Nm imaging pulmonary ventilation/perfusion at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$2,199.15
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.
$3,665.25
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.
$309.40 with United Healthcare vs $3,449.00 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 | $309.40 | ↓ -86% |
| Cook Childrens | Managed Medicaid | $309.40 | ↓ -86% |
| Blue Cross Blue Shield | Managed Medicaid | $309.40 | ↓ -86% |
| Amerigroup | Managed Medicaid | $309.40 | ↓ -86% |
| Superior Wellcare | Managed Medicaid | $324.87 | ↓ -85% |
| Molina | Managed Medicaid | $334.15 | ↓ -85% |
| Aetna | Managed Medicaid | $340.34 | ↓ -85% |
| Blue Cross Blue Shield | Exchange | $453.24 | ↓ -79% |
| Blue Cross Blue Shield | Medicare Advantage | $545.44 | ↓ -75% |
| American Health | Medicare Advantage | $545.44 | ↓ -75% |
| HealthSpring | Medicare Advantage | $556.35 | ↓ -75% |
| Humana | Medicare Advantage | $567.26 | ↓ -74% |
| Molina | Medicare Advantage | $572.72 | ↓ -74% |
| Amerigroup | Medicare Advantage | $572.72 | ↓ -74% |
| Superior Wellcare | Medicare Advantage HMO | $572.72 | ↓ -74% |
| Superior Wellcare | Medicare Advantage MMP | $599.99 | ↓ -73% |
| United Healthcare | Medicare Advantage PPO | $605.44 | ↓ -72% |
| United Healthcare | Medicare Advantage HMO | $616.35 | ↓ -72% |
| Blue Cross Blue Shield | HMO | $770.66 | ↓ -65% |
| Blue Cross Blue Shield | PPO | $856.32 | ↓ -61% |
| United Healthcare Options | PPO | $1,004.00 | ↓ -54% |
| United Healthcare | All Payer | $1,008.00 | ↓ -54% |
| Aetna | Whole Health | $1,504.95 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $1,610.14 | ↓ -27% |
| City of Fort Worth | Commercial | $1,722.67 | ↓ -22% |
| Aetna | Commercial | $2,006.72 | ↓ -9% |
| Cigna | OAP/HMO | $2,026.15 | ↓ -8% |
| Quick Trip | Commercial | $2,199.15 | ↑ +0% |
| Blue Cross Blue Shield | Traditional | $2,315.20 | ↑ +5% |
| PHCS | PPO | $2,547.35 | ↑ +16% |
| Cigna | PPO | $2,554.68 | ↑ +16% |
| Aetna | Coventry | $2,569.34 | ↑ +17% |
| Aetna | ASA | $2,569.34 | ↑ +17% |
| Healthsmart | Commercial | $2,748.94 | ↑ +25% |
| Multiplan | Commercial | $3,188.77 | ↑ +45% |
| Galaxy | Commercial | $3,225.42 | ↑ +47% |
| USA | MCO | $3,225.42 | ↑ +47% |
| Cigna | Indemnity | $3,449.00 | ↑ +57% |
Visitor-reported prices
Comments
Nm imaging pulmonary ventilation/perfusion at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $2,381.40 | $297.04 – $2,976.75 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,381.40 | $297.04 – $2,976.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,998.19 | $411.29 – $2,997.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,041.20 | $297.04 – $2,551.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,381.40 | $297.04 – $2,976.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,998.19 | $317.83 – $2,997.28 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,998.19 | $297.04 – $2,997.28 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,041.20 | $297.04 – $3,061.80 |