Peri-proc device eval pm at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$88.50
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.
$147.50
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.
$13.81 with United Healthcare vs $4,003.00 with United Healthcare Options — 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 | $13.81 | ↓ -84% |
| Cook Childrens | Managed Medicaid | $13.81 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $13.81 | ↓ -84% |
| Amerigroup | Managed Medicaid | $13.81 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $14.50 | ↓ -84% |
| Molina | Managed Medicaid | $14.91 | ↓ -83% |
| Aetna | Managed Medicaid | $15.19 | ↓ -83% |
| Blue Cross Blue Shield | Exchange | $24.56 | ↓ -72% |
| Blue Cross Blue Shield | Medicare Advantage | $42.62 | ↓ -52% |
| American Health | Medicare Advantage | $42.62 | ↓ -52% |
| HealthSpring | Medicare Advantage | $43.47 | ↓ -51% |
| Humana | Medicare Advantage | $44.33 | ↓ -50% |
| Molina | Medicare Advantage | $44.75 | ↓ -49% |
| Amerigroup | Medicare Advantage | $44.75 | ↓ -49% |
| Superior Wellcare | Medicare Advantage HMO | $44.75 | ↓ -49% |
| Superior Wellcare | Medicare Advantage MMP | $46.88 | ↓ -47% |
| United Healthcare | Medicare Advantage PPO | $47.31 | ↓ -47% |
| United Healthcare | Medicare Advantage HMO | $48.16 | ↓ -46% |
| Blue Cross Blue Shield | HMO | $50.63 | ↓ -43% |
| Blue Cross Blue Shield | PPO | $56.26 | ↓ -36% |
| Aetna | Whole Health | $56.96 | ↓ -36% |
| Fort Worth Firefighters | Commercial | $64.80 | ↓ -27% |
| City of Fort Worth | Commercial | $69.33 | ↓ -22% |
| Aetna | Commercial | $75.96 | ↓ -14% |
| Cigna | OAP/HMO | $81.54 | ↓ -8% |
| Quick Trip | Commercial | $88.50 | ↑ +0% |
| PHCS | PPO | $102.51 | ↑ +16% |
| Cigna | PPO | $102.81 | ↑ +16% |
| Aetna | Coventry | $103.40 | ↑ +17% |
| Aetna | ASA | $103.40 | ↑ +17% |
| Healthsmart | Commercial | $110.63 | ↑ +25% |
| Multiplan | Commercial | $128.33 | ↑ +45% |
| USA | MCO | $129.80 | ↑ +47% |
| Galaxy | Commercial | $129.80 | ↑ +47% |
| Cigna | Indemnity | $138.80 | ↑ +57% |
| Blue Cross Blue Shield | Traditional | $149.15 | ↑ +69% |
| United Healthcare | All Payer | $3,009.00 | ↑ +3300% |
| United Healthcare Options | PPO | $4,003.00 | ↑ +4423% |
Visitor-reported prices
Comments
Peri-proc device eval pm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $263.13 | $48.24 – $917.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $263.13 | $61.95 – $372.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $200.92 | $41.36 – $917.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $151.92 | $30.38 – $917.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $263.13 | $47.22 – $917.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $200.92 | $64.49 – $917.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $200.92 | $103.81 – $301.37 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $151.92 | $50.64 – $227.88 |