Bx breast pq tomo guide at Texas Health Hospital Frisco
12400 Dallas Parkway, Frisco, TX · Texashealth · · NPI 1104381292
$4,428.15
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.
$7,380.25
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.
$1,312.95 with Amerigroup vs $6,944.82 with Cigna — 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 | $1,312.95 | ↓ -70% |
| Parkland | Managed Medicaid | $1,312.95 | ↓ -70% |
| United Healthcare | Managed Medicaid | $1,312.95 | ↓ -70% |
| Blue Cross Blue Shield | Managed Medicaid | $1,312.95 | ↓ -70% |
| Superior Wellcare | Managed Medicaid | $1,378.63 | ↓ -69% |
| Molina | Managed Medicaid | $1,417.75 | ↓ -68% |
| Blue Cross Blue Shield | Exchange | $2,966.86 | ↓ -33% |
| City of Fort Worth | Commercial | $3,468.72 | ↓ -22% |
| Aetna | Whole Health | $3,786.81 | ↓ -14% |
| Fort Worth Firefighters | Commercial | $3,855.44 | ↓ -13% |
| Blue Cross Blue Shield | Medicare Advantage | $3,933.28 | ↓ -11% |
| American Health | Medicare Advantage | $3,933.28 | ↓ -11% |
| HealthSpring | Medicare Advantage | $4,011.94 | ↓ -9% |
| Cigna | OAP/HMO | $4,079.80 | ↓ -8% |
| Humana | Medicare Advantage | $4,090.61 | ↓ -8% |
| Molina | Medicare Advantage | $4,129.94 | ↓ -7% |
| Amerigroup | Medicare Advantage | $4,129.94 | ↓ -7% |
| Superior Wellcare | Medicare Advantage HMO | $4,129.94 | ↓ -7% |
| Superior Wellcare | Medicare Advantage MMP | $4,326.60 | ↓ -2% |
| United Healthcare | Medicare Advantage PPO | $4,365.94 | ↓ -1% |
| Quick Trip | Commercial | $4,428.15 | ↑ +0% |
| United Healthcare | Medicare Advantage HMO | $4,444.60 | ↑ +0% |
| Blue Cross Blue Shield | HMO | $4,686.46 | ↑ +6% |
| United Healthcare | All Payer | $5,023.00 | ↑ +13% |
| Aetna | Commercial | $5,048.83 | ↑ +14% |
| PHCS | PPO | $5,129.27 | ↑ +16% |
| Cigna | PPO | $5,144.03 | ↑ +16% |
| Aetna | Coventry | $5,173.56 | ↑ +17% |
| Aetna | ASA | $5,173.56 | ↑ +17% |
| Blue Cross Blue Shield | PPO | $5,203.08 | ↑ +18% |
| Healthsmart | Commercial | $5,535.19 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $6,339.63 | ↑ +43% |
| Multiplan | Commercial | $6,420.82 | ↑ +45% |
| United Healthcare Options | PPO | $6,494.00 | ↑ +47% |
| USA | MCO | $6,494.62 | ↑ +47% |
| Galaxy | Commercial | $6,494.62 | ↑ +47% |
| Cigna | Indemnity | $6,944.82 | ↑ +57% |
Visitor-reported prices
Comments
Bx breast pq tomo guide at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $8,632.80 | $881.09 – $9,442.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $8,632.80 | $1,304.01 – $8,456.55 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | not published | $3,952.94 – $4,211.07 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $8,632.80 | $881.09 – $9,442.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $8,632.80 | $71.00 – $9,442.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $8,632.80 | $71.00 – $9,442.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $8,632.80 | $85.00 – $9,442.65 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $8,632.80 | $2,612.50 – $9,442.65 |