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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Texas Health Frisco

Texas Health Resources · Frisco, TX

12400 Dallas Pkwy, Frisco, TX 75033None

4 of 5

CMS star rating

90

Beds

6,199

Inpatient discharges a year

$201.7M

Net patient revenue a year

34

In-network payers

About this hospital

Texas Health Frisco is a 90-bed voluntary non-profit - private hospital in Frisco, TX, affiliated with Texas Health Resources. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 394 disclosed rate categories.

  • Helipad
CCN
670260
NPI
1104381292
Health system
Texas Health Resources
Teaching
No Medicare-funded residents
County
Denton County
Metro area
Dallas-Fort Worth-Arlington, TX MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
2020
Last CMS survey
2026

Prices for common services

The 24 services Texas Health Frisco most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$9,279 - $14,269

from 4 insurers · median $12,910

Cigna$12,775
Insurer A*$9,279
Insurer B*$13,046
Insurer C*$14,269

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$1,287 - $4,101

from 4 insurers · median $2,476

Aetna$3,464
Insurer A*$1,287
Insurer B*$1,487
Insurer C*$4,101
Medicare $334Nearby hospitals $1,40177% above nearby hospitals

Common here, based on CMS Medicare volume

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$14,636 - $19,171

from 4 insurers · median $17,246

Cigna$16,660
Insurer A*$14,636
Insurer B*$17,831
Insurer C*$19,171

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

CT imaging

CT head or brain without contrast

CPT 70450

$281 - $1,190

from 3 insurers · median $671

Aetna$1,190
Insurer A*$281
Insurer B*$671
Medicare $100Nearby hospitals $58914% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Texas Health Frisco

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*16
804%
103
Insurer B*23
345%
125
Insurer C*24
263%
131
Insurer D*24
224%
136

How we chose these services: 7 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Texas Health Frisco, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    4 of 5 stars

    • 157 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.15%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 34 services, including trauma care
    • 314 affiliated clinicians
    See doctors and services
  • Finances

    $201.7M net patient revenue

    • Operating margin on patient care 14.4%
    • $11.5M unreimbursed and uncompensated care
    • $40.1M net income
    See finances
  • Ownership and leadership

    Owned by Texas Health Resources

    • Private (not for profit)
    • Tiffany Northern, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Texas Health Frisco in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
83-1954982Texas Health Hospital Frisco60Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 55 more1104381292 Texas Health Hospital Frisco

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

12400 Dallas Pkwy, Frisco, TX 75033

None

Get directions

Frequently asked questions

About Texas Health Frisco's rates and hospital price transparency.

How much does an MRI cost at Texas Health Frisco?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Texas Health Frisco range from $792 to $3,246 across 4 insurers. Aetna's rate is $3,099. The median at nearby comparable hospitals is $1,617. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Texas Health Frisco?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Texas Health Frisco range from $1,287 to $4,101 across 4 insurers. Aetna's rate is $3,464. The median at nearby comparable hospitals is $1,401. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Texas Health Frisco?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Texas Health Frisco range from $884 to $3,532 across 4 insurers. UnitedHealthcare's rate is $2,895. The median at nearby comparable hospitals is $2,671. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Texas Health Frisco?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Texas Health Frisco range from $9,279 to $14,269 across 4 insurers. Cigna's rate is $12,775. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Texas Health Frisco?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Texas Health Frisco range from $239 to $379 across 4 insurers. Aetna's rate is $239. The median at nearby comparable hospitals is $237. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Texas Health Frisco's CMS star rating?

Texas Health Frisco has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Texas Health Frisco a teaching hospital?

CMS reports no Medicare-funded interns or residents at Texas Health Frisco for fiscal year 2027.

Does Medicare penalize Texas Health Frisco for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Texas Health Frisco's base inpatient payments by an estimated 0.15% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Texas Health Frisco?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (118 discharges), heart failure and shock with mcc (50 discharges), septicemia or severe sepsis without mv >96 hours without mcc (35 discharges).

What is Texas Health Frisco's case mix index?

Texas Health Frisco's Medicare case mix index is 1.66 for fiscal year 2027, higher than 47% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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