Eeg 41-60 minutes 95812-26 at Texas Health Hospital Frisco
12400 Dallas Parkway, Frisco, TX · Texashealth · · NPI 1104381292
$2,239.80
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.
$3,733.00
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.
$216.91 with American Health vs $3,512.75 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 | $216.91 | ↓ -90% |
| Blue Cross Blue Shield | Medicare Advantage | $216.91 | ↓ -90% |
| HealthSpring | Medicare Advantage | $221.25 | ↓ -90% |
| Humana | Medicare Advantage | $225.58 | ↓ -90% |
| Molina | Medicare Advantage | $227.75 | ↓ -90% |
| Amerigroup | Medicare Advantage | $227.75 | ↓ -90% |
| Superior Wellcare | Medicare Advantage HMO | $227.75 | ↓ -90% |
| Superior Wellcare | Medicare Advantage MMP | $238.60 | ↓ -89% |
| United Healthcare | Medicare Advantage PPO | $240.77 | ↓ -89% |
| United Healthcare | Medicare Advantage HMO | $245.11 | ↓ -89% |
| Blue Cross Blue Shield | Exchange | $330.70 | ↓ -85% |
| United Healthcare | All Payer | $457.00 | ↓ -80% |
| United Healthcare Options | PPO | $608.00 | ↓ -73% |
| Amerigroup | Managed Medicaid | $664.10 | ↓ -70% |
| Parkland | Managed Medicaid | $664.10 | ↓ -70% |
| Blue Cross Blue Shield | Managed Medicaid | $664.10 | ↓ -70% |
| United Healthcare | Managed Medicaid | $664.10 | ↓ -70% |
| Blue Cross Blue Shield | HMO | $681.77 | ↓ -70% |
| Superior Wellcare | Managed Medicaid | $697.32 | ↓ -69% |
| Molina | Managed Medicaid | $717.11 | ↓ -68% |
| Blue Cross Blue Shield | PPO | $757.58 | ↓ -66% |
| Aetna | Whole Health | $1,532.77 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $1,639.91 | ↓ -27% |
| City of Fort Worth | Commercial | $1,754.51 | ↓ -22% |
| Blue Cross Blue Shield | Traditional | $2,008.36 | ↓ -10% |
| Aetna | Commercial | $2,043.82 | ↓ -9% |
| Cigna | OAP/HMO | $2,063.60 | ↓ -8% |
| Quick Trip | Commercial | $2,239.80 | ↑ +0% |
| PHCS | PPO | $2,594.44 | ↑ +16% |
| Cigna | PPO | $2,601.90 | ↑ +16% |
| Aetna | Coventry | $2,616.83 | ↑ +17% |
| Aetna | ASA | $2,616.83 | ↑ +17% |
| Healthsmart | Commercial | $2,799.75 | ↑ +25% |
| Multiplan | Commercial | $3,247.71 | ↑ +45% |
| Galaxy | Commercial | $3,285.04 | ↑ +47% |
| USA | MCO | $3,285.04 | ↑ +47% |
| Cigna | Indemnity | $3,512.75 | ↑ +57% |
Visitor-reported prices
Comments
Eeg 41-60 minutes 95812-26 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,195.08 | $206.06 – $1,493.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $1,195.08 | $206.06 – $1,493.85 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | $7,318.62 | $641.28 – $1,813.39 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,195.08 | $206.06 – $1,493.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,232.05 | $253.60 – $1,848.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,053.58 | $206.06 – $1,316.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,232.05 | $206.06 – $1,848.08 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,232.05 | $636.56 – $1,848.08 |