Unlisted px external ear at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$329.70
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.
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What you pay up front if you don't use insurance.
$549.50
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.
$51.43 with United Healthcare vs $1,568.00 with United Healthcare Options — 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 | $51.43 | ↓ -84% |
| Cook Childrens | Managed Medicaid | $51.43 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $51.43 | ↓ -84% |
| Amerigroup | Managed Medicaid | $51.43 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $54.02 | ↓ -84% |
| Molina | Managed Medicaid | $55.55 | ↓ -83% |
| Aetna | Managed Medicaid | $56.60 | ↓ -83% |
| Blue Cross Blue Shield | Exchange | $220.90 | ↓ -33% |
| Blue Cross Blue Shield | Medicare Advantage | $237.93 | ↓ -28% |
| American Health | Medicare Advantage | $237.93 | ↓ -28% |
| HealthSpring | Medicare Advantage | $242.69 | ↓ -26% |
| Humana | Medicare Advantage | $247.45 | ↓ -25% |
| Superior Wellcare | Medicare Advantage HMO | $249.83 | ↓ -24% |
| Amerigroup | Medicare Advantage | $249.83 | ↓ -24% |
| Molina | Medicare Advantage | $249.83 | ↓ -24% |
| City of Fort Worth | Commercial | $258.27 | ↓ -22% |
| Superior Wellcare | Medicare Advantage MMP | $261.72 | ↓ -21% |
| United Healthcare | Medicare Advantage PPO | $264.10 | ↓ -20% |
| United Healthcare | Medicare Advantage HMO | $268.86 | ↓ -18% |
| Aetna | Whole Health | $281.95 | ↓ -14% |
| Fort Worth Firefighters | Commercial | $287.06 | ↓ -13% |
| Cigna | OAP/HMO | $303.76 | ↓ -8% |
| Quick Trip | Commercial | $329.70 | ↑ +0% |
| Blue Cross Blue Shield | HMO | $348.93 | ↑ +6% |
| Aetna | Commercial | $375.91 | ↑ +14% |
| PHCS | PPO | $381.90 | ↑ +16% |
| Cigna | PPO | $383.00 | ↑ +16% |
| Aetna | Coventry | $385.20 | ↑ +17% |
| Aetna | ASA | $385.20 | ↑ +17% |
| Blue Cross Blue Shield | PPO | $387.40 | ↑ +18% |
| Healthsmart | Commercial | $412.13 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $472.02 | ↑ +43% |
| Multiplan | Commercial | $478.07 | ↑ +45% |
| Galaxy | Commercial | $483.56 | ↑ +47% |
| USA | MCO | $483.56 | ↑ +47% |
| Cigna | Indemnity | $517.08 | ↑ +57% |
| United Healthcare | All Payer | $1,247.00 | ↑ +278% |
| United Healthcare Options | PPO | $1,568.00 | ↑ +376% |
Visitor-reported prices
Comments
Unlisted px external ear at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $433.65 | $180.69 – $605.10 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $433.65 | $111.00 – $605.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $433.65 | $180.69 – $605.10 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $433.65 | $180.69 – $605.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $433.65 | $180.69 – $605.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $433.65 | $180.69 – $605.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $433.65 | $180.69 – $605.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $433.65 | $180.69 – $605.10 |