Ortho whf rigd without jnt cstm w/fit&adj at Texas Health Hospital Frisco
12400 Dallas Parkway, Frisco, TX · Texashealth · · NPI 1104381292
$609.50
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.
$1,015.82
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.
$180.71 with Amerigroup vs $955.89 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $180.71 | ↓ -70% |
| Parkland | Managed Medicaid | $180.71 | ↓ -70% |
| United Healthcare | Managed Medicaid | $180.71 | ↓ -70% |
| Blue Cross Blue Shield | Managed Medicaid | $180.71 | ↓ -70% |
| Superior Wellcare | Managed Medicaid | $189.76 | ↓ -69% |
| Molina | Managed Medicaid | $195.14 | ↓ -68% |
| Blue Cross Blue Shield | Exchange | $314.90 | ↓ -48% |
| Blue Cross Blue Shield | Medicare Advantage | $375.75 | ↓ -38% |
| American Health | Medicare Advantage | $375.75 | ↓ -38% |
| HealthSpring | Medicare Advantage | $383.27 | ↓ -37% |
| Humana | Medicare Advantage | $390.78 | ↓ -36% |
| Molina | Medicare Advantage | $394.54 | ↓ -35% |
| Amerigroup | Medicare Advantage | $394.54 | ↓ -35% |
| Superior Wellcare | Medicare Advantage HMO | $394.54 | ↓ -35% |
| Superior Wellcare | Medicare Advantage MMP | $413.33 | ↓ -32% |
| United Healthcare | Medicare Advantage PPO | $417.08 | ↓ -32% |
| Aetna | Whole Health | $417.10 | ↓ -32% |
| United Healthcare | Medicare Advantage HMO | $424.60 | ↓ -30% |
| Fort Worth Firefighters | Commercial | $446.25 | ↓ -27% |
| City of Fort Worth | Commercial | $477.44 | ↓ -22% |
| Blue Cross Blue Shield | HMO | $507.91 | ↓ -17% |
| Aetna | Commercial | $556.16 | ↓ -9% |
| Cigna | OAP/HMO | $561.55 | ↓ -8% |
| Blue Cross Blue Shield | Traditional | $564.80 | ↓ -7% |
| Blue Cross Blue Shield | PPO | $564.80 | ↓ -7% |
| Quick Trip | Commercial | $609.49 | ↓ -0% |
| United Healthcare | All Payer | $640.27 | ↑ +5% |
| United Healthcare Options | PPO | $677.25 | ↑ +11% |
| PHCS | PPO | $705.99 | ↑ +16% |
| Cigna | PPO | $708.03 | ↑ +16% |
| Aetna | ASA | $712.09 | ↑ +17% |
| Aetna | Coventry | $712.09 | ↑ +17% |
| Healthsmart | Commercial | $761.87 | ↑ +25% |
| Multiplan | Commercial | $883.76 | ↑ +45% |
| USA | MCO | $893.92 | ↑ +47% |
| Galaxy | Commercial | $893.92 | ↑ +47% |
| Cigna | Indemnity | $955.89 | ↑ +57% |
Visitor-reported prices
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Ortho whf rigd without jnt cstm w/fit&adj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $420.76 | $112.20 – $561.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $420.76 | $196.35 – $561.01 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | not published | $364.48 – $984.47 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $420.76 | $119.21 – $561.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $420.76 | $12.05 – $87.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $420.76 | $11.71 – $78.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $420.76 | $18.79 – $87.82 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $420.76 | $30.25 – $87.82 |