Ins pm gen w/exist mlt leads at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$15,107.85
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.
$25,179.75
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.
$7,302.13 with Blue Cross Blue Shield vs $24,806.00 with United Healthcare Options — 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Exchange | $7,302.13 | ↓ -52% |
| Cook Childrens | Managed Medicaid | $9,868.48 | ↓ -35% |
| Blue Cross Blue Shield | Managed Medicaid | $9,868.48 | ↓ -35% |
| Amerigroup | Managed Medicaid | $9,868.48 | ↓ -35% |
| United Healthcare | Managed Medicaid | $9,868.48 | ↓ -35% |
| Aetna | Whole Health | $9,920.82 | ↓ -34% |
| Superior Wellcare | Managed Medicaid | $10,361.90 | ↓ -31% |
| Molina | Managed Medicaid | $10,657.96 | ↓ -29% |
| Aetna | Managed Medicaid | $10,855.33 | ↓ -28% |
| Blue Cross Blue Shield | HMO | $11,633.04 | ↓ -23% |
| City of Fort Worth | Commercial | $11,834.48 | ↓ -22% |
| Blue Cross Blue Shield | PPO | $12,942.39 | ↓ -14% |
| Aetna | Commercial | $13,226.92 | ↓ -12% |
| Cigna | OAP/HMO | $13,919.37 | ↓ -8% |
| Fort Worth Firefighters | Commercial | $14,351.00 | ↓ -5% |
| Quick Trip | Commercial | $15,107.85 | ↑ +0% |
| PHCS | PPO | $17,499.93 | ↑ +16% |
| Cigna | PPO | $17,550.29 | ↑ +16% |
| Aetna | ASA | $17,651.00 | ↑ +17% |
| Aetna | Coventry | $17,651.00 | ↑ +17% |
| Healthsmart | Commercial | $18,884.81 | ↑ +25% |
| Blue Cross Blue Shield | Medicare Advantage | $19,349.47 | ↑ +28% |
| American Health | Medicare Advantage | $19,349.47 | ↑ +28% |
| United Healthcare | All Payer | $19,497.00 | ↑ +29% |
| HealthSpring | Medicare Advantage | $19,736.45 | ↑ +31% |
| Humana | Medicare Advantage | $20,123.44 | ↑ +33% |
| Amerigroup | Medicare Advantage | $20,316.94 | ↑ +34% |
| Superior Wellcare | Medicare Advantage HMO | $20,316.94 | ↑ +34% |
| Molina | Medicare Advantage | $20,316.94 | ↑ +34% |
| Blue Cross Blue Shield | Traditional | $20,773.29 | ↑ +37% |
| Superior Wellcare | Medicare Advantage MMP | $21,284.41 | ↑ +41% |
| United Healthcare | Medicare Advantage PPO | $21,477.91 | ↑ +42% |
| United Healthcare | Medicare Advantage HMO | $21,864.90 | ↑ +45% |
| Multiplan | Commercial | $21,906.38 | ↑ +45% |
| Galaxy | Commercial | $22,158.18 | ↑ +47% |
| USA | MCO | $22,158.18 | ↑ +47% |
| Cigna | Indemnity | $23,694.14 | ↑ +57% |
| United Healthcare Options | PPO | $24,806.00 | ↑ +64% |
Visitor-reported prices
Comments
Ins pm gen w/exist mlt leads at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $19,886.41 | $9,868.48 – $48,269.91 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $19,886.41 | $6,299.00 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $10,353.83 | $2,131.16 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $16,463.38 | $9,868.48 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $19,886.41 | $9,868.48 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $10,353.83 | $6,277.87 – $48,269.91 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $10,353.83 | $9,491.01 – $48,269.91 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $16,463.38 | $9,868.48 – $48,269.91 |