Surgical pathology level 5 gross & microscopic examination at Texas Health Hospital Frisco
12400 Dallas Parkway, Frisco, TX · Texashealth · · NPI 1104381292
$387.00
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.
$645.00
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.
$48.21 with Fort Worth Firefighters vs $1,661.07 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 |
|---|---|---|---|
| Fort Worth Firefighters | Commercial | $48.21 | ↓ -88% |
| Parkland | Managed Medicaid | $97.98 | ↓ -75% |
| Amerigroup | Managed Medicaid | $97.98 | ↓ -75% |
| United Healthcare | Managed Medicaid | $97.98 | ↓ -75% |
| Blue Cross Blue Shield | Managed Medicaid | $97.98 | ↓ -75% |
| Superior Wellcare | Managed Medicaid | $102.88 | ↓ -73% |
| Molina | Managed Medicaid | $105.80 | ↓ -73% |
| City of Fort Worth | Commercial | $258.85 | ↓ -33% |
| United Healthcare | All Payer | $283.41 | ↓ -27% |
| United Healthcare Options | PPO | $283.41 | ↓ -27% |
| Aetna | Whole Health | $308.46 | ↓ -20% |
| Blue Cross Blue Shield | Exchange | $315.15 | ↓ -19% |
| Cigna | OAP/HMO | $330.00 | ↓ -15% |
| Cigna | PPO | $330.00 | ↓ -15% |
| Quick Trip | Commercial | $330.45 | ↓ -15% |
| American Health | Medicare Advantage | $360.08 | ↓ -7% |
| Blue Cross Blue Shield | Medicare Advantage | $360.08 | ↓ -7% |
| HealthSpring | Medicare Advantage | $367.28 | ↓ -5% |
| Humana | Medicare Advantage | $374.48 | ↓ -3% |
| Molina | Medicare Advantage | $378.08 | ↓ -2% |
| Amerigroup | Medicare Advantage | $378.08 | ↓ -2% |
| Superior Wellcare | Medicare Advantage HMO | $378.08 | ↓ -2% |
| PHCS | PPO | $382.77 | ↓ -1% |
| Aetna | Coventry | $386.08 | ↓ -0% |
| Aetna | ASA | $386.08 | ↓ -0% |
| Superior Wellcare | Medicare Advantage MMP | $396.09 | ↑ +2% |
| United Healthcare | Medicare Advantage PPO | $399.69 | ↑ +3% |
| United Healthcare | Medicare Advantage HMO | $406.89 | ↑ +5% |
| Aetna | Commercial | $411.28 | ↑ +6% |
| Healthsmart | Commercial | $413.06 | ↑ +7% |
| Multiplan | Commercial | $479.15 | ↑ +24% |
| Galaxy | Commercial | $484.66 | ↑ +25% |
| USA | MCO | $484.66 | ↑ +25% |
| Cigna | Indemnity | $518.26 | ↑ +34% |
| Blue Cross Blue Shield | HMO | $561.15 | ↑ +45% |
| Blue Cross Blue Shield | PPO | $623.50 | ↑ +61% |
| Blue Cross Blue Shield | Traditional | $1,661.07 | ↑ +329% |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $476.75 | $35.00 – $890.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $476.75 | $35.00 – $774.17 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco | $1,983.09 | $271.04 – $1,536.55 |
| Adventhealth Rollins Brook | Lampasas | $1,114.69 | $1,091.13 – $1,091.13 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $476.75 | $35.00 – $890.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $519.16 | $36.00 – $890.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $491.47 | $36.00 – $890.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $519.16 | $36.00 – $890.45 |