Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm at Texas Health Hospital Frisco

12400 Dallas Parkway, Frisco, TX · Texashealth · · NPI 1104381292

Source: hospital's published price file ↗ · Published Apr 21, 2026 · Ingested Sep 16, 2026

$409.86

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$683.10

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$30.66 with Amerigroup vs $374.53 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 →

Payer
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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
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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 $30.66 ↓ -93%
Blue Cross Blue Shield Managed Medicaid $30.66 ↓ -93%
United Healthcare Managed Medicaid $30.66 ↓ -93%
Parkland Managed Medicaid $30.66 ↓ -93%
Superior Wellcare Managed Medicaid $32.19 ↓ -92%
Molina Managed Medicaid $33.10 ↓ -92%
Blue Cross Blue Shield Exchange $52.49 ↓ -87%
Aetna Whole Health $59.59 ↓ -85%
Fort Worth Firefighters Commercial $75.70 ↓ -82%
Aetna Commercial $79.44 ↓ -81%
City of Fort Worth Commercial $80.99 ↓ -80%
Blue Cross Blue Shield HMO $82.37 ↓ -80%
United Healthcare All Payer $89.12 ↓ -78%
Blue Cross Blue Shield PPO $91.54 ↓ -78%
United Healthcare Options PPO $94.43 ↓ -77%
Cigna OAP/HMO $95.26 ↓ -77%
Quick Trip Commercial $103.39 ↓ -75%
PHCS PPO $119.76 ↓ -71%
Cigna PPO $120.11 ↓ -71%
Aetna Coventry $120.80 ↓ -71%
Aetna ASA $120.80 ↓ -71%
Blue Cross Blue Shield Medicare Advantage $125.01 ↓ -69%
American Health Medicare Advantage $125.01 ↓ -69%
HealthSpring Medicare Advantage $127.51 ↓ -69%
Healthsmart Commercial $129.24 ↓ -68%
Humana Medicare Advantage $130.01 ↓ -68%
Superior Wellcare Medicare Advantage HMO $131.26 ↓ -68%
Amerigroup Medicare Advantage $131.26 ↓ -68%
Molina Medicare Advantage $131.26 ↓ -68%
Superior Wellcare Medicare Advantage MMP $137.51 ↓ -66%
United Healthcare Medicare Advantage PPO $138.76 ↓ -66%
United Healthcare Medicare Advantage HMO $141.26 ↓ -66%
Multiplan Commercial $149.92 ↓ -63%
Galaxy Commercial $151.64 ↓ -63%
USA MCO $151.64 ↓ -63%
Cigna Indemnity $162.15 ↓ -60%
Blue Cross Blue Shield Traditional $374.53 ↓ -9%

Visitor-reported prices

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Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $321.43 $10.05 – $268.77
BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY Frisco $321.43 $17.59 – $268.77
MEDICAL CITY FRISCO HOSPITAL Frisco not published $48.30 – $325.30
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $321.43 $10.68 – $268.77
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $321.43 $7.76 – $56.53
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $321.43 $7.54 – $131.26
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $321.43 $12.10 – $186.89
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $321.43 $19.47 – $56.53

All Texas hospitals for this procedure →