Revision tips at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$11,632.05
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.
$19,386.75
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.
$1,814.60 with Blue Cross Blue Shield vs $41,394.87 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 | $1,814.60 | ↓ -84% |
| Cook Childrens | Managed Medicaid | $1,814.60 | ↓ -84% |
| Amerigroup | Managed Medicaid | $1,814.60 | ↓ -84% |
| United Healthcare | Managed Medicaid | $1,814.60 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $1,905.72 | ↓ -84% |
| Molina | Managed Medicaid | $1,960.00 | ↓ -83% |
| Aetna | Managed Medicaid | $1,996.84 | ↓ -83% |
| Blue Cross Blue Shield | Medicare Advantage | $5,717.50 | ↓ -51% |
| American Health | Medicare Advantage | $5,717.50 | ↓ -51% |
| HealthSpring | Medicare Advantage | $5,831.85 | ↓ -50% |
| Humana | Medicare Advantage | $5,946.20 | ↓ -49% |
| Superior Wellcare | Medicare Advantage HMO | $6,003.37 | ↓ -48% |
| Amerigroup | Medicare Advantage | $6,003.37 | ↓ -48% |
| Molina | Medicare Advantage | $6,003.37 | ↓ -48% |
| Blue Cross Blue Shield | Exchange | $6,227.06 | ↓ -46% |
| Superior Wellcare | Medicare Advantage MMP | $6,289.25 | ↓ -46% |
| United Healthcare | Medicare Advantage PPO | $6,346.42 | ↓ -45% |
| United Healthcare | Medicare Advantage HMO | $6,460.77 | ↓ -44% |
| Aetna | Whole Health | $7,487.16 | ↓ -36% |
| City of Fort Worth | Commercial | $9,111.77 | ↓ -22% |
| Aetna | Commercial | $9,984.18 | ↓ -14% |
| Cigna | OAP/HMO | $10,717.00 | ↓ -8% |
| Quick Trip | Commercial | $11,632.05 | ↑ +0% |
| Blue Cross Blue Shield | HMO | $11,641.69 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $11,835.61 | ↑ +2% |
| Blue Cross Blue Shield | PPO | $12,934.66 | ↑ +11% |
| PHCS | PPO | $13,473.79 | ↑ +16% |
| Cigna | PPO | $13,512.56 | ↑ +16% |
| Aetna | Coventry | $13,590.11 | ↑ +17% |
| Aetna | ASA | $13,590.11 | ↑ +17% |
| Healthsmart | Commercial | $14,540.06 | ↑ +25% |
| Multiplan | Commercial | $16,866.47 | ↑ +45% |
| USA | MCO | $17,060.34 | ↑ +47% |
| Galaxy | Commercial | $17,060.34 | ↑ +47% |
| Cigna | Indemnity | $18,242.93 | ↑ +57% |
| United Healthcare | All Payer | $19,497.00 | ↑ +68% |
| United Healthcare Options | PPO | $24,806.00 | ↑ +113% |
| Blue Cross Blue Shield | Traditional | $41,394.87 | ↑ +256% |
Visitor-reported prices
Comments
Revision tips at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $11,218.30 | $2,056.69 – $14,159.18 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $11,218.30 | $3,178.52 – $14,159.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $14,711.04 | $71.00 – $22,066.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $13,111.45 | $71.00 – $16,389.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $11,218.30 | $2,991.55 – $14,159.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $14,711.04 | $85.00 – $22,066.56 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $14,711.04 | $7,600.70 – $22,066.56 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $13,111.45 | $71.00 – $19,667.17 |