Removal cerclage w/anes at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$5,702.55
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.
$9,504.25
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.
$1,063.52 with Amerigroup vs $8,943.50 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $1,063.52 | ↓ -81% |
| Cook Childrens | Managed Medicaid | $1,063.52 | ↓ -81% |
| Blue Cross Blue Shield | Managed Medicaid | $1,063.52 | ↓ -81% |
| United Healthcare | Managed Medicaid | $1,063.52 | ↓ -81% |
| Superior Wellcare | Managed Medicaid | $1,116.70 | ↓ -80% |
| Molina | Managed Medicaid | $1,148.60 | ↓ -80% |
| Aetna | Managed Medicaid | $1,169.87 | ↓ -79% |
| United Healthcare | All Payer | $1,502.00 | ↓ -74% |
| United Healthcare Options | PPO | $2,658.00 | ↓ -53% |
| Blue Cross Blue Shield | Exchange | $2,756.23 | ↓ -52% |
| American Health | Medicare Advantage | $3,251.88 | ↓ -43% |
| Blue Cross Blue Shield | Medicare Advantage | $3,251.88 | ↓ -43% |
| HealthSpring | Medicare Advantage | $3,316.91 | ↓ -42% |
| Humana | Medicare Advantage | $3,381.95 | ↓ -41% |
| Superior Wellcare | Medicare Advantage HMO | $3,414.47 | ↓ -40% |
| Amerigroup | Medicare Advantage | $3,414.47 | ↓ -40% |
| Molina | Medicare Advantage | $3,414.47 | ↓ -40% |
| Superior Wellcare | Medicare Advantage MMP | $3,577.06 | ↓ -37% |
| United Healthcare | Medicare Advantage PPO | $3,609.58 | ↓ -37% |
| United Healthcare | Medicare Advantage HMO | $3,674.62 | ↓ -36% |
| Aetna | Whole Health | $3,902.45 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $4,175.22 | ↓ -27% |
| Blue Cross Blue Shield | HMO | $4,390.96 | ↓ -23% |
| City of Fort Worth | Commercial | $4,467.00 | ↓ -22% |
| Blue Cross Blue Shield | PPO | $4,885.18 | ↓ -14% |
| Aetna | Commercial | $5,203.58 | ↓ -9% |
| Cigna | OAP/HMO | $5,253.95 | ↓ -8% |
| Quick Trip | Commercial | $5,702.55 | ↑ +0% |
| PHCS | PPO | $6,605.45 | ↑ +16% |
| Cigna | PPO | $6,624.46 | ↑ +16% |
| Aetna | ASA | $6,662.48 | ↑ +17% |
| Aetna | Coventry | $6,662.48 | ↑ +17% |
| Healthsmart | Commercial | $7,128.19 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $7,841.01 | ↑ +38% |
| Multiplan | Commercial | $8,268.70 | ↑ +45% |
| USA | MCO | $8,363.74 | ↑ +47% |
| Galaxy | Commercial | $8,363.74 | ↑ +47% |
| Cigna | Indemnity | $8,943.50 | ↑ +57% |
Visitor-reported prices
Comments
Removal cerclage w/anes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $3,032.19 | $1,063.52 – $7,744.80 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,032.19 | $1,063.52 – $7,744.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $5,247.91 | $71.00 – $7,871.86 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,749.62 | $71.00 – $7,744.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,032.19 | $1,063.52 – $7,744.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $5,247.91 | $85.00 – $7,871.86 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $5,247.91 | $1,063.52 – $7,871.86 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,749.62 | $71.00 – $7,744.80 |