Ortho elbow w/lock w/ft&adj at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$169.72
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.
$282.86
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.
$14.35 with United Healthcare vs $635.41 with United Healthcare — 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 | $14.35 | ↓ -92% |
| Blue Cross Blue Shield | Managed Medicaid | $14.35 | ↓ -92% |
| Amerigroup | Managed Medicaid | $14.35 | ↓ -92% |
| Cook Childrens | Managed Medicaid | $14.35 | ↓ -92% |
| Superior Wellcare | Managed Medicaid | $15.07 | ↓ -91% |
| Molina | Managed Medicaid | $15.50 | ↓ -91% |
| Aetna | Managed Medicaid | $15.79 | ↓ -91% |
| Blue Cross Blue Shield | Exchange | $47.52 | ↓ -72% |
| Aetna | Whole Health | $62.94 | ↓ -63% |
| Fort Worth Firefighters | Commercial | $67.34 | ↓ -60% |
| City of Fort Worth | Commercial | $72.05 | ↓ -58% |
| Blue Cross Blue Shield | HMO | $76.65 | ↓ -55% |
| Aetna | Commercial | $83.93 | ↓ -51% |
| Cigna | OAP/HMO | $84.74 | ↓ -50% |
| Blue Cross Blue Shield | Traditional | $85.23 | ↓ -50% |
| Blue Cross Blue Shield | PPO | $85.23 | ↓ -50% |
| Quick Trip | Commercial | $91.98 | ↓ -46% |
| United Healthcare | All Payer | $96.62 | ↓ -43% |
| United Healthcare Options | PPO | $102.21 | ↓ -40% |
| PHCS | PPO | $106.54 | ↓ -37% |
| Cigna | PPO | $106.85 | ↓ -37% |
| Aetna | Coventry | $107.46 | ↓ -37% |
| Aetna | ASA | $107.46 | ↓ -37% |
| Healthsmart | Commercial | $114.98 | ↓ -32% |
| Multiplan | Commercial | $133.37 | ↓ -21% |
| USA | MCO | $134.90 | ↓ -21% |
| Galaxy | Commercial | $134.90 | ↓ -21% |
| Cigna | Indemnity | $144.26 | ↓ -15% |
| Blue Cross Blue Shield | Medicare Advantage | $562.31 | ↑ +231% |
| American Health | Medicare Advantage | $562.31 | ↑ +231% |
| HealthSpring | Medicare Advantage | $573.56 | ↑ +238% |
| Humana | Medicare Advantage | $584.80 | ↑ +245% |
| Superior Wellcare | Medicare Advantage HMO | $590.43 | ↑ +248% |
| Amerigroup | Medicare Advantage | $590.43 | ↑ +248% |
| Molina | Medicare Advantage | $590.43 | ↑ +248% |
| Superior Wellcare | Medicare Advantage MMP | $618.54 | ↑ +264% |
| United Healthcare | Medicare Advantage PPO | $624.16 | ↑ +268% |
| United Healthcare | Medicare Advantage HMO | $635.41 | ↑ +274% |
Visitor-reported prices
Comments
Ortho elbow w/lock w/ft&adj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $348.29 | $63.85 – $493.41 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $348.29 | $98.68 – $493.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $428.40 | $56.89 – $414.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $428.40 | $55.28 – $368.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $348.29 | $92.88 – $493.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $428.40 | $88.73 – $414.61 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $428.40 | $142.81 – $414.61 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $428.40 | $92.14 – $414.61 |