Biopsy of rectum wall anal approach 45100 at Texas Health Hospital Frisco
12400 Dallas Parkway, Frisco, TX · Texashealth · · NPI 1104381292
not published by hospital
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.
not published by hospital
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.
$939.93 with United Healthcare vs $19,587.97 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 | $939.93 | — |
| Parkland | Managed Medicaid | $939.93 | — |
| Amerigroup | Managed Medicaid | $939.93 | — |
| Blue Cross Blue Shield | Managed Medicaid | $939.93 | — |
| Superior Wellcare | Managed Medicaid | $986.93 | — |
| Molina | Managed Medicaid | $1,015.12 | — |
| Fort Worth Firefighters | Commercial | $2,319.00 | — |
| Blue Cross Blue Shield | Medicare Advantage | $2,788.31 | — |
| American Health | Medicare Advantage | $2,788.31 | — |
| HealthSpring | Medicare Advantage | $2,844.08 | — |
| Humana | Medicare Advantage | $2,899.84 | — |
| United Healthcare | All Payer | $2,923.00 | — |
| Molina | Medicare Advantage | $2,927.72 | — |
| Superior Wellcare | Medicare Advantage HMO | $2,927.72 | — |
| Amerigroup | Medicare Advantage | $2,927.72 | — |
| Blue Cross Blue Shield | Exchange | $2,946.63 | — |
| Superior Wellcare | Medicare Advantage MMP | $3,067.14 | — |
| United Healthcare | Medicare Advantage PPO | $3,095.02 | — |
| United Healthcare | Medicare Advantage HMO | $3,150.79 | — |
| United Healthcare Options | PPO | $3,751.00 | — |
| Blue Cross Blue Shield | HMO | $5,508.82 | — |
| Blue Cross Blue Shield | PPO | $6,120.65 | — |
| Blue Cross Blue Shield | Traditional | $19,587.97 | — |
Visitor-reported prices
Comments
Biopsy of rectum wall anal approach 45100 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,886.41 | $939.93 – $6,955.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $1,886.41 | $939.93 – $5,994.87 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | not published | $939.93 – $3,258.41 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,886.41 | $939.93 – $6,955.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,832.14 | $788.78 – $6,955.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,738.06 | $939.93 – $6,955.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,832.14 | $1,005.73 – $6,955.62 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,832.14 | $939.93 – $6,955.62 |