Colonoscopy stoma w/endo mucosal rescj 44403 at Texas Health Hospital Frisco
12400 Dallas Parkway, Frisco, TX · Texashealth · · NPI 1104381292
$1,671.30
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.
$2,785.50
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.
$429.26 with United Healthcare vs $8,391.26 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 | $429.26 | ↓ -74% |
| Parkland | Managed Medicaid | $429.26 | ↓ -74% |
| Blue Cross Blue Shield | Managed Medicaid | $429.26 | ↓ -74% |
| Amerigroup | Managed Medicaid | $429.26 | ↓ -74% |
| Superior Wellcare | Managed Medicaid | $450.72 | ↓ -73% |
| Molina | Managed Medicaid | $463.60 | ↓ -72% |
| Aetna | Whole Health | $1,075.76 | ↓ -36% |
| Blue Cross Blue Shield | Medicare Advantage | $1,202.09 | ↓ -28% |
| American Health | Medicare Advantage | $1,202.09 | ↓ -28% |
| HealthSpring | Medicare Advantage | $1,226.14 | ↓ -27% |
| Humana | Medicare Advantage | $1,250.18 | ↓ -25% |
| Molina | Medicare Advantage | $1,262.20 | ↓ -24% |
| Amerigroup | Medicare Advantage | $1,262.20 | ↓ -24% |
| Superior Wellcare | Medicare Advantage HMO | $1,262.20 | ↓ -24% |
| Blue Cross Blue Shield | Exchange | $1,262.30 | ↓ -24% |
| City of Fort Worth | Commercial | $1,309.19 | ↓ -22% |
| Superior Wellcare | Medicare Advantage MMP | $1,322.30 | ↓ -21% |
| United Healthcare | Medicare Advantage PPO | $1,334.32 | ↓ -20% |
| United Healthcare | Medicare Advantage HMO | $1,358.37 | ↓ -19% |
| Aetna | Commercial | $1,434.53 | ↓ -14% |
| Cigna | OAP/HMO | $1,539.82 | ↓ -8% |
| Quick Trip | Commercial | $1,671.30 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $1,700.55 | ↑ +2% |
| PHCS | PPO | $1,935.92 | ↑ +16% |
| Cigna | PPO | $1,941.49 | ↑ +16% |
| Aetna | Coventry | $1,952.64 | ↑ +17% |
| Aetna | ASA | $1,952.64 | ↑ +17% |
| Healthsmart | Commercial | $2,089.13 | ↑ +25% |
| Blue Cross Blue Shield | HMO | $2,359.92 | ↑ +41% |
| Multiplan | Commercial | $2,423.39 | ↑ +45% |
| Galaxy | Commercial | $2,451.24 | ↑ +47% |
| USA | MCO | $2,451.24 | ↑ +47% |
| Cigna | Indemnity | $2,621.16 | ↑ +57% |
| Blue Cross Blue Shield | PPO | $2,622.02 | ↑ +57% |
| United Healthcare | All Payer | $2,923.00 | ↑ +75% |
| United Healthcare Options | PPO | $3,751.00 | ↑ +124% |
| Blue Cross Blue Shield | Traditional | $8,391.26 | ↑ +402% |
Visitor-reported prices
Comments
Colonoscopy stoma w/endo mucosal rescj 44403 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MEDICAL CITY FRISCO HOSPITAL | Frisco | not published | $429.26 – $1,395.87 |
| Texas Health Presbyterian Hospital Allen | Allen | $1,671.30 | $429.26 – $463.60 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $1,671.30 | $429.26 – $463.60 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth | $1,671.30 | $429.26 – $472.19 |
| CHRISTUS Health - West Beaumont | Beaumont | $1,090.32 | $429.26 – $3,215.00 |
| Houston Methodist The Woodlands Hospital | The Woodlands | $922.00 | $1,202.09 – $2,404.19 |
| Houston Methodist Cypress Hospital | Cypress | $922.00 | $1,202.09 – $2,344.08 |
| Houston Methodist Willowbrook Hospital | Houston | $922.00 | $1,202.09 – $2,344.08 |