Rmvl icd gen w/rplc icd gen sgl lead sys at Texas Health Hospital Frisco
12400 Dallas Parkway, Frisco, TX · Texashealth · · NPI 1104381292
$36,434.85
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.
$60,724.75
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.
$16,178.06 with Amerigroup vs $79,423.00 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $16,178.06 | ↓ -56% |
| Parkland | Managed Medicaid | $16,178.06 | ↓ -56% |
| United Healthcare | Managed Medicaid | $16,178.06 | ↓ -56% |
| Blue Cross Blue Shield | Managed Medicaid | $16,178.06 | ↓ -56% |
| Superior Wellcare | Managed Medicaid | $16,986.96 | ↓ -53% |
| Molina | Managed Medicaid | $17,472.30 | ↓ -52% |
| Blue Cross Blue Shield | Exchange | $17,610.18 | ↓ -52% |
| Blue Cross Blue Shield | Medicare Advantage | $22,344.94 | ↓ -39% |
| American Health | Medicare Advantage | $22,344.94 | ↓ -39% |
| HealthSpring | Medicare Advantage | $22,791.84 | ↓ -37% |
| Humana | Medicare Advantage | $23,238.74 | ↓ -36% |
| Molina | Medicare Advantage | $23,462.18 | ↓ -36% |
| Amerigroup | Medicare Advantage | $23,462.18 | ↓ -36% |
| Superior Wellcare | Medicare Advantage HMO | $23,462.18 | ↓ -36% |
| Aetna | Whole Health | $23,925.55 | ↓ -34% |
| Superior Wellcare | Medicare Advantage MMP | $24,579.43 | ↓ -33% |
| United Healthcare | Medicare Advantage PPO | $24,802.88 | ↓ -32% |
| United Healthcare | Medicare Advantage HMO | $25,249.78 | ↓ -31% |
| Blue Cross Blue Shield | HMO | $28,054.83 | ↓ -23% |
| City of Fort Worth | Commercial | $28,540.63 | ↓ -22% |
| Blue Cross Blue Shield | PPO | $31,212.52 | ↓ -14% |
| Aetna | Commercial | $31,898.71 | ↓ -12% |
| Cigna | OAP/HMO | $33,568.64 | ↓ -8% |
| Quick Trip | Commercial | $36,434.85 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $37,072.46 | ↑ +2% |
| PHCS | PPO | $42,203.70 | ↑ +16% |
| Cigna | PPO | $42,325.15 | ↑ +16% |
| Aetna | ASA | $42,568.05 | ↑ +17% |
| Aetna | Coventry | $42,568.05 | ↑ +17% |
| Healthsmart | Commercial | $45,543.56 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $50,097.92 | ↑ +38% |
| Multiplan | Commercial | $52,830.53 | ↑ +45% |
| USA | MCO | $53,437.78 | ↑ +47% |
| Galaxy | Commercial | $53,437.78 | ↑ +47% |
| Cigna | Indemnity | $57,141.99 | ↑ +57% |
| United Healthcare | All Payer | $62,430.00 | ↑ +71% |
| United Healthcare Options | PPO | $79,423.00 | ↑ +118% |
Visitor-reported prices
Comments
Rmvl icd gen w/rplc icd gen sgl lead sys at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $38,067.53 | $16,178.06 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $38,067.53 | $16,178.06 – $48,041.62 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | $41,770.09 | $16,178.06 – $31,570.92 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $38,067.53 | $6,299.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $46,872.23 | $9,647.87 – $70,308.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $28,337.36 | $15,811.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $46,872.23 | $15,811.00 – $70,308.34 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $46,872.23 | $13,462.00 – $70,308.34 |