Pt application of modality >=1 area iontophoresis each 15 minutes at Texas Health Hospital Frisco
12400 Dallas Parkway, Frisco, TX · Texashealth · · NPI 1104381292
$103.50
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.
$172.50
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.
$18.50 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 | $18.50 | ↓ -82% |
| Blue Cross Blue Shield | Medicare Advantage | $18.50 | ↓ -82% |
| HealthSpring | Medicare Advantage | $18.86 | ↓ -82% |
| Humana | Medicare Advantage | $19.23 | ↓ -81% |
| Molina | Medicare Advantage | $19.42 | ↓ -81% |
| Amerigroup | Medicare Advantage | $19.42 | ↓ -81% |
| Superior Wellcare | Medicare Advantage HMO | $19.42 | ↓ -81% |
| Superior Wellcare | Medicare Advantage MMP | $20.34 | ↓ -80% |
| United Healthcare | Medicare Advantage PPO | $20.53 | ↓ -80% |
| United Healthcare | Medicare Advantage HMO | $20.90 | ↓ -80% |
| Blue Cross Blue Shield | Exchange | $28.87 | ↓ -72% |
| Blue Cross Blue Shield | Managed Medicaid | $29.49 | ↓ -72% |
| Parkland | Managed Medicaid | $29.49 | ↓ -72% |
| Amerigroup | Managed Medicaid | $29.49 | ↓ -72% |
| United Healthcare | Managed Medicaid | $29.49 | ↓ -72% |
| Superior Wellcare | Managed Medicaid | $30.96 | ↓ -70% |
| Molina | Managed Medicaid | $31.84 | ↓ -69% |
| Blue Cross Blue Shield | HMO | $59.29 | ↓ -43% |
| Blue Cross Blue Shield | PPO | $65.88 | ↓ -36% |
| Aetna | Whole Health | $68.06 | ↓ -34% |
| City of Fort Worth | Commercial | $77.90 | ↓ -25% |
| Aetna | Commercial | $90.75 | ↓ -12% |
| Quick Trip | Commercial | $99.45 | ↓ -4% |
| Fort Worth Firefighters | Commercial | $101.19 | ↓ -2% |
| PHCS | PPO | $115.20 | ↑ +11% |
| Aetna | ASA | $116.19 | ↑ +12% |
| Aetna | Coventry | $116.19 | ↑ +12% |
| Healthsmart | Commercial | $124.31 | ↑ +20% |
| Multiplan | Commercial | $144.20 | ↑ +39% |
| USA | MCO | $145.86 | ↑ +41% |
| Galaxy | Commercial | $145.86 | ↑ +41% |
| Cigna | Indemnity | $155.97 | ↑ +51% |
| Blue Cross Blue Shield | Traditional | $174.59 | ↑ +69% |
| United Healthcare | All Payer | $308.00 | ↑ +198% |
| Cigna | OAP/HMO | $328.00 | ↑ +217% |
| Cigna | PPO | $396.00 | ↑ +283% |
| United Healthcare Options | PPO | $401.00 | ↑ +287% |
Visitor-reported prices
Comments
Pt application of modality >=1 area iontophoresis each 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $154.64 | $41.24 – $219.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $154.64 | $65.27 – $219.08 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | not published | $16.01 – $42.65 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $154.64 | $43.82 – $219.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $168.35 | $34.65 – $252.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $116.63 | $23.33 – $149.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $168.35 | $54.04 – $252.53 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $168.35 | $56.64 – $253.00 |