Graft impl ult thck 6x12cm -cost per sq cm at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$199.26
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.
$332.10
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.
$6.16 with Amerigroup vs $328.62 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $6.16 | ↓ -97% |
| Cook Childrens | Managed Medicaid | $6.16 | ↓ -97% |
| Blue Cross Blue Shield | Managed Medicaid | $6.16 | ↓ -97% |
| United Healthcare | Managed Medicaid | $6.16 | ↓ -97% |
| Superior Wellcare | Managed Medicaid | $6.46 | ↓ -97% |
| Molina | Managed Medicaid | $6.65 | ↓ -97% |
| Aetna | Managed Medicaid | $6.77 | ↓ -97% |
| Aetna | Whole Health | $22.74 | ↓ -89% |
| Fort Worth Firefighters | Commercial | $28.89 | ↓ -86% |
| Aetna | Commercial | $30.32 | ↓ -85% |
| City of Fort Worth | Commercial | $30.91 | ↓ -84% |
| United Healthcare | All Payer | $34.01 | ↓ -83% |
| United Healthcare Options | PPO | $36.04 | ↓ -82% |
| Cigna | OAP/HMO | $36.35 | ↓ -82% |
| Quick Trip | Commercial | $39.46 | ↓ -80% |
| PHCS | PPO | $45.70 | ↓ -77% |
| Cigna | PPO | $45.83 | ↓ -77% |
| Blue Cross Blue Shield | Exchange | $46.05 | ↓ -77% |
| Aetna | Coventry | $46.10 | ↓ -77% |
| Aetna | ASA | $46.10 | ↓ -77% |
| Healthsmart | Commercial | $49.32 | ↓ -75% |
| Multiplan | Commercial | $57.21 | ↓ -71% |
| USA | MCO | $57.87 | ↓ -71% |
| Galaxy | Commercial | $57.87 | ↓ -71% |
| Cigna | Indemnity | $61.88 | ↓ -69% |
| Blue Cross Blue Shield | HMO | $72.27 | ↓ -64% |
| Blue Cross Blue Shield | PPO | $80.32 | ↓ -60% |
| American Health | Medicare Advantage | $125.01 | ↓ -37% |
| Blue Cross Blue Shield | Medicare Advantage | $125.01 | ↓ -37% |
| HealthSpring | Medicare Advantage | $127.51 | ↓ -36% |
| Humana | Medicare Advantage | $130.01 | ↓ -35% |
| Amerigroup | Medicare Advantage | $131.26 | ↓ -34% |
| Superior Wellcare | Medicare Advantage HMO | $131.26 | ↓ -34% |
| Molina | Medicare Advantage | $131.26 | ↓ -34% |
| Superior Wellcare | Medicare Advantage MMP | $137.51 | ↓ -31% |
| United Healthcare | Medicare Advantage PPO | $138.76 | ↓ -30% |
| United Healthcare | Medicare Advantage HMO | $141.26 | ↓ -29% |
| Blue Cross Blue Shield | Traditional | $328.62 | ↑ +65% |
Visitor-reported prices
Comments
Graft impl ult thck 6x12cm -cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $27,603.28 | $7.96 – $268.77 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $27,603.28 | $12.30 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $27,603.28 | $8.94 – $65.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $27,603.28 | $8.68 – $131.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $27,603.28 | $11.58 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $27,603.28 | $13.93 – $186.89 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $27,603.28 | $22.43 – $65.11 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $27,603.28 | $14.47 – $186.89 |