Observation direct referral from physician office for admission at Texas Health Hospital Frisco
12400 Dallas Parkway, Frisco, TX · Texashealth · · NPI 1104381292
$384.00
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.
$640.00
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.
$66.62 with United Healthcare vs $1,044.73 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 | $66.62 | ↓ -83% |
| Parkland | Managed Medicaid | $66.62 | ↓ -83% |
| Amerigroup | Managed Medicaid | $66.62 | ↓ -83% |
| Blue Cross Blue Shield | Managed Medicaid | $66.62 | ↓ -83% |
| Superior Wellcare | Managed Medicaid | $69.96 | ↓ -82% |
| Molina | Managed Medicaid | $71.94 | ↓ -81% |
| Aetna | Whole Health | $147.55 | ↓ -62% |
| Fort Worth Firefighters | Commercial | $164.52 | ↓ -57% |
| Blue Cross Blue Shield | Exchange | $172.76 | ↓ -55% |
| City of Fort Worth | Commercial | $176.02 | ↓ -54% |
| United Healthcare | All Payer | $192.19 | ↓ -50% |
| Aetna | Commercial | $196.72 | ↓ -49% |
| Cigna | OAP/HMO | $207.02 | ↓ -46% |
| United Healthcare Options | PPO | $208.60 | ↓ -46% |
| Quick Trip | Commercial | $224.70 | ↓ -41% |
| PHCS | PPO | $260.28 | ↓ -32% |
| Cigna | PPO | $261.03 | ↓ -32% |
| Aetna | Coventry | $262.52 | ↓ -32% |
| Aetna | ASA | $262.52 | ↓ -32% |
| Healthsmart | Commercial | $280.88 | ↓ -27% |
| Multiplan | Commercial | $325.82 | ↓ -15% |
| Galaxy | Commercial | $329.56 | ↓ -14% |
| USA | MCO | $329.56 | ↓ -14% |
| Cigna | Indemnity | $352.40 | ↓ -8% |
| Blue Cross Blue Shield | HMO | $354.82 | ↓ -8% |
| Blue Cross Blue Shield | PPO | $394.25 | ↑ +3% |
| Blue Cross Blue Shield | Medicare Advantage | $598.24 | ↑ +56% |
| American Health | Medicare Advantage | $598.24 | ↑ +56% |
| HealthSpring | Medicare Advantage | $610.21 | ↑ +59% |
| Humana | Medicare Advantage | $622.17 | ↑ +62% |
| Molina | Medicare Advantage | $628.16 | ↑ +64% |
| Superior Wellcare | Medicare Advantage HMO | $628.16 | ↑ +64% |
| Amerigroup | Medicare Advantage | $628.16 | ↑ +64% |
| Superior Wellcare | Medicare Advantage MMP | $658.07 | ↑ +71% |
| United Healthcare | Medicare Advantage PPO | $664.05 | ↑ +73% |
| United Healthcare | Medicare Advantage HMO | $676.02 | ↑ +76% |
| Blue Cross Blue Shield | Traditional | $1,044.73 | ↑ +172% |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $554.33 | $147.82 – $1,591.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $554.33 | $258.69 – $1,286.22 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | $2,029.37 | $300.24 – $300.24 |
| Adventhealth Rollins Brook | Lampasas | $162.54 | $489.80 – $489.80 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $554.33 | $157.06 – $1,591.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $527.99 | $71.00 – $1,591.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $602.45 | $71.00 – $1,591.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $527.99 | $169.48 – $1,591.17 |