Ot therapeutic activities direct patient contact each 15 minutes at Texas Health Hospital Frisco
12400 Dallas Parkway, Frisco, TX · Texashealth · · NPI 1104381292
$117.45
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.
$195.75
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.
$34.02 with American Health vs $401.00 with United Healthcare Options — 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 | $34.02 | ↓ -71% |
| Blue Cross Blue Shield | Medicare Advantage | $34.02 | ↓ -71% |
| HealthSpring | Medicare Advantage | $34.70 | ↓ -70% |
| Blue Cross Blue Shield | Managed Medicaid | $34.82 | ↓ -70% |
| Amerigroup | Managed Medicaid | $34.82 | ↓ -70% |
| Parkland | Managed Medicaid | $34.82 | ↓ -70% |
| United Healthcare | Managed Medicaid | $34.82 | ↓ -70% |
| Humana | Medicare Advantage | $35.38 | ↓ -70% |
| Molina | Medicare Advantage | $35.72 | ↓ -70% |
| Amerigroup | Medicare Advantage | $35.72 | ↓ -70% |
| Superior Wellcare | Medicare Advantage HMO | $35.72 | ↓ -70% |
| Superior Wellcare | Managed Medicaid | $36.57 | ↓ -69% |
| Superior Wellcare | Medicare Advantage MMP | $37.42 | ↓ -68% |
| Molina | Managed Medicaid | $37.60 | ↓ -68% |
| United Healthcare | Medicare Advantage PPO | $37.76 | ↓ -68% |
| United Healthcare | Medicare Advantage HMO | $38.44 | ↓ -67% |
| Blue Cross Blue Shield | Exchange | $55.30 | ↓ -53% |
| Aetna | Whole Health | $80.37 | ↓ -32% |
| City of Fort Worth | Commercial | $92.00 | ↓ -22% |
| Aetna | Commercial | $107.17 | ↓ -9% |
| Blue Cross Blue Shield | HMO | $113.57 | ↓ -3% |
| Quick Trip | Commercial | $117.45 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $119.51 | ↑ +2% |
| Blue Cross Blue Shield | PPO | $126.19 | ↑ +7% |
| PHCS | PPO | $136.05 | ↑ +16% |
| Aetna | Coventry | $137.22 | ↑ +17% |
| Aetna | ASA | $137.22 | ↑ +17% |
| Healthsmart | Commercial | $146.81 | ↑ +25% |
| Multiplan | Commercial | $170.30 | ↑ +45% |
| Galaxy | Commercial | $172.26 | ↑ +47% |
| USA | MCO | $172.26 | ↑ +47% |
| Cigna | Indemnity | $184.20 | ↑ +57% |
| United Healthcare | All Payer | $308.00 | ↑ +162% |
| Cigna | OAP/HMO | $328.00 | ↑ +179% |
| Blue Cross Blue Shield | Traditional | $334.39 | ↑ +185% |
| Cigna | PPO | $396.00 | ↑ +237% |
| United Healthcare Options | PPO | $401.00 | ↑ +241% |
Visitor-reported prices
Comments
Ot therapeutic activities direct patient contact each 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $122.76 | $32.74 – $173.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $122.76 | $57.29 – $173.91 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | not published | $29.47 – $78.44 |
| Adventhealth Rollins Brook | Lampasas | $289.38 | $156.77 – $156.77 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $122.76 | $34.78 – $173.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $138.53 | $28.51 – $207.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $147.08 | $29.42 – $183.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $138.53 | $44.47 – $207.79 |