Bronchoscopy w/biopsy(s) 31625 at Texas Health Hospital Frisco
12400 Dallas Parkway, Frisco, TX · Texashealth · · NPI 1104381292
$1,997.10
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.
$3,328.50
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.
$525.71 with Amerigroup vs $11,954.18 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $525.71 | ↓ -74% |
| Parkland | Managed Medicaid | $525.71 | ↓ -74% |
| United Healthcare | Managed Medicaid | $525.71 | ↓ -74% |
| Blue Cross Blue Shield | Managed Medicaid | $525.71 | ↓ -74% |
| Superior Wellcare | Managed Medicaid | $552.00 | ↓ -72% |
| Molina | Managed Medicaid | $567.77 | ↓ -72% |
| Aetna | Whole Health | $666.00 | ↓ -67% |
| City of Fort Worth | Commercial | $810.52 | ↓ -59% |
| Aetna | Commercial | $888.12 | ↓ -56% |
| Cigna | OAP/HMO | $953.30 | ↓ -52% |
| Quick Trip | Commercial | $1,034.70 | ↓ -48% |
| Fort Worth Firefighters | Commercial | $1,052.81 | ↓ -47% |
| PHCS | PPO | $1,198.53 | ↓ -40% |
| Cigna | PPO | $1,201.98 | ↓ -40% |
| Aetna | Coventry | $1,208.87 | ↓ -39% |
| Aetna | ASA | $1,208.87 | ↓ -39% |
| Healthsmart | Commercial | $1,293.38 | ↓ -35% |
| Multiplan | Commercial | $1,500.32 | ↓ -25% |
| Galaxy | Commercial | $1,517.56 | ↓ -24% |
| USA | MCO | $1,517.56 | ↓ -24% |
| Cigna | Indemnity | $1,622.75 | ↓ -19% |
| Blue Cross Blue Shield | Medicare Advantage | $1,788.01 | ↓ -10% |
| American Health | Medicare Advantage | $1,788.01 | ↓ -10% |
| Blue Cross Blue Shield | Exchange | $1,798.28 | ↓ -10% |
| HealthSpring | Medicare Advantage | $1,823.77 | ↓ -9% |
| Humana | Medicare Advantage | $1,859.53 | ↓ -7% |
| Molina | Medicare Advantage | $1,877.41 | ↓ -6% |
| Amerigroup | Medicare Advantage | $1,877.41 | ↓ -6% |
| Superior Wellcare | Medicare Advantage HMO | $1,877.41 | ↓ -6% |
| Superior Wellcare | Medicare Advantage MMP | $1,966.81 | ↓ -2% |
| United Healthcare | Medicare Advantage PPO | $1,984.69 | ↓ -1% |
| United Healthcare | Medicare Advantage HMO | $2,020.45 | ↑ +1% |
| United Healthcare | All Payer | $2,923.00 | ↑ +46% |
| Blue Cross Blue Shield | HMO | $3,361.93 | ↑ +68% |
| Blue Cross Blue Shield | PPO | $3,735.32 | ↑ +87% |
| United Healthcare Options | PPO | $3,751.00 | ↑ +88% |
| Blue Cross Blue Shield | Traditional | $11,954.18 | ↑ +499% |
Visitor-reported prices
Comments
Bronchoscopy w/biopsy(s) 31625 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | not published | $525.71 – $4,063.00 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | not published | $525.71 – $1,988.55 |
| St. Luke's Health - Patients Medical Center | Pasadena | $1,916.46 | $3,285.36 – $4,106.70 |
| Baylor St Luke's Medical Center | Houston | $2,998.45 | $1,285.00 – $8,567.00 |
| St. Joseph Health Madison Hospital | Madisonville | $1,028.48 | $748.73 – $5,877.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $2,998.45 | $1,285.00 – $8,567.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $2,998.45 | $1,285.00 – $8,567.00 |
| St. Joseph Health College Station Hospital | College Station | $1,028.48 | $3,232.35 – $5,877.00 |