
| Molina | Medicare Advantage | $2,176.32 | ↓ -43% |
| Superior Wellcare | Medicare Advantage MMP | $2,279.95 | ↓ -41% |
| United Healthcare | Medicare Advantage PPO | $2,300.68 | ↓ -40% |
| Fort Worth Firefighters | Commercial | $2,319.00 | ↓ -40% |
| United Healthcare | Medicare Advantage HMO | $2,342.13 | ↓ -39% |
| United Healthcare | All Payer | $2,923.00 | ↓ -24% |
| City of Fort Worth | Commercial | $3,008.47 | ↓ -22% |
| Aetna | Whole Health | $3,284.35 | ↓ -14% |
| Cigna | OAP/HMO | $3,538.47 | ↓ -8% |
| United Healthcare Options | PPO | $3,751.00 | ↓ -2% |
| Blue Cross Blue Shield | HMO | $3,813.44 | ↓ -1% |
| Quick Trip | Commercial | $3,840.60 | ↑ +0% |
| Blue Cross Blue Shield | PPO | $4,236.97 | ↑ +10% |
| Aetna | Commercial | $4,378.92 | ↑ +14% |
| PHCS | PPO | $4,448.70 | ↑ +16% |
| Cigna | PPO | $4,461.50 | ↑ +16% |
| Aetna | Coventry | $4,487.10 | ↑ +17% |
| Aetna | ASA | $4,487.10 | ↑ +17% |
| Healthsmart | Commercial | $4,800.75 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $5,498.46 | ↑ +43% |
| Multiplan | Commercial | $5,568.87 | ↑ +45% |
| USA | MCO | $5,632.88 | ↑ +47% |
| Galaxy | Commercial | $5,632.88 | ↑ +47% |
| Cigna | Indemnity | $6,023.34 | ↑ +57% |
Visitor-reported prices
Comments
Ghs intermed repair over 30 cm - 12037 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $2,123.36 | $709.01 – $4,517.58 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,123.36 | $709.01 – $4,517.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,524.85 | $71.00 – $4,517.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,646.85 | $71.00 – $4,517.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,123.36 | $709.01 – $4,517.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,524.85 | $85.00 – $4,517.58 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,524.85 | $709.01 – $4,517.58 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,646.85 | $71.00 – $4,517.58 |