Perq plmt bile duct stent at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$4,904.40
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.
$8,174.00
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.
$2,370.46 with Blue Cross Blue Shield vs $7,691.73 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Exchange | $2,370.46 | ↓ -52% |
| Amerigroup | Managed Medicaid | $2,559.08 | ↓ -48% |
| Cook Childrens | Managed Medicaid | $2,559.08 | ↓ -48% |
| Blue Cross Blue Shield | Managed Medicaid | $2,559.08 | ↓ -48% |
| United Healthcare | Managed Medicaid | $2,559.08 | ↓ -48% |
| Superior Wellcare | Managed Medicaid | $2,687.03 | ↓ -45% |
| Molina | Managed Medicaid | $2,763.81 | ↓ -44% |
| Aetna | Managed Medicaid | $2,814.99 | ↓ -43% |
| Aetna | Whole Health | $3,356.24 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $3,590.84 | ↓ -27% |
| Blue Cross Blue Shield | HMO | $3,776.39 | ↓ -23% |
| City of Fort Worth | Commercial | $3,841.78 | ↓ -22% |
| Blue Cross Blue Shield | PPO | $4,201.44 | ↓ -14% |
| United Healthcare | All Payer | $4,227.59 | ↓ -14% |
| Aetna | Commercial | $4,475.27 | ↓ -9% |
| United Healthcare Options | PPO | $4,479.35 | ↓ -9% |
| Cigna | OAP/HMO | $4,518.59 | ↓ -8% |
| Quick Trip | Commercial | $4,904.40 | ↑ +0% |
| PHCS | PPO | $5,680.93 | ↑ +16% |
| Cigna | PPO | $5,697.28 | ↑ +16% |
| Aetna | Coventry | $5,729.97 | ↑ +17% |
| Aetna | ASA | $5,729.97 | ↑ +17% |
| Blue Cross Blue Shield | Medicare Advantage | $6,073.08 | ↑ +24% |
| American Health | Medicare Advantage | $6,073.08 | ↑ +24% |
| Healthsmart | Commercial | $6,130.50 | ↑ +25% |
| HealthSpring | Medicare Advantage | $6,194.54 | ↑ +26% |
| Humana | Medicare Advantage | $6,316.00 | ↑ +29% |
| Molina | Medicare Advantage | $6,376.73 | ↑ +30% |
| Amerigroup | Medicare Advantage | $6,376.73 | ↑ +30% |
| Superior Wellcare | Medicare Advantage HMO | $6,376.73 | ↑ +30% |
| Superior Wellcare | Medicare Advantage MMP | $6,680.38 | ↑ +36% |
| United Healthcare | Medicare Advantage PPO | $6,741.11 | ↑ +37% |
| Blue Cross Blue Shield | Traditional | $6,743.55 | ↑ +38% |
| United Healthcare | Medicare Advantage HMO | $6,862.58 | ↑ +40% |
| Multiplan | Commercial | $7,111.38 | ↑ +45% |
| USA | MCO | $7,193.12 | ↑ +47% |
| Galaxy | Commercial | $7,193.12 | ↑ +47% |
| Cigna | Indemnity | $7,691.73 | ↑ +57% |
Visitor-reported prices
Comments
Perq plmt bile duct stent at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $6,085.18 | $2,559.08 – $14,293.73 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $6,085.18 | $2,559.08 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,847.95 | $71.00 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,847.95 | $71.00 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $6,085.18 | $2,559.08 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $4,847.95 | $85.00 – $14,293.73 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $4,847.95 | $2,559.08 – $14,293.73 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $4,847.95 | $71.00 – $14,293.73 |