Critical care 30-74 minutes at Texas Health Hospital Frisco
12400 Dallas Parkway, Frisco, TX · Texashealth · · NPI 1104381292
$1,929.60
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.
$3,216.00
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.
$572.13 with Amerigroup vs $45,861.00 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $572.13 | ↓ -70% |
| Parkland | Managed Medicaid | $572.13 | ↓ -70% |
| United Healthcare | Managed Medicaid | $572.13 | ↓ -70% |
| Blue Cross Blue Shield | Managed Medicaid | $572.13 | ↓ -70% |
| Superior Wellcare | Managed Medicaid | $600.75 | ↓ -69% |
| Molina | Managed Medicaid | $617.79 | ↓ -68% |
| Blue Cross Blue Shield | Medicare Advantage | $829.79 | ↓ -57% |
| American Health | Medicare Advantage | $829.79 | ↓ -57% |
| HealthSpring | Medicare Advantage | $846.39 | ↓ -56% |
| Humana | Medicare Advantage | $862.98 | ↓ -55% |
| Molina | Medicare Advantage | $871.28 | ↓ -55% |
| Amerigroup | Medicare Advantage | $871.28 | ↓ -55% |
| Superior Wellcare | Medicare Advantage HMO | $871.28 | ↓ -55% |
| Superior Wellcare | Medicare Advantage MMP | $912.77 | ↓ -53% |
| United Healthcare | Medicare Advantage PPO | $921.07 | ↓ -52% |
| United Healthcare | Medicare Advantage HMO | $937.67 | ↓ -51% |
| City of Fort Worth | Commercial | $1,511.52 | ↓ -22% |
| Aetna | Whole Health | $1,650.13 | ↓ -14% |
| Fort Worth Firefighters | Commercial | $1,680.04 | ↓ -13% |
| Cigna | OAP/HMO | $1,777.80 | ↓ -8% |
| Quick Trip | Commercial | $1,929.60 | ↑ +0% |
| Aetna | Commercial | $2,200.07 | ↑ +14% |
| PHCS | PPO | $2,235.12 | ↑ +16% |
| Cigna | PPO | $2,241.55 | ↑ +16% |
| Aetna | Coventry | $2,254.42 | ↑ +17% |
| Aetna | ASA | $2,254.42 | ↑ +17% |
| Healthsmart | Commercial | $2,412.00 | ↑ +25% |
| Multiplan | Commercial | $2,797.92 | ↑ +45% |
| Galaxy | Commercial | $2,830.08 | ↑ +47% |
| USA | MCO | $2,830.08 | ↑ +47% |
| Cigna | Indemnity | $3,026.26 | ↑ +57% |
| United Healthcare | All Payer | $10,377.00 | ↑ +438% |
| United Healthcare Options | PPO | $13,659.00 | ↑ +608% |
| Blue Cross Blue Shield | Exchange | $22,089.00 | ↑ +1045% |
| Blue Cross Blue Shield | HMO | $41,275.00 | ↑ +2039% |
| Blue Cross Blue Shield | Traditional | $45,218.00 | ↑ +2243% |
| Blue Cross Blue Shield | PPO | $45,861.00 | ↑ +2277% |
Visitor-reported prices
Comments
Critical care 30-74 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,540.23 | $677.39 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $2,540.23 | $788.30 – $3,175.28 |
| Adventhealth Rollins Brook | Lampasas | $7,379.79 | $2,566.64 – $2,566.64 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,540.23 | $719.73 – $3,175.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,062.22 | $630.31 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,595.72 | $719.14 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,062.22 | $788.30 – $4,593.33 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,062.22 | $1,582.15 – $4,593.33 |