Sigmoid/rmv tumor/polyp/hot bx for 45333 at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$719.70
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.
$1,199.50
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.
$328.50 with Cook Childrens vs $6,382.98 with Blue Cross Blue Shield — 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 |
|---|---|---|---|
| Cook Childrens | Managed Medicaid | $328.50 | ↓ -54% |
| United Healthcare | Managed Medicaid | $328.50 | ↓ -54% |
| Blue Cross Blue Shield | Managed Medicaid | $328.50 | ↓ -54% |
| Amerigroup | Managed Medicaid | $328.50 | ↓ -54% |
| Superior Wellcare | Managed Medicaid | $344.93 | ↓ -52% |
| Molina | Managed Medicaid | $354.78 | ↓ -51% |
| Aetna | Managed Medicaid | $361.35 | ↓ -50% |
| Aetna | Whole Health | $463.25 | ↓ -36% |
| City of Fort Worth | Commercial | $563.77 | ↓ -22% |
| Aetna | Commercial | $617.74 | ↓ -14% |
| Cigna | OAP/HMO | $663.08 | ↓ -8% |
| Quick Trip | Commercial | $719.70 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $732.29 | ↑ +2% |
| PHCS | PPO | $833.65 | ↑ +16% |
| Cigna | PPO | $836.05 | ↑ +16% |
| Aetna | Coventry | $840.85 | ↑ +17% |
| Aetna | ASA | $840.85 | ↑ +17% |
| Healthsmart | Commercial | $899.63 | ↑ +25% |
| Blue Cross Blue Shield | Medicare Advantage | $934.20 | ↑ +30% |
| American Health | Medicare Advantage | $934.20 | ↑ +30% |
| HealthSpring | Medicare Advantage | $952.88 | ↑ +32% |
| Blue Cross Blue Shield | Exchange | $960.20 | ↑ +33% |
| Humana | Medicare Advantage | $971.56 | ↑ +35% |
| Superior Wellcare | Medicare Advantage HMO | $980.91 | ↑ +36% |
| Amerigroup | Medicare Advantage | $980.91 | ↑ +36% |
| Molina | Medicare Advantage | $980.91 | ↑ +36% |
| Superior Wellcare | Medicare Advantage MMP | $1,027.61 | ↑ +43% |
| United Healthcare | Medicare Advantage PPO | $1,036.96 | ↑ +44% |
| Multiplan | Commercial | $1,043.57 | ↑ +45% |
| Galaxy | Commercial | $1,055.56 | ↑ +47% |
| USA | MCO | $1,055.56 | ↑ +47% |
| United Healthcare | Medicare Advantage HMO | $1,055.64 | ↑ +47% |
| Cigna | Indemnity | $1,128.73 | ↑ +57% |
| Blue Cross Blue Shield | HMO | $1,795.12 | ↑ +149% |
| Blue Cross Blue Shield | PPO | $1,994.49 | ↑ +177% |
| United Healthcare | All Payer | $2,380.00 | ↑ +231% |
| United Healthcare Options | PPO | $3,076.00 | ↑ +327% |
| Blue Cross Blue Shield | Traditional | $6,382.98 | ↑ +787% |
Visitor-reported prices
Comments
Sigmoid/rmv tumor/polyp/hot bx for 45333 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Allen | Allen | $719.70 | $328.50 – $354.78 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $719.70 | $328.50 – $361.35 |
| Texas Health Arlington Memorial Hospital | Arlington | $719.70 | $328.50 – $361.35 |
| Texas Health Presbyterian Hospital Plano | Plano | $719.70 | $328.50 – $354.78 |
| Texas Health Hospital Mansfield | Mansfield | $4,890.82 | $934.20 – $2,265.00 |
| Texas Health Harris Methodist Hospital Azle | Azle | $719.70 | $328.50 – $361.35 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $719.70 | $328.50 – $354.78 |
| Texas Health Presbyterian Hospital Kaufman | Kaufman | $719.70 | $328.50 – $354.78 |