Rmvl pm gen w/rplc pm gen sgl lead sys at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$17,102.25
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.
$28,503.75
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.
?
The hospital's undiscounted list price — almost no one pays this.
$5,259.03 with United Healthcare vs $26,822.03 with Cigna — 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $5,259.03 | ↓ -69% |
| Cook Childrens | Managed Medicaid | $5,259.03 | ↓ -69% |
| Blue Cross Blue Shield | Managed Medicaid | $5,259.03 | ↓ -69% |
| Amerigroup | Managed Medicaid | $5,259.03 | ↓ -69% |
| Superior Wellcare | Managed Medicaid | $5,521.98 | ↓ -68% |
| Molina | Managed Medicaid | $5,679.75 | ↓ -67% |
| Aetna | Managed Medicaid | $5,784.93 | ↓ -66% |
| Blue Cross Blue Shield | Exchange | $8,266.09 | ↓ -52% |
| Blue Cross Blue Shield | Medicare Advantage | $8,313.10 | ↓ -51% |
| American Health | Medicare Advantage | $8,313.10 | ↓ -51% |
| HealthSpring | Medicare Advantage | $8,479.36 | ↓ -50% |
| Humana | Medicare Advantage | $8,645.62 | ↓ -49% |
| Amerigroup | Medicare Advantage | $8,728.75 | ↓ -49% |
| Molina | Medicare Advantage | $8,728.75 | ↓ -49% |
| Superior Wellcare | Medicare Advantage HMO | $8,728.75 | ↓ -49% |
| Superior Wellcare | Medicare Advantage MMP | $9,144.41 | ↓ -47% |
| United Healthcare | Medicare Advantage PPO | $9,227.54 | ↓ -46% |
| United Healthcare | Medicare Advantage HMO | $9,393.80 | ↓ -45% |
| Aetna | Whole Health | $11,230.48 | ↓ -34% |
| Blue Cross Blue Shield | HMO | $13,168.73 | ↓ -23% |
| City of Fort Worth | Commercial | $13,396.76 | ↓ -22% |
| Fort Worth Firefighters | Commercial | $14,351.00 | ↓ -16% |
| Blue Cross Blue Shield | PPO | $14,650.93 | ↓ -14% |
| Aetna | Commercial | $14,973.02 | ↓ -12% |
| Cigna | OAP/HMO | $15,756.87 | ↓ -8% |
| Quick Trip | Commercial | $17,102.25 | ↑ +0% |
| United Healthcare | All Payer | $19,497.00 | ↑ +14% |
| PHCS | PPO | $19,810.11 | ↑ +16% |
| Cigna | PPO | $19,867.11 | ↑ +16% |
| Aetna | Coventry | $19,981.13 | ↑ +17% |
| Aetna | ASA | $19,981.13 | ↑ +17% |
| Healthsmart | Commercial | $21,377.81 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $23,515.59 | ↑ +37% |
| Multiplan | Commercial | $24,798.26 | ↑ +45% |
| United Healthcare Options | PPO | $24,806.00 | ↑ +45% |
| Galaxy | Commercial | $25,083.30 | ↑ +47% |
| USA | MCO | $25,083.30 | ↑ +47% |
| Cigna | Indemnity | $26,822.03 | ↑ +57% |
Visitor-reported prices
Comments
Rmvl pm gen w/rplc pm gen sgl lead sys at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $18,220.94 | $5,259.03 – $22,776.18 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $18,220.94 | $5,259.03 – $22,776.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $15,676.55 | $3,226.76 – $23,514.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $11,293.45 | $5,259.03 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $18,220.94 | $5,259.03 – $22,776.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $15,676.55 | $5,627.16 – $23,514.83 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $15,676.55 | $5,259.03 – $23,514.83 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $11,293.45 | $5,259.03 – $21,045.99 |