Ghs moderate sedation < 5 yr, 30 min, other at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$228.45
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.
$380.75
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.
$35.64 with United Healthcare vs $358.29 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 | $35.64 | ↓ -84% |
| Cook Childrens | Managed Medicaid | $35.64 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $35.64 | ↓ -84% |
| Amerigroup | Managed Medicaid | $35.64 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $37.43 | ↓ -84% |
| Molina | Managed Medicaid | $38.49 | ↓ -83% |
| Aetna | Managed Medicaid | $39.22 | ↓ -83% |
| Blue Cross Blue Shield | Medicare Advantage | $80.21 | ↓ -65% |
| American Health | Medicare Advantage | $80.21 | ↓ -65% |
| HealthSpring | Medicare Advantage | $81.81 | ↓ -64% |
| Humana | Medicare Advantage | $83.42 | ↓ -63% |
| Superior Wellcare | Medicare Advantage HMO | $84.22 | ↓ -63% |
| Molina | Medicare Advantage | $84.22 | ↓ -63% |
| Amerigroup | Medicare Advantage | $84.22 | ↓ -63% |
| Superior Wellcare | Medicare Advantage MMP | $88.23 | ↓ -61% |
| United Healthcare | Medicare Advantage PPO | $89.03 | ↓ -61% |
| United Healthcare | Medicare Advantage HMO | $90.64 | ↓ -60% |
| Blue Cross Blue Shield | Exchange | $111.40 | ↓ -51% |
| Aetna | Whole Health | $156.34 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $167.26 | ↓ -27% |
| City of Fort Worth | Commercial | $178.95 | ↓ -22% |
| United Healthcare | All Payer | $196.92 | ↓ -14% |
| Aetna | Commercial | $208.46 | ↓ -9% |
| United Healthcare Options | PPO | $208.65 | ↓ -9% |
| Cigna | OAP/HMO | $210.48 | ↓ -8% |
| Quick Trip | Commercial | $228.45 | ↑ +0% |
| Blue Cross Blue Shield | HMO | $229.67 | ↑ +1% |
| Blue Cross Blue Shield | PPO | $255.21 | ↑ +12% |
| PHCS | PPO | $264.62 | ↑ +16% |
| Cigna | PPO | $265.38 | ↑ +16% |
| Aetna | Coventry | $266.91 | ↑ +17% |
| Aetna | ASA | $266.91 | ↑ +17% |
| Healthsmart | Commercial | $285.56 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $327.06 | ↑ +43% |
| Multiplan | Commercial | $331.25 | ↑ +45% |
| Galaxy | Commercial | $335.06 | ↑ +47% |
| USA | MCO | $335.06 | ↑ +47% |
| Cigna | Indemnity | $358.29 | ↑ +57% |
Visitor-reported prices
Comments
Ghs moderate sedation < 5 yr, 30 min, other at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $154.86 | $28.39 – $281.03 |
| Adventhealth Rollins Brook | Lampasas | $1,721.18 | $352.43 – $352.43 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $154.86 | $43.88 – $281.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $240.93 | $49.59 – $361.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $172.11 | $34.42 – $276.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $154.86 | $41.30 – $219.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $240.93 | $77.34 – $361.39 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $240.93 | $124.48 – $361.39 |