MRI breast without cont bi at Texas Health Hospital Frisco
12400 Dallas Parkway, Frisco, TX · Texashealth · · NPI 1104381292
$2,610.75
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.
$4,351.25
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.
$239.69 with American Health vs $4,094.53 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 | $239.69 | ↓ -91% |
| Blue Cross Blue Shield | Medicare Advantage | $239.69 | ↓ -91% |
| HealthSpring | Medicare Advantage | $244.48 | ↓ -91% |
| Humana | Medicare Advantage | $249.28 | ↓ -90% |
| Molina | Medicare Advantage | $251.67 | ↓ -90% |
| Amerigroup | Medicare Advantage | $251.67 | ↓ -90% |
| Superior Wellcare | Medicare Advantage HMO | $251.67 | ↓ -90% |
| Superior Wellcare | Medicare Advantage MMP | $263.66 | ↓ -90% |
| United Healthcare | Medicare Advantage PPO | $266.06 | ↓ -90% |
| United Healthcare | Medicare Advantage HMO | $270.85 | ↓ -90% |
| Blue Cross Blue Shield | Exchange | $646.45 | ↓ -75% |
| Amerigroup | Managed Medicaid | $774.09 | ↓ -70% |
| Parkland | Managed Medicaid | $774.09 | ↓ -70% |
| Blue Cross Blue Shield | Managed Medicaid | $774.09 | ↓ -70% |
| United Healthcare | Managed Medicaid | $774.09 | ↓ -70% |
| Blue Cross Blue Shield | HMO | $786.51 | ↓ -70% |
| Superior Wellcare | Managed Medicaid | $812.81 | ↓ -69% |
| Molina | Managed Medicaid | $835.88 | ↓ -68% |
| Blue Cross Blue Shield | PPO | $873.90 | ↓ -67% |
| Fort Worth Firefighters | Commercial | $1,105.00 | ↓ -58% |
| Aetna | Whole Health | $1,200.00 | ↓ -54% |
| United Healthcare | All Payer | $1,476.00 | ↓ -43% |
| Aetna | Commercial | $1,600.00 | ↓ -39% |
| Blue Cross Blue Shield | Traditional | $1,652.02 | ↓ -37% |
| United Healthcare Options | PPO | $1,933.00 | ↓ -26% |
| Cigna | OAP/HMO | $1,973.00 | ↓ -24% |
| City of Fort Worth | Commercial | $2,045.09 | ↓ -22% |
| Cigna | PPO | $2,053.00 | ↓ -21% |
| Quick Trip | Commercial | $2,610.75 | ↑ +0% |
| PHCS | PPO | $3,024.12 | ↑ +16% |
| Aetna | Coventry | $3,050.23 | ↑ +17% |
| Aetna | ASA | $3,050.23 | ↑ +17% |
| Healthsmart | Commercial | $3,263.44 | ↑ +25% |
| Multiplan | Commercial | $3,785.59 | ↑ +45% |
| USA | MCO | $3,829.10 | ↑ +47% |
| Galaxy | Commercial | $3,829.10 | ↑ +47% |
| Cigna | Indemnity | $4,094.53 | ↑ +57% |
Visitor-reported prices
Comments
MRI breast without cont bi at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,083.19 | $227.71 – $2,603.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $2,083.19 | $227.71 – $2,603.99 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | $10,030.59 | $293.63 – $761.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,083.19 | $227.71 – $2,603.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,443.67 | $502.99 – $3,665.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,443.67 | $227.71 – $3,054.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,443.67 | $227.71 – $3,665.50 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,443.67 | $607.02 – $3,665.50 |