Ins/rpl pm gen exist sgl lead at Texas Health Hospital Frisco
12400 Dallas Parkway, Frisco, TX · Texashealth · · NPI 1104381292
$13,247.55
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.
$22,079.25
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.
$5,499.92 with Blue Cross Blue Shield vs $24,806.00 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $5,499.92 | ↓ -58% |
| Parkland | Managed Medicaid | $5,499.92 | ↓ -58% |
| United Healthcare | Managed Medicaid | $5,499.92 | ↓ -58% |
| Amerigroup | Managed Medicaid | $5,499.92 | ↓ -58% |
| Superior Wellcare | Managed Medicaid | $5,774.92 | ↓ -56% |
| Molina | Managed Medicaid | $5,939.91 | ↓ -55% |
| Blue Cross Blue Shield | Exchange | $6,402.98 | ↓ -52% |
| Blue Cross Blue Shield | Medicare Advantage | $8,313.10 | ↓ -37% |
| American Health | Medicare Advantage | $8,313.10 | ↓ -37% |
| HealthSpring | Medicare Advantage | $8,479.36 | ↓ -36% |
| Humana | Medicare Advantage | $8,645.62 | ↓ -35% |
| Aetna | Whole Health | $8,699.22 | ↓ -34% |
| Molina | Medicare Advantage | $8,728.75 | ↓ -34% |
| Amerigroup | Medicare Advantage | $8,728.75 | ↓ -34% |
| Superior Wellcare | Medicare Advantage HMO | $8,728.75 | ↓ -34% |
| Superior Wellcare | Medicare Advantage MMP | $9,144.41 | ↓ -31% |
| United Healthcare | Medicare Advantage PPO | $9,227.54 | ↓ -30% |
| United Healthcare | Medicare Advantage HMO | $9,393.80 | ↓ -29% |
| Blue Cross Blue Shield | HMO | $10,200.61 | ↓ -23% |
| City of Fort Worth | Commercial | $10,377.25 | ↓ -22% |
| Blue Cross Blue Shield | PPO | $11,348.73 | ↓ -14% |
| Aetna | Commercial | $11,598.23 | ↓ -12% |
| Cigna | OAP/HMO | $12,205.41 | ↓ -8% |
| Quick Trip | Commercial | $13,247.55 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $13,479.38 | ↑ +2% |
| PHCS | PPO | $15,345.08 | ↑ +16% |
| Cigna | PPO | $15,389.24 | ↑ +16% |
| Aetna | ASA | $15,477.55 | ↑ +17% |
| Aetna | Coventry | $15,477.55 | ↑ +17% |
| Healthsmart | Commercial | $16,559.44 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $18,215.38 | ↑ +37% |
| Multiplan | Commercial | $19,208.95 | ↑ +45% |
| Galaxy | Commercial | $19,429.74 | ↑ +47% |
| USA | MCO | $19,429.74 | ↑ +47% |
| United Healthcare | All Payer | $19,497.00 | ↑ +47% |
| Cigna | Indemnity | $20,776.57 | ↑ +57% |
| United Healthcare Options | PPO | $24,806.00 | ↑ +87% |
Visitor-reported prices
Comments
Ins/rpl pm gen exist sgl lead at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $10,687.75 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $10,687.75 | $2,763.00 – $17,873.17 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | $13,270.13 | $5,499.92 – $10,622.17 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $10,687.75 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $7,336.78 | $1,510.15 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $11,030.18 | $5,499.92 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $7,336.78 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $7,336.78 | $2,763.00 – $21,045.99 |