Tib/per revasc stent & ather 37231 at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$22,970.40
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.
$38,284.00
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.
$7,857.00 with Fort Worth Firefighters vs $133,194.39 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 |
|---|---|---|---|
| Fort Worth Firefighters | Commercial | $7,857.00 | ↓ -66% |
| Cook Childrens | Managed Medicaid | $8,648.77 | ↓ -62% |
| United Healthcare | Managed Medicaid | $8,648.77 | ↓ -62% |
| Blue Cross Blue Shield | Managed Medicaid | $8,648.77 | ↓ -62% |
| Amerigroup | Managed Medicaid | $8,648.77 | ↓ -62% |
| Superior Wellcare | Managed Medicaid | $9,081.21 | ↓ -60% |
| Molina | Managed Medicaid | $9,340.67 | ↓ -59% |
| Aetna | Managed Medicaid | $9,513.65 | ↓ -59% |
| United Healthcare | All Payer | $10,695.00 | ↓ -53% |
| United Healthcare Options | PPO | $13,603.00 | ↓ -41% |
| Aetna | Whole Health | $14,216.60 | ↓ -38% |
| City of Fort Worth | Commercial | $17,301.41 | ↓ -25% |
| Aetna | Commercial | $18,957.92 | ↓ -17% |
| Blue Cross Blue Shield | Exchange | $20,036.54 | ↓ -13% |
| Cigna | OAP/HMO | $20,349.40 | ↓ -11% |
| Quick Trip | Commercial | $22,086.90 | ↓ -4% |
| PHCS | PPO | $25,583.99 | ↑ +11% |
| Cigna | PPO | $25,657.62 | ↑ +12% |
| Aetna | Coventry | $25,804.86 | ↑ +12% |
| Aetna | ASA | $25,804.86 | ↑ +12% |
| Healthsmart | Commercial | $27,608.63 | ↑ +20% |
| Multiplan | Commercial | $32,026.01 | ↑ +39% |
| Galaxy | Commercial | $32,394.12 | ↑ +41% |
| USA | MCO | $32,394.12 | ↑ +41% |
| Cigna | Indemnity | $34,639.62 | ↑ +51% |
| Blue Cross Blue Shield | HMO | $37,458.93 | ↑ +63% |
| Blue Cross Blue Shield | PPO | $41,619.26 | ↑ +81% |
| Blue Cross Blue Shield | Traditional | $133,194.39 | ↑ +480% |
| Molina | Medicare Advantage | not published by hospital | — |
| United Healthcare | Medicare Advantage PPO | not published by hospital | — |
| United Healthcare | Medicare Advantage HMO | not published by hospital | — |
| HealthSpring | Medicare Advantage | not published by hospital | — |
| Blue Cross Blue Shield | Medicare Advantage | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| Amerigroup | Medicare Advantage | not published by hospital | — |
| American Health | Medicare Advantage | not published by hospital | — |
| Superior Wellcare | Medicare Advantage HMO | not published by hospital | — |
| Superior Wellcare | Medicare Advantage MMP | not published by hospital | — |
Visitor-reported prices
Comments
Tib/per revasc stent & ather 37231 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $33,770.88 | $6,191.33 – $47,842.08 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $33,770.88 | $6,299.00 – $47,842.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $31,077.17 | $71.00 – $46,615.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $31,299.50 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $33,770.88 | $7,038.00 – $47,842.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $31,077.17 | $85.00 – $46,615.76 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $31,077.17 | $16,056.54 – $46,615.76 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $31,299.50 | $71.00 – $46,949.26 |