New Patient Office Visit (level 3) at Texas Health Hospital Frisco
12400 Dallas Parkway, Frisco, TX · Texashealth · · NPI 1104381292
$396.30
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.
$660.50
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.
$27.84 with United Healthcare vs $636.27 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 |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $27.84 | ↓ -93% |
| Parkland | Managed Medicaid | $27.84 | ↓ -93% |
| Blue Cross Blue Shield | Managed Medicaid | $27.84 | ↓ -93% |
| Amerigroup | Managed Medicaid | $27.84 | ↓ -93% |
| Superior Wellcare | Managed Medicaid | $29.23 | ↓ -93% |
| Molina | Managed Medicaid | $30.06 | ↓ -92% |
| Aetna | Whole Health | $64.26 | ↓ -84% |
| Fort Worth Firefighters | Commercial | $68.75 | ↓ -83% |
| City of Fort Worth | Commercial | $73.56 | ↓ -81% |
| United Healthcare | All Payer | $80.94 | ↓ -80% |
| Aetna | Commercial | $85.68 | ↓ -78% |
| United Healthcare Options | PPO | $85.76 | ↓ -78% |
| Cigna | OAP/HMO | $86.51 | ↓ -78% |
| Quick Trip | Commercial | $93.90 | ↓ -76% |
| Blue Cross Blue Shield | Exchange | $105.22 | ↓ -73% |
| PHCS | PPO | $108.77 | ↓ -73% |
| Cigna | PPO | $109.08 | ↓ -72% |
| Aetna | ASA | $109.71 | ↓ -72% |
| Aetna | Coventry | $109.71 | ↓ -72% |
| American Health | Medicare Advantage | $114.05 | ↓ -71% |
| Blue Cross Blue Shield | Medicare Advantage | $114.05 | ↓ -71% |
| HealthSpring | Medicare Advantage | $116.34 | ↓ -71% |
| Healthsmart | Commercial | $117.38 | ↓ -70% |
| Humana | Medicare Advantage | $118.62 | ↓ -70% |
| Superior Wellcare | Medicare Advantage HMO | $119.76 | ↓ -70% |
| Amerigroup | Medicare Advantage | $119.76 | ↓ -70% |
| Molina | Medicare Advantage | $119.76 | ↓ -70% |
| Superior Wellcare | Medicare Advantage MMP | $125.46 | ↓ -68% |
| United Healthcare | Medicare Advantage PPO | $126.60 | ↓ -68% |
| United Healthcare | Medicare Advantage HMO | $128.88 | ↓ -67% |
| Multiplan | Commercial | $136.16 | ↓ -66% |
| USA | MCO | $137.72 | ↓ -65% |
| Galaxy | Commercial | $137.72 | ↓ -65% |
| Cigna | Indemnity | $147.27 | ↓ -63% |
| Blue Cross Blue Shield | HMO | $216.09 | ↓ -45% |
| Blue Cross Blue Shield | PPO | $240.11 | ↓ -39% |
| Blue Cross Blue Shield | Traditional | $636.27 | ↑ +61% |
Visitor-reported prices
Comments
New Patient Office Visit (level 3) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MEDICAL CITY FRISCO HOSPITAL | Frisco | not published | $212.54 – $213.07 |
| Adventhealth Rollins Brook | Lampasas | $567.95 | $298.30 – $298.30 |
| Baylor St Luke's Medical Center | Houston | $207.90 | $82.00 – $594.00 |
| St. Joseph Health Madison Hospital | Madisonville | $232.23 | $22.68 – $206.40 |
| St. Luke's Health Memorial Lufkin | Lufkin | $68.55 | $31.50 – $126.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $207.90 | $74.00 – $594.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $207.90 | $74.00 – $594.00 |
| St. Joseph Health College Station Hospital | College Station | $232.23 | $77.00 – $421.40 |