Myelography via inj w/s&i lumbosacral at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$1,300.20
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.
$2,167.00
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.
$195.02 with Blue Cross Blue Shield vs $5,688.93 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 | $195.02 | ↓ -85% |
| Cook Childrens | Managed Medicaid | $195.02 | ↓ -85% |
| Amerigroup | Managed Medicaid | $195.02 | ↓ -85% |
| United Healthcare | Managed Medicaid | $195.02 | ↓ -85% |
| Superior Wellcare | Managed Medicaid | $204.81 | ↓ -84% |
| Molina | Managed Medicaid | $210.64 | ↓ -84% |
| Aetna | Managed Medicaid | $214.60 | ↓ -83% |
| American Health | Medicare Advantage | $787.49 | ↓ -39% |
| Blue Cross Blue Shield | Medicare Advantage | $787.49 | ↓ -39% |
| HealthSpring | Medicare Advantage | $803.24 | ↓ -38% |
| Aetna | Whole Health | $804.65 | ↓ -38% |
| Humana | Medicare Advantage | $818.99 | ↓ -37% |
| Superior Wellcare | Medicare Advantage HMO | $826.87 | ↓ -36% |
| Amerigroup | Medicare Advantage | $826.87 | ↓ -36% |
| Molina | Medicare Advantage | $826.87 | ↓ -36% |
| Blue Cross Blue Shield | Exchange | $855.79 | ↓ -34% |
| Superior Wellcare | Medicare Advantage MMP | $866.24 | ↓ -33% |
| United Healthcare | Medicare Advantage PPO | $874.12 | ↓ -33% |
| United Healthcare | Medicare Advantage HMO | $889.87 | ↓ -32% |
| City of Fort Worth | Commercial | $979.25 | ↓ -25% |
| Aetna | Commercial | $1,073.00 | ↓ -17% |
| Cigna | OAP/HMO | $1,151.76 | ↓ -11% |
| Quick Trip | Commercial | $1,250.10 | ↓ -4% |
| Fort Worth Firefighters | Commercial | $1,271.98 | ↓ -2% |
| PHCS | PPO | $1,448.03 | ↑ +11% |
| Cigna | PPO | $1,452.20 | ↑ +12% |
| Aetna | Coventry | $1,460.53 | ↑ +12% |
| Aetna | ASA | $1,460.53 | ↑ +12% |
| Healthsmart | Commercial | $1,562.63 | ↑ +20% |
| Blue Cross Blue Shield | HMO | $1,599.93 | ↑ +23% |
| Blue Cross Blue Shield | PPO | $1,777.62 | ↑ +37% |
| Multiplan | Commercial | $1,812.65 | ↑ +39% |
| Galaxy | Commercial | $1,833.48 | ↑ +41% |
| USA | MCO | $1,833.48 | ↑ +41% |
| Cigna | Indemnity | $1,960.57 | ↑ +51% |
| United Healthcare | All Payer | $2,380.00 | ↑ +83% |
| United Healthcare Options | PPO | $3,076.00 | ↑ +137% |
| Blue Cross Blue Shield | Traditional | $5,688.93 | ↑ +338% |
Visitor-reported prices
Comments
Myelography via inj w/s&i lumbosacral at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $1,923.03 | $352.56 – $2,403.79 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,923.03 | $544.86 – $2,403.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,583.32 | $71.00 – $5,132.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,242.29 | $71.00 – $5,132.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,923.03 | $512.81 – $2,403.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,583.32 | $85.00 – $5,132.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,583.32 | $818.05 – $2,374.98 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,242.29 | $71.00 – $5,132.00 |