Surgical pathology level 4 gross & microscopic examination at Texas Health Hospital Frisco
12400 Dallas Parkway, Frisco, TX · Texashealth · · NPI 1104381292
$361.05
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.
$601.75
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.
$35.38 with Fort Worth Firefighters vs $483.67 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 |
|---|---|---|---|
| Fort Worth Firefighters | Commercial | $35.38 | ↓ -90% |
| United Healthcare Options | PPO | $49.47 | ↓ -86% |
| United Healthcare | All Payer | $49.47 | ↓ -86% |
| Blue Cross Blue Shield | Medicare Advantage | $52.35 | ↓ -86% |
| American Health | Medicare Advantage | $52.35 | ↓ -86% |
| HealthSpring | Medicare Advantage | $53.40 | ↓ -85% |
| Humana | Medicare Advantage | $54.44 | ↓ -85% |
| Amerigroup | Medicare Advantage | $54.97 | ↓ -85% |
| Molina | Medicare Advantage | $54.97 | ↓ -85% |
| Superior Wellcare | Medicare Advantage HMO | $54.97 | ↓ -85% |
| Blue Cross Blue Shield | Exchange | $55.01 | ↓ -85% |
| Superior Wellcare | Medicare Advantage MMP | $57.58 | ↓ -84% |
| United Healthcare | Medicare Advantage PPO | $58.11 | ↓ -84% |
| United Healthcare | Medicare Advantage HMO | $59.15 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $91.44 | ↓ -75% |
| United Healthcare | Managed Medicaid | $91.44 | ↓ -75% |
| Parkland | Managed Medicaid | $91.44 | ↓ -75% |
| Amerigroup | Managed Medicaid | $91.44 | ↓ -75% |
| Superior Wellcare | Managed Medicaid | $96.02 | ↓ -73% |
| Blue Cross Blue Shield | HMO | $97.95 | ↓ -73% |
| Molina | Managed Medicaid | $98.74 | ↓ -73% |
| Blue Cross Blue Shield | PPO | $108.83 | ↓ -70% |
| Aetna | Whole Health | $154.70 | ↓ -57% |
| Cigna | PPO | $176.63 | ↓ -51% |
| Cigna | OAP/HMO | $176.63 | ↓ -51% |
| Aetna | Commercial | $206.27 | ↓ -43% |
| City of Fort Worth | Commercial | $241.58 | ↓ -33% |
| Blue Cross Blue Shield | Traditional | $289.94 | ↓ -20% |
| Quick Trip | Commercial | $308.40 | ↓ -15% |
| PHCS | PPO | $357.23 | ↓ -1% |
| Aetna | Coventry | $360.31 | ↓ -0% |
| Aetna | ASA | $360.31 | ↓ -0% |
| Healthsmart | Commercial | $385.50 | ↑ +7% |
| Multiplan | Commercial | $447.18 | ↑ +24% |
| Galaxy | Commercial | $452.32 | ↑ +25% |
| USA | MCO | $452.32 | ↑ +25% |
| Cigna | Indemnity | $483.67 | ↑ +34% |
Visitor-reported prices
Comments
Surgical pathology level 4 gross & microscopic examination at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $474.00 | $35.00 – $371.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $474.00 | $35.00 – $371.42 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | $248.17 | $44.94 – $254.83 |
| Adventhealth Rollins Brook | Lampasas | $1,149.92 | $190.46 – $190.46 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $474.00 | $35.00 – $371.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $474.00 | $36.00 – $473.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $474.00 | $36.00 – $272.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $474.00 | $36.00 – $473.26 |