CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Texas Health Hospital Frisco

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$142
about 1.0× the $136 Medicare rate · typically $106–$194
modeled estimate · not a bill or quote
What this hospital charges insurers
$138
About the fair price
about $4 under the fair price · 1.0× Medicare
Medicare pays $136 Fair price $142 This hospital $138 Cash price $266 Hospital's list price $443

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $48 Priciest $138

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (30-39 min) is about $142 (about 1.0× the $136 Medicare rate). Texas Health Hospital Frisco charges insurers about $138, or about $266 in cash — about the fair price. Located in Frisco, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $37 - $797 27%
Blue Cross Blue Shieldmajor $37 - $657 27%
Aetnamajor $85 - $1,020 63%
Cignamajor $115 - $1,369 85%
Humanamajor $137 101%
Amerigroup $37 - $259 27%
Cigna HealthSpring $134 99%
Molina $40 - $279 29%
WellCare $39 - $272 29%
+ 6 smaller / regional plans $37 - $1,280
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 12400 N Dallas Parkway, Frisco, TX 75033
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals