Breath test analysis c-14 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.
$79.30 with Amerigroup vs $132.19 with Fort Worth Firefighters — 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $79.30 | — |
| Parkland | Managed Medicaid | $79.30 | — |
| United Healthcare | Managed Medicaid | $79.30 | — |
| Blue Cross Blue Shield | Managed Medicaid | $79.30 | — |
| Superior Wellcare | Managed Medicaid | $83.27 | — |
| Molina | Managed Medicaid | $85.64 | — |
| Blue Cross Blue Shield | Medicare Advantage | $94.41 | — |
| American Health | Medicare Advantage | $94.41 | — |
| HealthSpring | Medicare Advantage | $96.30 | — |
| Humana | Medicare Advantage | $98.19 | — |
| Molina | Medicare Advantage | $99.13 | — |
| Amerigroup | Medicare Advantage | $99.13 | — |
| Superior Wellcare | Medicare Advantage HMO | $99.13 | — |
| Superior Wellcare | Medicare Advantage MMP | $103.85 | — |
| United Healthcare | Medicare Advantage PPO | $104.80 | — |
| United Healthcare | Medicare Advantage HMO | $106.68 | — |
| Fort Worth Firefighters | Commercial | $132.19 | — |
Visitor-reported prices
Comments
Breath test analysis c-14 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $197.34 | $79.30 – $246.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $197.34 | $79.30 – $246.68 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | not published | $79.30 – $247.35 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $197.34 | $79.30 – $246.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $401.25 | $82.59 – $601.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $421.31 | $79.30 – $526.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $401.25 | $84.85 – $601.88 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $401.25 | $79.30 – $601.88 |