Sigmoidoscopy w/ablation at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$748.50
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.
$1,247.50
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.
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The hospital's undiscounted list price — almost no one pays this.
$429.26 with United Healthcare vs $8,391.26 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $429.26 | ↓ -43% |
| Cook Childrens | Managed Medicaid | $429.26 | ↓ -43% |
| Amerigroup | Managed Medicaid | $429.26 | ↓ -43% |
| Blue Cross Blue Shield | Managed Medicaid | $429.26 | ↓ -43% |
| Superior Wellcare | Managed Medicaid | $450.72 | ↓ -40% |
| Molina | Managed Medicaid | $463.60 | ↓ -38% |
| Aetna | Managed Medicaid | $472.19 | ↓ -37% |
| Aetna | Whole Health | $481.78 | ↓ -36% |
| City of Fort Worth | Commercial | $586.33 | ↓ -22% |
| Aetna | Commercial | $642.46 | ↓ -14% |
| Cigna | OAP/HMO | $689.62 | ↓ -8% |
| Quick Trip | Commercial | $748.50 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $761.60 | ↑ +2% |
| PHCS | PPO | $867.01 | ↑ +16% |
| Cigna | PPO | $869.51 | ↑ +16% |
| Aetna | ASA | $874.50 | ↑ +17% |
| Aetna | Coventry | $874.50 | ↑ +17% |
| Healthsmart | Commercial | $935.63 | ↑ +25% |
| Multiplan | Commercial | $1,085.33 | ↑ +45% |
| Galaxy | Commercial | $1,097.80 | ↑ +47% |
| USA | MCO | $1,097.80 | ↑ +47% |
| Cigna | Indemnity | $1,173.90 | ↑ +57% |
| Blue Cross Blue Shield | Medicare Advantage | $1,202.09 | ↑ +61% |
| American Health | Medicare Advantage | $1,202.09 | ↑ +61% |
| HealthSpring | Medicare Advantage | $1,226.14 | ↑ +64% |
| Humana | Medicare Advantage | $1,250.18 | ↑ +67% |
| Amerigroup | Medicare Advantage | $1,262.20 | ↑ +69% |
| Molina | Medicare Advantage | $1,262.20 | ↑ +69% |
| Superior Wellcare | Medicare Advantage HMO | $1,262.20 | ↑ +69% |
| Blue Cross Blue Shield | Exchange | $1,262.30 | ↑ +69% |
| Superior Wellcare | Medicare Advantage MMP | $1,322.30 | ↑ +77% |
| United Healthcare | Medicare Advantage PPO | $1,334.32 | ↑ +78% |
| United Healthcare | Medicare Advantage HMO | $1,358.37 | ↑ +81% |
| Blue Cross Blue Shield | HMO | $2,359.92 | ↑ +215% |
| Blue Cross Blue Shield | PPO | $2,622.02 | ↑ +250% |
| United Healthcare | All Payer | $2,923.00 | ↑ +291% |
| United Healthcare Options | PPO | $3,751.00 | ↑ +401% |
| Blue Cross Blue Shield | Traditional | $8,391.26 | ↑ +1021% |
Visitor-reported prices
Comments
Sigmoidoscopy w/ablation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHRISTUS Health - West Beaumont | Beaumont | $1,573.44 | $429.26 – $3,215.00 |
| Texas Health Presbyterian Hospital Allen | Allen | $748.50 | $429.26 – $463.60 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $748.50 | $429.26 – $472.19 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $748.50 | $429.26 – $472.19 |
| Texas Health Arlington Memorial Hospital | Arlington | $748.50 | $429.26 – $472.19 |
| Texas Health Presbyterian Hospital Plano | Plano | $748.50 | $429.26 – $463.60 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $748.50 | $429.26 – $463.60 |
| Texas Health Harris Methodist Hospital Azle | Azle | $748.50 | $429.26 – $472.19 |