Sec abd wall suture evisceration/dehsn 49900 at Texas Health Hospital Frisco
12400 Dallas Parkway, Frisco, TX · Texashealth · · NPI 1104381292
$2,163.45
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.
$3,605.75
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.
$641.46 with Amerigroup vs $12,195.00 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 | $641.46 | ↓ -70% |
| Parkland | Managed Medicaid | $641.46 | ↓ -70% |
| United Healthcare | Managed Medicaid | $641.46 | ↓ -70% |
| Blue Cross Blue Shield | Managed Medicaid | $641.46 | ↓ -70% |
| Superior Wellcare | Managed Medicaid | $673.55 | ↓ -69% |
| Molina | Managed Medicaid | $692.66 | ↓ -68% |
| Blue Cross Blue Shield | Medicare Advantage | $775.41 | ↓ -64% |
| American Health | Medicare Advantage | $775.41 | ↓ -64% |
| HealthSpring | Medicare Advantage | $790.92 | ↓ -63% |
| Humana | Medicare Advantage | $806.43 | ↓ -63% |
| Molina | Medicare Advantage | $814.18 | ↓ -62% |
| Amerigroup | Medicare Advantage | $814.18 | ↓ -62% |
| Superior Wellcare | Medicare Advantage HMO | $814.18 | ↓ -62% |
| Superior Wellcare | Medicare Advantage MMP | $852.95 | ↓ -61% |
| United Healthcare | Medicare Advantage PPO | $860.71 | ↓ -60% |
| United Healthcare | Medicare Advantage HMO | $876.22 | ↓ -59% |
| Blue Cross Blue Shield | Exchange | $1,070.91 | ↓ -50% |
| City of Fort Worth | Commercial | $1,694.70 | ↓ -22% |
| Aetna | Whole Health | $1,850.11 | ↓ -14% |
| Fort Worth Firefighters | Commercial | $1,883.64 | ↓ -13% |
| Cigna | OAP/HMO | $1,993.26 | ↓ -8% |
| Blue Cross Blue Shield | HMO | $2,002.11 | ↓ -7% |
| Quick Trip | Commercial | $2,163.45 | ↑ +0% |
| Blue Cross Blue Shield | PPO | $2,224.47 | ↑ +3% |
| Aetna | Commercial | $2,466.69 | ↑ +14% |
| PHCS | PPO | $2,506.00 | ↑ +16% |
| Cigna | PPO | $2,513.21 | ↑ +16% |
| Aetna | Coventry | $2,527.63 | ↑ +17% |
| Aetna | ASA | $2,527.63 | ↑ +17% |
| Healthsmart | Commercial | $2,704.31 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $3,097.34 | ↑ +43% |
| Multiplan | Commercial | $3,137.00 | ↑ +45% |
| Galaxy | Commercial | $3,173.06 | ↑ +47% |
| USA | MCO | $3,173.06 | ↑ +47% |
| Cigna | Indemnity | $3,393.01 | ↑ +57% |
| United Healthcare | All Payer | $9,586.00 | ↑ +343% |
| United Healthcare Options | PPO | $12,195.00 | ↑ +464% |
Visitor-reported prices
Comments
Sec abd wall suture evisceration/dehsn 49900 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MEDICAL CITY FRISCO HOSPITAL | Frisco | not published | $1,184.22 – $5,790.85 |
| Covenant Children's Hospital | Lubbock | $120.96 | $995.13 – $1,814.67 |
| St. Luke's Health - Patients Medical Center | Pasadena | $1,281.42 | $243.47 – $2,745.90 |
| Texas Health Arlington Memorial Hospital | Arlington | $2,163.45 | not published |
| Covenant Medical Center | Lubbock | $120.96 | $1,011.93 – $4,659.10 |
| Covenant Hospital Plainview | Plainview | $131.88 | $1,712.44 – $2,212.16 |
| Covenant Hospital Levelland | Levelland | $120.96 | $3,050.02 – $3,583.34 |
| Covenant Specialty Hospital | Lubbock | $120.96 | not published |