Med genetics&genetic counseling svcs each 30 min at Texas Health Hospital Frisco
12400 Dallas Parkway, Frisco, TX · Texashealth · · NPI 1104381292
$123.60
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.
$206.00
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.
$36.65 with Amerigroup vs $431.38 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 →
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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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $36.65 | ↓ -70% |
| Parkland | Managed Medicaid | $36.65 | ↓ -70% |
| United Healthcare | Managed Medicaid | $36.65 | ↓ -70% |
| Blue Cross Blue Shield | Managed Medicaid | $36.65 | ↓ -70% |
| Superior Wellcare | Managed Medicaid | $38.48 | ↓ -69% |
| Molina | Managed Medicaid | $39.57 | ↓ -68% |
| Blue Cross Blue Shield | Medicare Advantage | $52.24 | ↓ -58% |
| American Health | Medicare Advantage | $52.24 | ↓ -58% |
| HealthSpring | Medicare Advantage | $53.28 | ↓ -57% |
| Humana | Medicare Advantage | $54.33 | ↓ -56% |
| Molina | Medicare Advantage | $54.85 | ↓ -56% |
| Amerigroup | Medicare Advantage | $54.85 | ↓ -56% |
| Superior Wellcare | Medicare Advantage HMO | $54.85 | ↓ -56% |
| Superior Wellcare | Medicare Advantage MMP | $57.46 | ↓ -54% |
| United Healthcare | Medicare Advantage PPO | $57.99 | ↓ -53% |
| United Healthcare | Medicare Advantage HMO | $59.03 | ↓ -52% |
| Blue Cross Blue Shield | Exchange | $71.34 | ↓ -42% |
| Aetna | Whole Health | $84.58 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $90.50 | ↓ -27% |
| City of Fort Worth | Commercial | $96.82 | ↓ -22% |
| United Healthcare | All Payer | $106.54 | ↓ -14% |
| Aetna | Commercial | $112.79 | ↓ -9% |
| United Healthcare Options | PPO | $112.89 | ↓ -9% |
| Cigna | OAP/HMO | $113.88 | ↓ -8% |
| Quick Trip | Commercial | $123.60 | ↑ +0% |
| PHCS | PPO | $143.17 | ↑ +16% |
| Cigna | PPO | $143.58 | ↑ +16% |
| Aetna | Coventry | $144.41 | ↑ +17% |
| Aetna | ASA | $144.41 | ↑ +17% |
| Blue Cross Blue Shield | HMO | $146.51 | ↑ +19% |
| Healthsmart | Commercial | $154.50 | ↑ +25% |
| Blue Cross Blue Shield | PPO | $162.79 | ↑ +32% |
| Multiplan | Commercial | $179.22 | ↑ +45% |
| Galaxy | Commercial | $181.28 | ↑ +47% |
| USA | MCO | $181.28 | ↑ +47% |
| Cigna | Indemnity | $193.85 | ↑ +57% |
| Blue Cross Blue Shield | Traditional | $431.38 | ↑ +249% |
Visitor-reported prices
Comments
Med genetics&genetic counseling svcs each 30 min at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $100.00 | $26.67 – $141.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $100.00 | $46.67 – $141.67 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | $202.20 | $144.46 – $144.46 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $100.00 | $28.33 – $6,299.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $100.00 | $26.67 – $141.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $100.00 | $25.00 – $141.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $100.00 | $18.33 – $141.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $100.00 | $18.33 – $141.67 |