Mopath procedure level 5 at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$960.00
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.
$1,600.00
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.
$230.86 with Blue Cross Blue Shield vs $1,610.78 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $230.86 | ↓ -76% |
| Cook Childrens | Managed Medicaid | $230.86 | ↓ -76% |
| Amerigroup | Managed Medicaid | $230.86 | ↓ -76% |
| United Healthcare | Managed Medicaid | $230.86 | ↓ -76% |
| Superior Wellcare | Managed Medicaid | $242.40 | ↓ -75% |
| Molina | Managed Medicaid | $249.33 | ↓ -74% |
| Aetna | Managed Medicaid | $253.95 | ↓ -74% |
| American Health | Medicare Advantage | $274.83 | ↓ -71% |
| United Healthcare Options | PPO | $274.83 | ↓ -71% |
| United Healthcare | All Payer | $274.83 | ↓ -71% |
| Blue Cross Blue Shield | Medicare Advantage | $274.83 | ↓ -71% |
| HealthSpring | Medicare Advantage | $280.33 | ↓ -71% |
| Humana | Medicare Advantage | $285.82 | ↓ -70% |
| Molina | Medicare Advantage | $288.57 | ↓ -70% |
| Superior Wellcare | Medicare Advantage HMO | $288.57 | ↓ -70% |
| Amerigroup | Medicare Advantage | $288.57 | ↓ -70% |
| Superior Wellcare | Medicare Advantage MMP | $302.31 | ↓ -69% |
| United Healthcare | Medicare Advantage PPO | $305.06 | ↓ -68% |
| Blue Cross Blue Shield | Exchange | $305.61 | ↓ -68% |
| United Healthcare | Medicare Advantage HMO | $310.56 | ↓ -68% |
| Aetna | Whole Health | $496.17 | ↓ -48% |
| Fort Worth Firefighters | Commercial | $520.57 | ↓ -46% |
| Blue Cross Blue Shield | HMO | $544.16 | ↓ -43% |
| City of Fort Worth | Commercial | $556.95 | ↓ -42% |
| Blue Cross Blue Shield | PPO | $604.63 | ↓ -37% |
| Cigna | OAP/HMO | $655.07 | ↓ -32% |
| Aetna | Commercial | $661.56 | ↓ -31% |
| Quick Trip | Commercial | $711.00 | ↓ -26% |
| PHCS | PPO | $823.58 | ↓ -14% |
| Cigna | PPO | $825.95 | ↓ -14% |
| Aetna | Coventry | $830.69 | ↓ -13% |
| Aetna | ASA | $830.69 | ↓ -13% |
| Healthsmart | Commercial | $888.75 | ↓ -7% |
| Multiplan | Commercial | $1,030.95 | ↑ +7% |
| USA | MCO | $1,042.80 | ↑ +9% |
| Galaxy | Commercial | $1,042.80 | ↑ +9% |
| Cigna | Indemnity | $1,115.09 | ↑ +16% |
| Blue Cross Blue Shield | Traditional | $1,610.78 | ↑ +68% |
Visitor-reported prices
Comments
Mopath procedure level 5 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $7,487.95 | $10.00 – $659.59 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $7,487.95 | $10.00 – $659.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $7,487.95 | $12.00 – $659.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $7,487.95 | $12.00 – $659.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $7,487.95 | $10.00 – $659.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $7,487.95 | $12.00 – $659.59 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $7,487.95 | $8.00 – $659.59 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $7,487.95 | $12.00 – $659.59 |