Consultation pathology during surgery at Texas Health Hospital Frisco
12400 Dallas Parkway, Frisco, TX · Texashealth · · NPI 1104381292
$74.70
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.
$124.50
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.
$16.57 with Fort Worth Firefighters vs $195.93 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 |
|---|---|---|---|
| Fort Worth Firefighters | Commercial | $16.57 | ↓ -78% |
| Blue Cross Blue Shield | Managed Medicaid | $22.15 | ↓ -70% |
| United Healthcare | Managed Medicaid | $22.15 | ↓ -70% |
| Parkland | Managed Medicaid | $22.15 | ↓ -70% |
| Amerigroup | Managed Medicaid | $22.15 | ↓ -70% |
| Superior Wellcare | Managed Medicaid | $23.26 | ↓ -69% |
| Molina | Managed Medicaid | $23.92 | ↓ -68% |
| United Healthcare Options | PPO | $33.43 | ↓ -55% |
| United Healthcare | All Payer | $33.43 | ↓ -55% |
| Blue Cross Blue Shield | Exchange | $37.17 | ↓ -50% |
| City of Fort Worth | Commercial | $58.52 | ↓ -22% |
| American Health | Medicare Advantage | $59.26 | ↓ -21% |
| Blue Cross Blue Shield | Medicare Advantage | $59.26 | ↓ -21% |
| HealthSpring | Medicare Advantage | $60.45 | ↓ -19% |
| Humana | Medicare Advantage | $61.63 | ↓ -17% |
| Amerigroup | Medicare Advantage | $62.22 | ↓ -17% |
| Superior Wellcare | Medicare Advantage HMO | $62.22 | ↓ -17% |
| Molina | Medicare Advantage | $62.22 | ↓ -17% |
| Superior Wellcare | Medicare Advantage MMP | $65.19 | ↓ -13% |
| United Healthcare | Medicare Advantage PPO | $65.78 | ↓ -12% |
| Blue Cross Blue Shield | HMO | $66.19 | ↓ -11% |
| United Healthcare | Medicare Advantage HMO | $66.97 | ↓ -10% |
| Blue Cross Blue Shield | PPO | $73.55 | ↓ -2% |
| Quick Trip | Commercial | $74.70 | ↑ +0% |
| Aetna | Whole Health | $81.47 | ↑ +9% |
| Cigna | OAP/HMO | $84.42 | ↑ +13% |
| Cigna | PPO | $84.42 | ↑ +13% |
| PHCS | PPO | $86.53 | ↑ +16% |
| Aetna | Coventry | $87.27 | ↑ +17% |
| Aetna | ASA | $87.27 | ↑ +17% |
| Healthsmart | Commercial | $93.38 | ↑ +25% |
| Multiplan | Commercial | $108.32 | ↑ +45% |
| Aetna | Commercial | $108.63 | ↑ +45% |
| Galaxy | Commercial | $109.56 | ↑ +47% |
| USA | MCO | $109.56 | ↑ +47% |
| Cigna | Indemnity | $117.15 | ↑ +57% |
| Blue Cross Blue Shield | Traditional | $195.93 | ↑ +162% |
Visitor-reported prices
Comments
Consultation pathology during surgery at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $134.66 | $35.00 – $168.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $134.66 | $35.00 – $168.32 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | not published | $33.84 – $461.34 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $134.66 | $35.00 – $168.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $45.01 | $9.26 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $34.61 | $6.92 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $45.01 | $14.45 – $151.53 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $45.01 | $23.25 – $151.53 |