Valvuloplasty mitral at Texas Health Presbyterian Hospital Denton
3000 N I-35, Denton, TX · Texashealth · · NPI 1003883158
$6,889.20
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.
$11,482.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,074.72 with United Healthcare vs $21,607.00 with United Healthcare Options — 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $1,074.72 | ↓ -84% |
| Cook Childrens | Managed Medicaid | $1,074.72 | ↓ -84% |
| Amerigroup | Managed Medicaid | $1,074.72 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $1,074.72 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $1,128.68 | ↓ -84% |
| Molina | Managed Medicaid | $1,160.83 | ↓ -83% |
| Aetna | Managed Medicaid | $1,182.65 | ↓ -83% |
| Blue Cross Blue Shield | Exchange | $3,329.78 | ↓ -52% |
| Aetna | Whole Health | $4,523.91 | ↓ -34% |
| Blue Cross Blue Shield | HMO | $5,304.68 | ↓ -23% |
| City of Fort Worth | Commercial | $5,396.54 | ↓ -22% |
| Blue Cross Blue Shield | PPO | $5,901.75 | ↓ -14% |
| Aetna | Commercial | $6,031.49 | ↓ -12% |
| Cigna | OAP/HMO | $6,347.25 | ↓ -8% |
| Quick Trip | Commercial | $6,889.20 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $7,009.76 | ↑ +2% |
| PHCS | PPO | $7,979.99 | ↑ +16% |
| Cigna | PPO | $8,002.95 | ↑ +16% |
| Aetna | Coventry | $8,048.88 | ↑ +17% |
| Aetna | ASA | $8,048.88 | ↑ +17% |
| Healthsmart | Commercial | $8,611.50 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $9,472.65 | ↑ +38% |
| Multiplan | Commercial | $9,989.34 | ↑ +45% |
| USA | MCO | $10,104.16 | ↑ +47% |
| Galaxy | Commercial | $10,104.16 | ↑ +47% |
| Cigna | Indemnity | $10,804.56 | ↑ +57% |
| Blue Cross Blue Shield | Medicare Advantage | $11,596.79 | ↑ +68% |
| American Health | Medicare Advantage | $11,596.79 | ↑ +68% |
| HealthSpring | Medicare Advantage | $11,828.73 | ↑ +72% |
| Humana | Medicare Advantage | $12,060.67 | ↑ +75% |
| Amerigroup | Medicare Advantage | $12,176.63 | ↑ +77% |
| Molina | Medicare Advantage | $12,176.63 | ↑ +77% |
| Superior Wellcare | Medicare Advantage HMO | $12,176.63 | ↑ +77% |
| Superior Wellcare | Medicare Advantage MMP | $12,756.47 | ↑ +85% |
| United Healthcare | Medicare Advantage PPO | $12,872.44 | ↑ +87% |
| United Healthcare | Medicare Advantage HMO | $13,104.38 | ↑ +90% |
| United Healthcare | All Payer | $16,982.00 | ↑ +147% |
| United Healthcare Options | PPO | $21,607.00 | ↑ +214% |
Visitor-reported prices
Comments
Valvuloplasty mitral at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $17,175.83 | $3,148.90 – $27,252.71 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $17,175.83 | $4,866.49 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $10,435.39 | $2,147.95 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $11,570.77 | $2,314.15 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $17,175.83 | $4,580.22 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $10,435.39 | $3,349.76 – $27,252.71 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $10,435.39 | $5,391.62 – $27,252.71 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $11,570.77 | $3,856.92 – $27,252.71 |