Ins lv lead exist pm/icd at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$33,423.45
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.
$55,705.75
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.
$6,252.51 with United Healthcare vs $52,419.11 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 | $6,252.51 | ↓ -81% |
| Amerigroup | Managed Medicaid | $6,252.51 | ↓ -81% |
| Blue Cross Blue Shield | Managed Medicaid | $6,252.51 | ↓ -81% |
| Cook Childrens | Managed Medicaid | $6,252.51 | ↓ -81% |
| Superior Wellcare | Managed Medicaid | $6,565.14 | ↓ -80% |
| Molina | Managed Medicaid | $6,752.71 | ↓ -80% |
| Aetna | Managed Medicaid | $6,877.76 | ↓ -79% |
| Blue Cross Blue Shield | Medicare Advantage | $10,499.62 | ↓ -69% |
| American Health | Medicare Advantage | $10,499.62 | ↓ -69% |
| HealthSpring | Medicare Advantage | $10,709.62 | ↓ -68% |
| Fort Worth Firefighters | Commercial | $10,893.00 | ↓ -67% |
| Humana | Medicare Advantage | $10,919.61 | ↓ -67% |
| Superior Wellcare | Medicare Advantage HMO | $11,024.61 | ↓ -67% |
| Amerigroup | Medicare Advantage | $11,024.61 | ↓ -67% |
| Molina | Medicare Advantage | $11,024.61 | ↓ -67% |
| Superior Wellcare | Medicare Advantage MMP | $11,549.59 | ↓ -65% |
| United Healthcare | Medicare Advantage PPO | $11,654.58 | ↓ -65% |
| United Healthcare | Medicare Advantage HMO | $11,864.58 | ↓ -65% |
| Blue Cross Blue Shield | Exchange | $12,886.69 | ↓ -61% |
| United Healthcare | All Payer | $14,789.00 | ↓ -56% |
| United Healthcare Options | PPO | $18,813.00 | ↓ -44% |
| Aetna | Whole Health | $21,948.07 | ↓ -34% |
| Blue Cross Blue Shield | HMO | $24,092.06 | ↓ -28% |
| City of Fort Worth | Commercial | $26,181.70 | ↓ -22% |
| Blue Cross Blue Shield | PPO | $26,767.82 | ↓ -20% |
| Aetna | Commercial | $29,262.23 | ↓ -12% |
| Cigna | OAP/HMO | $30,794.14 | ↓ -8% |
| Quick Trip | Commercial | $33,423.45 | ↑ +0% |
| PHCS | PPO | $38,715.50 | ↑ +16% |
| Cigna | PPO | $38,826.91 | ↑ +16% |
| Aetna | ASA | $39,049.73 | ↑ +17% |
| Aetna | Coventry | $39,049.73 | ↑ +17% |
| Healthsmart | Commercial | $41,779.31 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $45,957.24 | ↑ +37% |
| Multiplan | Commercial | $48,464.00 | ↑ +45% |
| USA | MCO | $49,021.06 | ↑ +47% |
| Galaxy | Commercial | $49,021.06 | ↑ +47% |
| Cigna | Indemnity | $52,419.11 | ↑ +57% |
Visitor-reported prices
Comments
Ins lv lead exist pm/icd at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $20,536.56 | $6,252.51 – $26,452.82 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $20,536.56 | $6,252.51 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $26,236.95 | $5,400.44 – $39,355.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $17,299.23 | $6,252.51 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $20,536.56 | $6,252.51 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $26,236.95 | $6,690.19 – $39,355.43 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $26,236.95 | $6,252.51 – $39,355.43 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $17,299.23 | $6,252.51 – $26,452.82 |