M/phmtrc alys ishquant/semiq at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$261.00
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.
$435.00
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.
$40.72 with Amerigroup vs $409.34 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $40.72 | ↓ -84% |
| Cook Childrens | Managed Medicaid | $40.72 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $40.72 | ↓ -84% |
| United Healthcare | Managed Medicaid | $40.72 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $42.76 | ↓ -84% |
| Molina | Managed Medicaid | $43.98 | ↓ -83% |
| Aetna | Managed Medicaid | $44.81 | ↓ -83% |
| United Healthcare Options | PPO | $47.28 | ↓ -82% |
| United Healthcare | All Payer | $47.28 | ↓ -82% |
| Blue Cross Blue Shield | Exchange | $53.30 | ↓ -80% |
| Blue Cross Blue Shield | Medicare Advantage | $61.18 | ↓ -77% |
| American Health | Medicare Advantage | $61.18 | ↓ -77% |
| HealthSpring | Medicare Advantage | $62.40 | ↓ -76% |
| Humana | Medicare Advantage | $63.63 | ↓ -76% |
| Amerigroup | Medicare Advantage | $64.24 | ↓ -75% |
| Superior Wellcare | Medicare Advantage HMO | $64.24 | ↓ -75% |
| Molina | Medicare Advantage | $64.24 | ↓ -75% |
| Superior Wellcare | Medicare Advantage MMP | $67.30 | ↓ -74% |
| United Healthcare | Medicare Advantage PPO | $67.91 | ↓ -74% |
| United Healthcare | Medicare Advantage HMO | $69.13 | ↓ -74% |
| Blue Cross Blue Shield | HMO | $94.90 | ↓ -64% |
| Blue Cross Blue Shield | PPO | $105.45 | ↓ -60% |
| Aetna | Whole Health | $183.57 | ↓ -30% |
| Fort Worth Firefighters | Commercial | $191.10 | ↓ -27% |
| City of Fort Worth | Commercial | $204.45 | ↓ -22% |
| Cigna | OAP/HMO | $240.47 | ↓ -8% |
| Aetna | Commercial | $244.76 | ↓ -6% |
| Quick Trip | Commercial | $261.00 | ↑ +0% |
| Blue Cross Blue Shield | Traditional | $280.92 | ↑ +8% |
| PHCS | PPO | $302.33 | ↑ +16% |
| Cigna | PPO | $303.20 | ↑ +16% |
| Aetna | Coventry | $304.94 | ↑ +17% |
| Aetna | ASA | $304.94 | ↑ +17% |
| Healthsmart | Commercial | $326.25 | ↑ +25% |
| Multiplan | Commercial | $378.45 | ↑ +45% |
| Galaxy | Commercial | $382.80 | ↑ +47% |
| USA | MCO | $382.80 | ↑ +47% |
| Cigna | Indemnity | $409.34 | ↑ +57% |
Visitor-reported prices
Comments
M/phmtrc alys ishquant/semiq at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $82.16 | $16.91 – $123.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $82.16 | $16.43 – $247.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $82.16 | $26.37 – $302.44 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $82.16 | $26.00 – $123.25 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $82.16 | $27.39 – $247.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $82.16 | $16.43 – $247.80 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $82.16 | $20.54 – $247.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $82.16 | $15.06 – $247.80 |