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Short Term Acute Care HospitalProprietary

Medical City Denton

HCA Healthcare · Denton, TX

3535 South 1-35 East, Denton, TX 76210(940) 384-3535

4 of 5

CMS star rating

321

Beds

18,471

Inpatient discharges a year

$474.3M

Net patient revenue a year

34

In-network payers

About this hospital

Medical City Denton is a 321-bed proprietary hospital in Denton, TX, affiliated with HCA Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 521 disclosed rate categories.

  • Disproportionate share hospital
CCN
450634
NPI
1306897277
Health system
HCA Healthcare
Teaching
Teaching hospital
County
Denton County
Metro area
Dallas-Fort Worth-Arlington, TX MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
1977
Last CMS survey
2024

Prices for common services

The 24 services Medical City Denton most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$10,982 - $13,850

from 4 insurers · median $11,641

Cigna$10,982
Insurer A*$11,506
Insurer B*$11,776
Insurer C*$13,850

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$15,616 - $19,141

from 4 insurers · median $16,846

Cigna$16,406
Insurer A*$15,616
Insurer B*$17,286
Insurer C*$19,141

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$1,635 - $11,236

from 3 insurers · median $6,553

Blue Cross$1,635
Insurer A*$6,553
Insurer B*$11,236
Medicare $880Nearby hospitals $2,872128% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$828 - $1,598

from 3 insurers · median $1,326

UnitedHealthcare$828
Insurer A*$1,326
Insurer B*$1,598
Medicare $339Nearby hospitals $1,4519% below nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Medical City Denton

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
395%
155
Insurer B*13
339%
04
Insurer C*23
322%
105
Insurer D*24
197%
69

How we chose these services: 7 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Medical City Denton, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    4 of 5 stars

    • 130 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.80%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 39 services, including trauma care
    • 622 affiliated clinicians
    See doctors and services
  • Finances

    $474.3M net patient revenue

    • Operating margin on patient care 12.8%
    • $45.2M unreimbursed and uncompensated care
    • $61.5M net income
    See finances
  • Ownership and leadership

    Owned by Columbia-sdh Holdings Inc

    • Private (for profit)
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Medical City Denton in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
62-1682213Columbia Medical Center Of Denton61Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 56 more1306897277 Columbia Medical Center Of Denton Subsidiary LP1952355919 Columbia Medical Center Of Denton Subsidiary LP1003660879 Columbia Medical Center Of Denton Subsidiary L.P.and 10 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

3535 South 1-35 East, Denton, TX 76210

(940) 384-3535

Get directions

Frequently asked questions

About Medical City Denton's rates and hospital price transparency.

How much does an MRI cost at Medical City Denton?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Medical City Denton range from $828 to $1,822 across 3 insurers. UnitedHealthcare's rate is $828. The median at nearby comparable hospitals is $1,566. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Medical City Denton?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Medical City Denton range from $828 to $1,598 across 3 insurers. UnitedHealthcare's rate is $828. The median at nearby comparable hospitals is $1,451. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Medical City Denton?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Medical City Denton range from $2,410 to $10,632 across 3 insurers. Blue Cross Blue Shield's rate is $2,410. The median at nearby comparable hospitals is $2,895. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Medical City Denton?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Medical City Denton range from $10,982 to $13,850 across 4 insurers. Cigna's rate is $10,982. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Medical City Denton?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Medical City Denton range from $155 to $447 across 4 insurers. Blue Cross Blue Shield's rate is $447. The median at nearby comparable hospitals is $272. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Medical City Denton?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Medical City Denton range from $37,440 to $72,255 across 4 insurers. Aetna's rate is $48,395. The median at nearby comparable hospitals is $47,335. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Medical City Denton's CMS star rating?

Medical City Denton has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Medical City Denton a teaching hospital?

Yes. CMS counts 0.12 Medicare-funded residents per bed at Medical City Denton for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Medical City Denton for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Medical City Denton's base inpatient payments by an estimated 0.80% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Medical City Denton?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (277 discharges), simple pneumonia and pleurisy with mcc (153 discharges), heart failure and shock with mcc (122 discharges).

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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CodingPricingPayer contractsCompliance
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  • Missing, duplicate and outdated charge lines identified
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