Pr egd flexible transoral w/placement percutaneous gastrostomy tube at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$1,641.90
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.
?
What you pay up front if you don't use insurance.
$2,736.50
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.
?
The hospital's undiscounted list price — almost no one pays this.
$564.97 with Blue Cross Blue Shield vs $3,751.00 with United Healthcare Options — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | Managed Medicaid | $564.97 | ↓ -66% |
| Cook Childrens | Managed Medicaid | $564.97 | ↓ -66% |
| Amerigroup | Managed Medicaid | $564.97 | ↓ -66% |
| United Healthcare | Managed Medicaid | $564.97 | ↓ -66% |
| Superior Wellcare | Managed Medicaid | $593.22 | ↓ -64% |
| Molina | Managed Medicaid | $610.17 | ↓ -63% |
| Aetna | Managed Medicaid | $621.47 | ↓ -62% |
| Aetna | Whole Health | $732.62 | ↓ -55% |
| City of Fort Worth | Commercial | $891.59 | ↓ -46% |
| Aetna | Commercial | $976.96 | ↓ -40% |
| Cigna | OAP/HMO | $1,048.66 | ↓ -36% |
| Blue Cross Blue Shield | Exchange | $1,100.07 | ↓ -33% |
| Quick Trip | Commercial | $1,138.20 | ↓ -31% |
| Fort Worth Firefighters | Commercial | $1,158.12 | ↓ -29% |
| PHCS | PPO | $1,318.42 | ↓ -20% |
| Cigna | PPO | $1,322.21 | ↓ -19% |
| Aetna | ASA | $1,329.80 | ↓ -19% |
| Aetna | Coventry | $1,329.80 | ↓ -19% |
| Healthsmart | Commercial | $1,422.75 | ↓ -13% |
| Multiplan | Commercial | $1,650.39 | ↑ +1% |
| Galaxy | Commercial | $1,669.36 | ↑ +2% |
| USA | MCO | $1,669.36 | ↑ +2% |
| Blue Cross Blue Shield | HMO | $1,737.68 | ↑ +6% |
| Cigna | Indemnity | $1,785.08 | ↑ +9% |
| Blue Cross Blue Shield | Medicare Advantage | $1,927.65 | ↑ +17% |
| American Health | Medicare Advantage | $1,927.65 | ↑ +17% |
| Blue Cross Blue Shield | PPO | $1,929.23 | ↑ +17% |
| HealthSpring | Medicare Advantage | $1,966.20 | ↑ +20% |
| Humana | Medicare Advantage | $2,004.76 | ↑ +22% |
| Molina | Medicare Advantage | $2,024.03 | ↑ +23% |
| Amerigroup | Medicare Advantage | $2,024.03 | ↑ +23% |
| Superior Wellcare | Medicare Advantage HMO | $2,024.03 | ↑ +23% |
| Superior Wellcare | Medicare Advantage MMP | $2,120.42 | ↑ +29% |
| United Healthcare | Medicare Advantage PPO | $2,139.69 | ↑ +30% |
| United Healthcare | Medicare Advantage HMO | $2,178.25 | ↑ +33% |
| Blue Cross Blue Shield | Traditional | $2,350.65 | ↑ +43% |
| United Healthcare | All Payer | $2,923.00 | ↑ +78% |
| United Healthcare Options | PPO | $3,751.00 | ↑ +128% |
Visitor-reported prices
Comments
Pr egd flexible transoral w/placement percutaneous gastrostomy tube at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $2,194.50 | $1,256.62 – $7,034.24 |
| St. Luke's Health - Patients Medical Center | Pasadena | $1,068.55 | $1,831.80 – $2,289.75 |
| St. Luke's Health Memorial Lufkin | Lufkin | $546.44 | $1,384.30 – $3,278.60 |
| Texas Health Presbyterian Hospital Allen | Allen | $1,742.85 | $564.97 – $610.17 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $1,742.85 | $564.97 – $621.47 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $1,742.85 | $564.97 – $621.47 |
| Texas Health Arlington Memorial Hospital | Arlington | $1,641.90 | $564.97 – $621.47 |
| St. Luke's Health Memorial Livingston | Livingston | $546.44 | $655.72 – $3,278.60 |