Cltx post ankle fx w/mnpj at Texas Health Hospital Frisco
12400 Dallas Parkway, Frisco, TX · Texashealth · · NPI 1104381292
$2,327.55
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.
$3,879.25
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.
$850.02 with Blue Cross Blue Shield vs $3,650.37 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $850.02 | ↓ -63% |
| United Healthcare | Managed Medicaid | $850.02 | ↓ -63% |
| Parkland | Managed Medicaid | $850.02 | ↓ -63% |
| Amerigroup | Managed Medicaid | $850.02 | ↓ -63% |
| Superior Wellcare | Managed Medicaid | $892.52 | ↓ -62% |
| Molina | Managed Medicaid | $918.02 | ↓ -61% |
| Fort Worth Firefighters | Commercial | $996.00 | ↓ -57% |
| United Healthcare | All Payer | $1,247.00 | ↓ -46% |
| Blue Cross Blue Shield | Exchange | $1,559.46 | ↓ -33% |
| United Healthcare Options | PPO | $1,568.00 | ↓ -33% |
| American Health | Medicare Advantage | $1,615.32 | ↓ -31% |
| Blue Cross Blue Shield | Medicare Advantage | $1,615.32 | ↓ -31% |
| HealthSpring | Medicare Advantage | $1,647.63 | ↓ -29% |
| Humana | Medicare Advantage | $1,679.93 | ↓ -28% |
| Amerigroup | Medicare Advantage | $1,696.09 | ↓ -27% |
| Superior Wellcare | Medicare Advantage HMO | $1,696.09 | ↓ -27% |
| Molina | Medicare Advantage | $1,696.09 | ↓ -27% |
| Superior Wellcare | Medicare Advantage MMP | $1,776.85 | ↓ -24% |
| United Healthcare | Medicare Advantage PPO | $1,793.00 | ↓ -23% |
| City of Fort Worth | Commercial | $1,823.25 | ↓ -22% |
| United Healthcare | Medicare Advantage HMO | $1,825.31 | ↓ -22% |
| Aetna | Whole Health | $1,990.44 | ↓ -14% |
| Cigna | OAP/HMO | $2,144.45 | ↓ -8% |
| Quick Trip | Commercial | $2,327.55 | ↑ +0% |
| Blue Cross Blue Shield | HMO | $2,463.32 | ↑ +6% |
| Aetna | Commercial | $2,653.79 | ↑ +14% |
| PHCS | PPO | $2,696.08 | ↑ +16% |
| Cigna | PPO | $2,703.84 | ↑ +16% |
| Aetna | ASA | $2,719.35 | ↑ +17% |
| Aetna | Coventry | $2,719.35 | ↑ +17% |
| Blue Cross Blue Shield | PPO | $2,734.87 | ↑ +17% |
| Healthsmart | Commercial | $2,909.44 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $3,332.28 | ↑ +43% |
| Multiplan | Commercial | $3,374.95 | ↑ +45% |
| Galaxy | Commercial | $3,413.74 | ↑ +47% |
| USA | MCO | $3,413.74 | ↑ +47% |
| Cigna | Indemnity | $3,650.37 | ↑ +57% |
Visitor-reported prices
Comments
Cltx post ankle fx w/mnpj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,621.81 | $850.02 – $3,981.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $2,621.81 | $850.02 – $3,472.94 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | not published | $850.02 – $1,883.99 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,621.81 | $850.02 – $3,981.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $661.84 | $71.00 – $3,981.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,559.18 | $71.00 – $3,981.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $661.84 | $85.00 – $3,981.46 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $661.84 | $551.53 – $3,981.46 |