Drain neck/chest lesion 21501 at Texas Health Hospital Frisco
12400 Dallas Parkway, Frisco, TX · Texashealth · · NPI 1104381292
$1,689.60
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.
$2,816.00
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.
$815.20 with United Healthcare vs $6,494.00 with United Healthcare Options — 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 | $815.20 | ↓ -52% |
| Parkland | Managed Medicaid | $815.20 | ↓ -52% |
| Blue Cross Blue Shield | Managed Medicaid | $815.20 | ↓ -52% |
| Amerigroup | Managed Medicaid | $815.20 | ↓ -52% |
| Superior Wellcare | Managed Medicaid | $855.96 | ↓ -49% |
| Molina | Managed Medicaid | $880.42 | ↓ -48% |
| Blue Cross Blue Shield | Exchange | $1,132.03 | ↓ -33% |
| City of Fort Worth | Commercial | $1,323.52 | ↓ -22% |
| Aetna | Whole Health | $1,444.89 | ↓ -14% |
| Fort Worth Firefighters | Commercial | $1,471.08 | ↓ -13% |
| Cigna | OAP/HMO | $1,556.68 | ↓ -8% |
| Quick Trip | Commercial | $1,689.60 | ↑ +0% |
| Blue Cross Blue Shield | HMO | $1,788.16 | ↑ +6% |
| Aetna | Commercial | $1,926.43 | ↑ +14% |
| PHCS | PPO | $1,957.12 | ↑ +16% |
| Cigna | PPO | $1,962.75 | ↑ +16% |
| Aetna | Coventry | $1,974.02 | ↑ +17% |
| Aetna | ASA | $1,974.02 | ↑ +17% |
| Blue Cross Blue Shield | PPO | $1,985.28 | ↑ +18% |
| Healthsmart | Commercial | $2,112.00 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $2,418.94 | ↑ +43% |
| Multiplan | Commercial | $2,449.92 | ↑ +45% |
| USA | MCO | $2,478.08 | ↑ +47% |
| Galaxy | Commercial | $2,478.08 | ↑ +47% |
| Cigna | Indemnity | $2,649.86 | ↑ +57% |
| Blue Cross Blue Shield | Medicare Advantage | $2,917.95 | ↑ +73% |
| American Health | Medicare Advantage | $2,917.95 | ↑ +73% |
| HealthSpring | Medicare Advantage | $2,976.31 | ↑ +76% |
| Humana | Medicare Advantage | $3,034.67 | ↑ +80% |
| Molina | Medicare Advantage | $3,063.85 | ↑ +81% |
| Amerigroup | Medicare Advantage | $3,063.85 | ↑ +81% |
| Superior Wellcare | Medicare Advantage HMO | $3,063.85 | ↑ +81% |
| Superior Wellcare | Medicare Advantage MMP | $3,209.75 | ↑ +90% |
| United Healthcare | Medicare Advantage PPO | $3,238.93 | ↑ +92% |
| United Healthcare | Medicare Advantage HMO | $3,297.29 | ↑ +95% |
| United Healthcare | All Payer | $5,023.00 | ↑ +197% |
| United Healthcare Options | PPO | $6,494.00 | ↑ +284% |
Visitor-reported prices
Comments
Drain neck/chest lesion 21501 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,727.07 | $815.20 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $2,727.07 | $815.20 – $6,273.59 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | not published | $815.20 – $3,223.26 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,727.07 | $815.20 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,220.39 | $71.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,074.02 | $71.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,220.39 | $85.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,220.39 | $815.20 – $7,039.11 |