Oth resp proc, indiv at Texas Health Hospital Frisco
12400 Dallas Parkway, Frisco, TX · Texashealth · · NPI 1104381292
$76.80
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.
$128.00
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.
$13.70 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 | $13.70 | ↓ -82% |
| Parkland | Managed Medicaid | $22.77 | ↓ -70% |
| United Healthcare | Managed Medicaid | $22.77 | ↓ -70% |
| Blue Cross Blue Shield | Managed Medicaid | $22.77 | ↓ -70% |
| Amerigroup | Managed Medicaid | $22.77 | ↓ -70% |
| Superior Wellcare | Managed Medicaid | $23.91 | ↓ -69% |
| Molina | Managed Medicaid | $24.59 | ↓ -68% |
| Blue Cross Blue Shield | HMO | $28.14 | ↓ -63% |
| American Health | Medicare Advantage | $29.06 | ↓ -62% |
| Blue Cross Blue Shield | Medicare Advantage | $29.06 | ↓ -62% |
| HealthSpring | Medicare Advantage | $29.64 | ↓ -61% |
| Humana | Medicare Advantage | $30.22 | ↓ -61% |
| Amerigroup | Medicare Advantage | $30.51 | ↓ -60% |
| Superior Wellcare | Medicare Advantage HMO | $30.51 | ↓ -60% |
| Molina | Medicare Advantage | $30.51 | ↓ -60% |
| Blue Cross Blue Shield | PPO | $31.27 | ↓ -59% |
| Superior Wellcare | Medicare Advantage MMP | $31.96 | ↓ -58% |
| United Healthcare | Medicare Advantage PPO | $32.25 | ↓ -58% |
| United Healthcare | Medicare Advantage HMO | $32.83 | ↓ -57% |
| Aetna | Whole Health | $52.56 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $56.23 | ↓ -27% |
| City of Fort Worth | Commercial | $60.16 | ↓ -22% |
| Aetna | Commercial | $70.08 | ↓ -9% |
| Cigna | OAP/HMO | $70.76 | ↓ -8% |
| Quick Trip | Commercial | $76.80 | ↑ +0% |
| Blue Cross Blue Shield | Traditional | $82.86 | ↑ +8% |
| PHCS | PPO | $88.96 | ↑ +16% |
| Cigna | PPO | $89.22 | ↑ +16% |
| Aetna | ASA | $89.73 | ↑ +17% |
| Aetna | Coventry | $89.73 | ↑ +17% |
| Healthsmart | Commercial | $96.00 | ↑ +25% |
| Multiplan | Commercial | $111.36 | ↑ +45% |
| Galaxy | Commercial | $112.64 | ↑ +47% |
| USA | MCO | $112.64 | ↑ +47% |
| Cigna | Indemnity | $120.45 | ↑ +57% |
| United Healthcare | All Payer | $577.00 | ↑ +651% |
| United Healthcare Options | PPO | $764.00 | ↑ +895% |
Visitor-reported prices
Comments
Oth resp proc, indiv at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $119.59 | $23.61 – $149.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $119.59 | $27.61 – $149.48 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | $187.74 | $23.81 – $69.68 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $119.59 | $27.61 – $149.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $134.53 | $27.69 – $201.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $116.83 | $23.37 – $146.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $134.53 | $27.61 – $201.80 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $134.53 | $69.51 – $3,235.82 |