#resp virpnl dfa-adenovirus at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$18.00
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.
$30.00
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.
$12.12 with Blue Cross Blue Shield vs $84.57 with Blue Cross Blue Shield — 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 | Managed Medicaid | $12.12 | ↓ -33% |
| Cook Childrens | Managed Medicaid | $12.12 | ↓ -33% |
| Amerigroup | Managed Medicaid | $12.12 | ↓ -33% |
| United Healthcare | Managed Medicaid | $12.12 | ↓ -33% |
| Superior Wellcare | Managed Medicaid | $12.73 | ↓ -29% |
| Molina | Managed Medicaid | $13.09 | ↓ -27% |
| Aetna | Managed Medicaid | $13.33 | ↓ -26% |
| City of Fort Worth | Commercial | $14.10 | ↓ -22% |
| United Healthcare Options | PPO | $14.43 | ↓ -20% |
| Blue Cross Blue Shield | Medicare Advantage | $14.43 | ↓ -20% |
| United Healthcare | All Payer | $14.43 | ↓ -20% |
| American Health | Medicare Advantage | $14.43 | ↓ -20% |
| HealthSpring | Medicare Advantage | $14.72 | ↓ -18% |
| Humana | Medicare Advantage | $15.01 | ↓ -17% |
| Molina | Medicare Advantage | $15.15 | ↓ -16% |
| Amerigroup | Medicare Advantage | $15.15 | ↓ -16% |
| Superior Wellcare | Medicare Advantage HMO | $15.15 | ↓ -16% |
| Superior Wellcare | Medicare Advantage MMP | $15.87 | ↓ -12% |
| United Healthcare | Medicare Advantage PPO | $16.02 | ↓ -11% |
| Blue Cross Blue Shield | Exchange | $16.05 | ↓ -11% |
| United Healthcare | Medicare Advantage HMO | $16.31 | ↓ -9% |
| Quick Trip | Commercial | $18.00 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $18.32 | ↑ +2% |
| PHCS | PPO | $20.85 | ↑ +16% |
| Aetna | ASA | $21.03 | ↑ +17% |
| Aetna | Coventry | $21.03 | ↑ +17% |
| Healthsmart | Commercial | $22.50 | ↑ +25% |
| Multiplan | Commercial | $26.10 | ↑ +45% |
| Galaxy | Commercial | $26.40 | ↑ +47% |
| USA | MCO | $26.40 | ↑ +47% |
| Cigna | Indemnity | $28.23 | ↑ +57% |
| Blue Cross Blue Shield | HMO | $28.57 | ↑ +59% |
| Blue Cross Blue Shield | PPO | $31.75 | ↑ +76% |
| Aetna | Whole Health | $39.97 | ↑ +122% |
| Cigna | PPO | $49.42 | ↑ +175% |
| Cigna | OAP/HMO | $49.42 | ↑ +175% |
| Aetna | Commercial | $53.29 | ↑ +196% |
| Blue Cross Blue Shield | Traditional | $84.57 | ↑ +370% |
Visitor-reported prices
Comments
#resp virpnl dfa-adenovirus at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $79.09 | $10.00 – $98.86 |
| Adventhealth Rollins Brook | Lampasas | $43.29 | $12.99 – $55.56 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $79.09 | $10.00 – $98.86 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $79.09 | $12.00 – $118.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $79.09 | $12.00 – $98.86 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $79.09 | $10.00 – $98.86 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $79.09 | $12.00 – $118.63 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $79.09 | $8.00 – $118.63 |