Rev/rmv prph sac/gstr npg/r at Texas Health Hospital Frisco
12400 Dallas Parkway, Frisco, TX · Texashealth · · NPI 1104381292
$7,080.45
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.
$11,800.75
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.
$2,397.68 with Amerigroup vs $26,308.87 with Blue Cross Blue Shield — 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 | $2,397.68 | ↓ -66% |
| Parkland | Managed Medicaid | $2,397.68 | ↓ -66% |
| United Healthcare | Managed Medicaid | $2,397.68 | ↓ -66% |
| Blue Cross Blue Shield | Managed Medicaid | $2,397.68 | ↓ -66% |
| Superior Wellcare | Managed Medicaid | $2,517.56 | ↓ -64% |
| Molina | Managed Medicaid | $2,589.49 | ↓ -63% |
| Blue Cross Blue Shield | Medicare Advantage | $3,512.04 | ↓ -50% |
| American Health | Medicare Advantage | $3,512.04 | ↓ -50% |
| HealthSpring | Medicare Advantage | $3,582.28 | ↓ -49% |
| Humana | Medicare Advantage | $3,652.52 | ↓ -48% |
| Molina | Medicare Advantage | $3,687.64 | ↓ -48% |
| Amerigroup | Medicare Advantage | $3,687.64 | ↓ -48% |
| Superior Wellcare | Medicare Advantage HMO | $3,687.64 | ↓ -48% |
| Superior Wellcare | Medicare Advantage MMP | $3,863.24 | ↓ -45% |
| United Healthcare | Medicare Advantage PPO | $3,898.36 | ↓ -45% |
| Blue Cross Blue Shield | Exchange | $3,957.66 | ↓ -44% |
| United Healthcare | Medicare Advantage HMO | $3,968.60 | ↓ -44% |
| Aetna | Whole Health | $4,557.45 | ↓ -36% |
| City of Fort Worth | Commercial | $5,546.35 | ↓ -22% |
| Aetna | Commercial | $6,077.39 | ↓ -14% |
| Cigna | OAP/HMO | $6,523.45 | ↓ -8% |
| Quick Trip | Commercial | $7,080.45 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $7,204.36 | ↑ +2% |
| Blue Cross Blue Shield | HMO | $7,398.98 | ↑ +4% |
| PHCS | PPO | $8,201.52 | ↑ +16% |
| Blue Cross Blue Shield | PPO | $8,220.73 | ↑ +16% |
| Cigna | PPO | $8,225.12 | ↑ +16% |
| Aetna | Coventry | $8,272.33 | ↑ +17% |
| Aetna | ASA | $8,272.33 | ↑ +17% |
| Healthsmart | Commercial | $8,850.56 | ↑ +25% |
| United Healthcare | All Payer | $9,560.00 | ↑ +35% |
| Multiplan | Commercial | $10,266.65 | ↑ +45% |
| USA | MCO | $10,384.66 | ↑ +47% |
| Galaxy | Commercial | $10,384.66 | ↑ +47% |
| Cigna | Indemnity | $11,104.51 | ↑ +57% |
| United Healthcare Options | PPO | $12,345.00 | ↑ +74% |
| Blue Cross Blue Shield | Traditional | $26,308.87 | ↑ +272% |
Visitor-reported prices
Comments
Rev/rmv prph sac/gstr npg/r at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | not published | $1,804.00 – $8,428.94 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | not published | $2,397.68 – $4,376.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,523.59 | $71.00 – $8,428.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,958.14 | $71.00 – $8,428.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $4,523.59 | $85.00 – $8,428.94 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $4,523.59 | $1,804.00 – $8,428.94 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,958.14 | $71.00 – $8,428.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $4,523.59 | $71.00 – $8,428.94 |