Ghs layered repair 20.1 - 30.0 cm -12056 at Texas Health Hospital Frisco
12400 Dallas Parkway, Frisco, TX · Texashealth · · NPI 1104381292
$276.30
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.
$460.50
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.
$143.08 with United Healthcare vs $1,568.00 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 | $143.08 | ↓ -48% |
| Blue Cross Blue Shield | Managed Medicaid | $143.08 | ↓ -48% |
| Parkland | Managed Medicaid | $143.08 | ↓ -48% |
| Amerigroup | Managed Medicaid | $143.08 | ↓ -48% |
| Superior Wellcare | Managed Medicaid | $150.23 | ↓ -46% |
| Molina | Managed Medicaid | $154.53 | ↓ -44% |
| Blue Cross Blue Shield | Exchange | $185.12 | ↓ -33% |
| City of Fort Worth | Commercial | $216.44 | ↓ -22% |
| Aetna | Whole Health | $236.28 | ↓ -14% |
| Fort Worth Firefighters | Commercial | $240.57 | ↓ -13% |
| Cigna | OAP/HMO | $254.56 | ↓ -8% |
| Quick Trip | Commercial | $276.30 | ↑ +0% |
| Blue Cross Blue Shield | HMO | $292.42 | ↑ +6% |
| Aetna | Commercial | $315.03 | ↑ +14% |
| PHCS | PPO | $320.05 | ↑ +16% |
| Cigna | PPO | $320.97 | ↑ +16% |
| Aetna | Coventry | $322.81 | ↑ +17% |
| Aetna | ASA | $322.81 | ↑ +17% |
| Blue Cross Blue Shield | PPO | $324.65 | ↑ +17% |
| Healthsmart | Commercial | $345.38 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $395.57 | ↑ +43% |
| Multiplan | Commercial | $400.64 | ↑ +45% |
| USA | MCO | $405.24 | ↑ +47% |
| Galaxy | Commercial | $405.24 | ↑ +47% |
| Blue Cross Blue Shield | Medicare Advantage | $408.37 | ↑ +48% |
| American Health | Medicare Advantage | $408.37 | ↑ +48% |
| HealthSpring | Medicare Advantage | $416.53 | ↑ +51% |
| Humana | Medicare Advantage | $424.70 | ↑ +54% |
| Molina | Medicare Advantage | $428.79 | ↑ +55% |
| Amerigroup | Medicare Advantage | $428.79 | ↑ +55% |
| Superior Wellcare | Medicare Advantage HMO | $428.79 | ↑ +55% |
| Cigna | Indemnity | $433.33 | ↑ +57% |
| Superior Wellcare | Medicare Advantage MMP | $449.20 | ↑ +63% |
| United Healthcare | Medicare Advantage PPO | $453.29 | ↑ +64% |
| United Healthcare | Medicare Advantage HMO | $461.46 | ↑ +67% |
| United Healthcare | All Payer | $1,247.00 | ↑ +351% |
| United Healthcare Options | PPO | $1,568.00 | ↑ +467% |
Visitor-reported prices
Comments
Ghs layered repair 20.1 - 30.0 cm -12056 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,517.03 | $143.08 – $1,896.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $1,517.03 | $143.08 – $1,896.29 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | not published | $143.08 – $444.12 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,517.03 | $143.08 – $1,896.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $901.76 | $71.00 – $1,352.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $880.81 | $71.00 – $1,101.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $901.76 | $85.00 – $1,352.65 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $901.76 | $143.08 – $1,352.65 |