Rmvl pm gen w/rplc pm gen mlt lead sys at Texas Health Hospital Frisco
12400 Dallas Parkway, Frisco, TX · Texashealth · · NPI 1104381292
$18,139.20
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.
$30,232.00
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.
$8,767.28 with Blue Cross Blue Shield vs $28,448.31 with Cigna — 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 | $8,767.28 | ↓ -52% |
| Amerigroup | Managed Medicaid | $9,828.12 | ↓ -46% |
| United Healthcare | Managed Medicaid | $9,828.12 | ↓ -46% |
| Blue Cross Blue Shield | Managed Medicaid | $9,828.12 | ↓ -46% |
| Parkland | Managed Medicaid | $9,828.12 | ↓ -46% |
| Superior Wellcare | Managed Medicaid | $10,319.53 | ↓ -43% |
| Molina | Managed Medicaid | $10,614.37 | ↓ -41% |
| Aetna | Whole Health | $11,911.41 | ↓ -34% |
| Blue Cross Blue Shield | HMO | $13,967.18 | ↓ -23% |
| City of Fort Worth | Commercial | $14,209.04 | ↓ -22% |
| Fort Worth Firefighters | Commercial | $14,351.00 | ↓ -21% |
| Blue Cross Blue Shield | PPO | $15,539.25 | ↓ -14% |
| Aetna | Commercial | $15,880.87 | ↓ -12% |
| Cigna | OAP/HMO | $16,712.25 | ↓ -8% |
| Quick Trip | Commercial | $18,139.20 | ↑ +0% |
| American Health | Medicare Advantage | $19,349.47 | ↑ +7% |
| Blue Cross Blue Shield | Medicare Advantage | $19,349.47 | ↑ +7% |
| United Healthcare | All Payer | $19,497.00 | ↑ +7% |
| HealthSpring | Medicare Advantage | $19,736.45 | ↑ +9% |
| Humana | Medicare Advantage | $20,123.44 | ↑ +11% |
| Molina | Medicare Advantage | $20,316.94 | ↑ +12% |
| Amerigroup | Medicare Advantage | $20,316.94 | ↑ +12% |
| Superior Wellcare | Medicare Advantage HMO | $20,316.94 | ↑ +12% |
| PHCS | PPO | $21,011.24 | ↑ +16% |
| Cigna | PPO | $21,071.70 | ↑ +16% |
| Aetna | Coventry | $21,192.63 | ↑ +17% |
| Aetna | ASA | $21,192.63 | ↑ +17% |
| Superior Wellcare | Medicare Advantage MMP | $21,284.41 | ↑ +17% |
| United Healthcare | Medicare Advantage PPO | $21,477.91 | ↑ +18% |
| United Healthcare | Medicare Advantage HMO | $21,864.90 | ↑ +21% |
| Healthsmart | Commercial | $22,674.00 | ↑ +25% |
| United Healthcare Options | PPO | $24,806.00 | ↑ +37% |
| Blue Cross Blue Shield | Traditional | $24,941.40 | ↑ +38% |
| Multiplan | Commercial | $26,301.84 | ↑ +45% |
| Galaxy | Commercial | $26,604.16 | ↑ +47% |
| USA | MCO | $26,604.16 | ↑ +47% |
| Cigna | Indemnity | $28,448.31 | ↑ +57% |
Visitor-reported prices
Comments
Rmvl pm gen w/rplc pm gen mlt lead sys at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $19,823.71 | $9,828.12 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $19,823.71 | $9,828.12 – $41,601.36 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | $41,123.73 | $9,828.12 – $25,455.38 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $19,823.71 | $6,299.00 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $21,967.52 | $4,521.65 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $21,154.47 | $9,828.12 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $21,967.52 | $10,516.09 – $48,269.91 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $21,967.52 | $9,828.12 – $48,269.91 |