Unlisted px biliary tract at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$2,688.75
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.
$4,481.25
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.
$419.45 with United Healthcare vs $6,567.15 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 | $419.45 | ↓ -84% |
| Cook Childrens | Managed Medicaid | $419.45 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $419.45 | ↓ -84% |
| Amerigroup | Managed Medicaid | $419.45 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $440.51 | ↓ -84% |
| Molina | Managed Medicaid | $453.05 | ↓ -83% |
| Aetna | Managed Medicaid | $461.57 | ↓ -83% |
| Blue Cross Blue Shield | Medicare Advantage | $911.12 | ↓ -66% |
| American Health | Medicare Advantage | $911.12 | ↓ -66% |
| HealthSpring | Medicare Advantage | $929.34 | ↓ -65% |
| Humana | Medicare Advantage | $947.56 | ↓ -65% |
| Amerigroup | Medicare Advantage | $956.67 | ↓ -64% |
| Superior Wellcare | Medicare Advantage HMO | $956.67 | ↓ -64% |
| Molina | Medicare Advantage | $956.67 | ↓ -64% |
| Blue Cross Blue Shield | Exchange | $987.90 | ↓ -63% |
| Superior Wellcare | Medicare Advantage MMP | $1,002.23 | ↓ -63% |
| United Healthcare | Medicare Advantage PPO | $1,011.34 | ↓ -62% |
| United Healthcare | Medicare Advantage HMO | $1,029.56 | ↓ -62% |
| Aetna | Whole Health | $1,730.66 | ↓ -36% |
| Blue Cross Blue Shield | HMO | $1,846.91 | ↓ -31% |
| Blue Cross Blue Shield | PPO | $2,052.04 | ↓ -24% |
| City of Fort Worth | Commercial | $2,106.19 | ↓ -22% |
| Aetna | Commercial | $2,307.84 | ↓ -14% |
| Fort Worth Firefighters | Commercial | $2,319.00 | ↓ -14% |
| Cigna | OAP/HMO | $2,477.24 | ↓ -8% |
| Quick Trip | Commercial | $2,688.75 | ↑ +0% |
| United Healthcare | All Payer | $2,923.00 | ↑ +9% |
| PHCS | PPO | $3,114.47 | ↑ +16% |
| Cigna | PPO | $3,123.43 | ↑ +16% |
| Aetna | Coventry | $3,141.36 | ↑ +17% |
| Aetna | ASA | $3,141.36 | ↑ +17% |
| Healthsmart | Commercial | $3,360.94 | ↑ +25% |
| United Healthcare Options | PPO | $3,751.00 | ↑ +40% |
| Multiplan | Commercial | $3,898.69 | ↑ +45% |
| Galaxy | Commercial | $3,943.50 | ↑ +47% |
| USA | MCO | $3,943.50 | ↑ +47% |
| Cigna | Indemnity | $4,216.86 | ↑ +57% |
| Blue Cross Blue Shield | Traditional | $6,567.15 | ↑ +144% |
Visitor-reported prices
Comments
Unlisted px biliary tract at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $15,692.77 | $865.56 – $7,311.94 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $15,692.77 | $865.56 – $7,311.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $15,476.87 | $620.88 – $6,457.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $11,636.44 | $865.56 – $6,287.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $15,692.77 | $865.56 – $7,311.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $15,476.87 | $865.56 – $6,457.25 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $15,476.87 | $2,245.59 – $4,524.66 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $11,636.44 | $865.56 – $6,287.02 |