Oth resp proc, group at Texas Health Hospital Frisco
12400 Dallas Parkway, Frisco, TX · Texashealth · · NPI 1104381292
$79.95
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.
$133.25
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.
$17.12 with Blue Cross Blue Shield vs $764.00 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Exchange | $17.12 | ↓ -79% |
| Parkland | Managed Medicaid | $23.71 | ↓ -70% |
| United Healthcare | Managed Medicaid | $23.71 | ↓ -70% |
| Amerigroup | Managed Medicaid | $23.71 | ↓ -70% |
| Blue Cross Blue Shield | Managed Medicaid | $23.71 | ↓ -70% |
| Superior Wellcare | Managed Medicaid | $24.89 | ↓ -69% |
| Molina | Managed Medicaid | $25.60 | ↓ -68% |
| Blue Cross Blue Shield | HMO | $35.17 | ↓ -56% |
| American Health | Medicare Advantage | $37.52 | ↓ -53% |
| Blue Cross Blue Shield | Medicare Advantage | $37.52 | ↓ -53% |
| HealthSpring | Medicare Advantage | $38.27 | ↓ -52% |
| Humana | Medicare Advantage | $39.02 | ↓ -51% |
| Blue Cross Blue Shield | PPO | $39.08 | ↓ -51% |
| Molina | Medicare Advantage | $39.40 | ↓ -51% |
| Amerigroup | Medicare Advantage | $39.40 | ↓ -51% |
| Superior Wellcare | Medicare Advantage HMO | $39.40 | ↓ -51% |
| Superior Wellcare | Medicare Advantage MMP | $41.27 | ↓ -48% |
| United Healthcare | Medicare Advantage PPO | $41.65 | ↓ -48% |
| United Healthcare | Medicare Advantage HMO | $42.40 | ↓ -47% |
| Aetna | Whole Health | $54.71 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $58.54 | ↓ -27% |
| City of Fort Worth | Commercial | $62.63 | ↓ -22% |
| Aetna | Commercial | $72.95 | ↓ -9% |
| Cigna | OAP/HMO | $73.66 | ↓ -8% |
| Quick Trip | Commercial | $79.95 | ↑ +0% |
| PHCS | PPO | $92.61 | ↑ +16% |
| Cigna | PPO | $92.88 | ↑ +16% |
| Aetna | Coventry | $93.41 | ↑ +17% |
| Aetna | ASA | $93.41 | ↑ +17% |
| Healthsmart | Commercial | $99.94 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $103.55 | ↑ +30% |
| Multiplan | Commercial | $115.93 | ↑ +45% |
| USA | MCO | $117.26 | ↑ +47% |
| Galaxy | Commercial | $117.26 | ↑ +47% |
| Cigna | Indemnity | $125.39 | ↑ +57% |
| United Healthcare | All Payer | $577.00 | ↑ +622% |
| United Healthcare Options | PPO | $764.00 | ↑ +856% |
Visitor-reported prices
Comments
Oth resp proc, group at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $173.23 | $29.51 – $216.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $173.23 | $35.64 – $216.53 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | not published | $29.76 – $88.99 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $173.23 | $35.64 – $216.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $156.25 | $32.16 – $234.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $138.85 | $27.77 – $173.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $156.25 | $35.64 – $234.38 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $156.25 | $80.73 – $3,235.82 |