CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Texas Health Presbyterian Hospital Denton

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$123
about 1.0× the $118 Medicare rate · typically $94–$203
modeled estimate · not a bill or quote
What this hospital charges insurers
$120
About the fair price
about $3 under the fair price · 1.0× Medicare
Medicare pays $118 Fair price $123 This hospital $120 Cash price $326 Hospital's list price $543

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $54 Priciest $120

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $123 (about 1.0× the $118 Medicare rate). Texas Health Presbyterian Hospital Denton charges insurers about $120, or about $326 in cash — about the fair price. Located in Denton, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $38 - $880 32%
Blue Cross Blue Shieldmajor $38 - $636 32%
Aetnamajor $42 - $1,126 36%
Cignamajor $227 - $1,511 193%
Humanamajor $119 101%
Amerigroup $38 - $150 32%
Cigna HealthSpring $116 99%
Molina $41 - $162 35%
WellCare $40 - $158 34%
+ 6 smaller / regional plans $38 - $1,413
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3000 N I-35, Denton, TX 76201
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals