Passy muir valve metal trach at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$275.75
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.
$459.57
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.
$9.03 with United Healthcare vs $167.10 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 | $9.03 | ↓ -97% |
| Blue Cross Blue Shield | Managed Medicaid | $9.03 | ↓ -97% |
| Amerigroup | Managed Medicaid | $9.03 | ↓ -97% |
| Cook Childrens | Managed Medicaid | $9.03 | ↓ -97% |
| Superior Wellcare | Managed Medicaid | $9.48 | ↓ -97% |
| Molina | Managed Medicaid | $9.75 | ↓ -96% |
| Aetna | Managed Medicaid | $9.93 | ↓ -96% |
| Blue Cross Blue Shield | Exchange | $29.89 | ↓ -89% |
| Aetna | Whole Health | $39.59 | ↓ -86% |
| Fort Worth Firefighters | Commercial | $42.36 | ↓ -85% |
| City of Fort Worth | Commercial | $45.32 | ↓ -84% |
| Blue Cross Blue Shield | HMO | $48.22 | ↓ -83% |
| Aetna | Commercial | $52.80 | ↓ -81% |
| Cigna | OAP/HMO | $53.31 | ↓ -81% |
| Blue Cross Blue Shield | Traditional | $53.62 | ↓ -81% |
| Blue Cross Blue Shield | PPO | $53.62 | ↓ -81% |
| Quick Trip | Commercial | $57.86 | ↓ -79% |
| United Healthcare | All Payer | $60.78 | ↓ -78% |
| United Healthcare Options | PPO | $64.29 | ↓ -77% |
| PHCS | PPO | $67.02 | ↓ -76% |
| Cigna | PPO | $67.21 | ↓ -76% |
| Aetna | Coventry | $67.60 | ↓ -75% |
| Aetna | ASA | $67.60 | ↓ -75% |
| Healthsmart | Commercial | $72.32 | ↓ -74% |
| Multiplan | Commercial | $83.89 | ↓ -70% |
| USA | MCO | $84.86 | ↓ -69% |
| Galaxy | Commercial | $84.86 | ↓ -69% |
| Cigna | Indemnity | $90.74 | ↓ -67% |
| Blue Cross Blue Shield | Medicare Advantage | $147.88 | ↓ -46% |
| American Health | Medicare Advantage | $147.88 | ↓ -46% |
| HealthSpring | Medicare Advantage | $150.84 | ↓ -45% |
| Humana | Medicare Advantage | $153.80 | ↓ -44% |
| Superior Wellcare | Medicare Advantage HMO | $155.27 | ↓ -44% |
| Amerigroup | Medicare Advantage | $155.27 | ↓ -44% |
| Molina | Medicare Advantage | $155.27 | ↓ -44% |
| Superior Wellcare | Medicare Advantage MMP | $162.67 | ↓ -41% |
| United Healthcare | Medicare Advantage PPO | $164.15 | ↓ -40% |
| United Healthcare | Medicare Advantage HMO | $167.10 | ↓ -39% |
Visitor-reported prices
Comments
Passy muir valve metal trach at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $339.37 | $48.29 – $351.20 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $339.37 | $74.63 – $351.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $339.37 | $54.22 – $395.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $263.40 | $52.68 – $351.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $339.37 | $70.24 – $351.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $339.37 | $84.55 – $395.10 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $339.37 | $136.09 – $395.10 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $263.40 | $87.80 – $395.10 |