Complx repair enel addl 5cm/< 13153 at Texas Health Hospital Frisco
12400 Dallas Parkway, Frisco, TX · Texashealth · · NPI 1104381292
$490.50
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.
?
What you pay up front if you don't use insurance.
$817.50
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.
?
The hospital's undiscounted list price — almost no one pays this.
$145.43 with Amerigroup vs $1,568.00 with United Healthcare Options — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $145.43 | ↓ -70% |
| Parkland | Managed Medicaid | $145.43 | ↓ -70% |
| United Healthcare | Managed Medicaid | $145.43 | ↓ -70% |
| Blue Cross Blue Shield | Managed Medicaid | $145.43 | ↓ -70% |
| Superior Wellcare | Managed Medicaid | $152.71 | ↓ -69% |
| Molina | Managed Medicaid | $157.04 | ↓ -68% |
| Blue Cross Blue Shield | Medicare Advantage | $182.81 | ↓ -63% |
| American Health | Medicare Advantage | $182.81 | ↓ -63% |
| HealthSpring | Medicare Advantage | $186.46 | ↓ -62% |
| Humana | Medicare Advantage | $190.12 | ↓ -61% |
| Molina | Medicare Advantage | $191.95 | ↓ -61% |
| Amerigroup | Medicare Advantage | $191.95 | ↓ -61% |
| Superior Wellcare | Medicare Advantage HMO | $191.95 | ↓ -61% |
| Superior Wellcare | Medicare Advantage MMP | $201.09 | ↓ -59% |
| United Healthcare | Medicare Advantage PPO | $202.92 | ↓ -59% |
| United Healthcare | Medicare Advantage HMO | $206.57 | ↓ -58% |
| Blue Cross Blue Shield | Exchange | $328.64 | ↓ -33% |
| City of Fort Worth | Commercial | $384.23 | ↓ -22% |
| Aetna | Whole Health | $419.46 | ↓ -14% |
| Fort Worth Firefighters | Commercial | $427.06 | ↓ -13% |
| Cigna | OAP/HMO | $451.91 | ↓ -8% |
| Quick Trip | Commercial | $490.50 | ↑ +0% |
| Blue Cross Blue Shield | HMO | $519.11 | ↑ +6% |
| Aetna | Commercial | $559.25 | ↑ +14% |
| PHCS | PPO | $568.16 | ↑ +16% |
| Cigna | PPO | $569.80 | ↑ +16% |
| Aetna | ASA | $573.07 | ↑ +17% |
| Aetna | Coventry | $573.07 | ↑ +17% |
| Blue Cross Blue Shield | PPO | $576.34 | ↑ +18% |
| Healthsmart | Commercial | $613.13 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $702.23 | ↑ +43% |
| Multiplan | Commercial | $711.23 | ↑ +45% |
| USA | MCO | $719.40 | ↑ +47% |
| Galaxy | Commercial | $719.40 | ↑ +47% |
| Cigna | Indemnity | $769.27 | ↑ +57% |
| United Healthcare | All Payer | $1,247.00 | ↑ +154% |
| United Healthcare Options | PPO | $1,568.00 | ↑ +220% |
Visitor-reported prices
Comments
Complx repair enel addl 5cm/< 13153 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $680.92 | $181.58 – $964.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $680.92 | $317.76 – $964.63 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $680.92 | $192.93 – $964.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,237.05 | $71.00 – $1,855.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $773.39 | $71.00 – $966.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,237.05 | $85.00 – $1,855.58 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,237.05 | $639.14 – $1,855.58 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $773.39 | $71.00 – $1,160.08 |