Dialysis repeated eval at Texas Health Hospital Frisco
12400 Dallas Parkway, Frisco, TX · Texashealth · · NPI 1104381292
$2,195.40
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.
$3,659.00
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.
$104.73 with American Health vs $3,443.12 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 |
|---|---|---|---|
| American Health | Medicare Advantage | $104.73 | ↓ -95% |
| Blue Cross Blue Shield | Medicare Advantage | $104.73 | ↓ -95% |
| HealthSpring | Medicare Advantage | $106.82 | ↓ -95% |
| Humana | Medicare Advantage | $108.92 | ↓ -95% |
| Molina | Medicare Advantage | $109.96 | ↓ -95% |
| Amerigroup | Medicare Advantage | $109.96 | ↓ -95% |
| Superior Wellcare | Medicare Advantage HMO | $109.96 | ↓ -95% |
| Superior Wellcare | Medicare Advantage MMP | $115.20 | ↓ -95% |
| United Healthcare | Medicare Advantage PPO | $116.25 | ↓ -95% |
| United Healthcare | Medicare Advantage HMO | $118.34 | ↓ -95% |
| United Healthcare | Managed Medicaid | $650.94 | ↓ -70% |
| Blue Cross Blue Shield | Managed Medicaid | $650.94 | ↓ -70% |
| Parkland | Managed Medicaid | $650.94 | ↓ -70% |
| Amerigroup | Managed Medicaid | $650.94 | ↓ -70% |
| Superior Wellcare | Managed Medicaid | $683.50 | ↓ -69% |
| Molina | Managed Medicaid | $702.89 | ↓ -68% |
| Blue Cross Blue Shield | Exchange | $1,061.11 | ↓ -52% |
| Aetna | Whole Health | $1,502.39 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $1,607.40 | ↓ -27% |
| Blue Cross Blue Shield | HMO | $1,690.46 | ↓ -23% |
| City of Fort Worth | Commercial | $1,719.73 | ↓ -22% |
| Blue Cross Blue Shield | PPO | $1,880.73 | ↓ -14% |
| United Healthcare | All Payer | $1,892.43 | ↓ -14% |
| Aetna | Commercial | $2,003.30 | ↓ -9% |
| United Healthcare Options | PPO | $2,005.13 | ↓ -9% |
| Cigna | OAP/HMO | $2,022.70 | ↓ -8% |
| Quick Trip | Commercial | $2,195.40 | ↑ +0% |
| PHCS | PPO | $2,543.01 | ↑ +16% |
| Cigna | PPO | $2,550.32 | ↑ +16% |
| Aetna | Coventry | $2,564.96 | ↑ +17% |
| Aetna | ASA | $2,564.96 | ↑ +17% |
| Healthsmart | Commercial | $2,744.25 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $3,018.68 | ↑ +38% |
| Multiplan | Commercial | $3,183.33 | ↑ +45% |
| Galaxy | Commercial | $3,219.92 | ↑ +47% |
| USA | MCO | $3,219.92 | ↑ +47% |
| Cigna | Indemnity | $3,443.12 | ↑ +57% |
Visitor-reported prices
Comments
Dialysis repeated eval at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,087.50 | $290.00 – $1,540.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $1,087.50 | $507.50 – $1,540.62 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | not published | $880.19 – $880.19 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,087.50 | $308.12 – $1,540.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,523.40 | $313.57 – $2,285.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,523.40 | $304.68 – $1,904.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,523.40 | $489.01 – $2,285.10 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,523.40 | $787.09 – $2,285.10 |