1 pc ost pou w built-in conv at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
not published by hospital
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.
not published by hospital
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.
$2.24 with Superior Health Plan vs $77.33 with Humana — 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 |
|---|---|---|---|
| Superior Health Plan | STARKids | $2.24 | — |
| Superior Health Plan | STARHealth | $2.24 | — |
| Superior Health Plan | MCDSTAR | $2.24 | — |
| Superior Health Plan | CHIP | $2.24 | — |
| Superior Health Plan | STARPLUS | $2.24 | — |
| Cigna | IFP | $4.32 | — |
| Cigna | QHP | $4.48 | — |
| United | OptionsPPO | $5.57 | — |
| Cigna | LocalPlus | $8.45 | — |
| Cigna | NewBusiness | $8.45 | — |
| Cigna | NetworkBenefit | $9.44 | — |
| Cigna | HMO | $9.44 | — |
| Cigna | OpenAccessPlus | $9.44 | — |
| LifeCare Hospitals | MGMCR | $9.60 | — |
| LifeCare Hospitals | MGMCD | $9.60 | — |
| Healthcare Highways | CityofPlano | $10.82 | — |
| BCBS | MyBlueHealth | $11.72 | — |
| BCBS | BlueAdvantageHMO | $11.72 | — |
| Cigna | AllOther | $11.94 | — |
| Prominence Health Plan | HIX | $12.80 | — |
| Humana | Tricare | $13.27 | — |
| BCBS | BluePremier | $13.28 | — |
| BCBS | MCRPPO | $13.41 | — |
| BCBS | MGMCRHMO | $13.41 | — |
| WellMed | MGMCR | $13.61 | — |
| Devoted Health | MCR | $13.68 | — |
| TriWest Health Alliance | TRCR | $13.68 | — |
| Devoted Health | PPO | $13.68 | — |
| Humana | MGMCR | $13.68 | — |
| TriWest Veterans | FEDERAL | $13.68 | — |
| Devoted Health | SNP | $13.68 | — |
| Devoted Health | HMO | $13.68 | — |
| Devoted Health | POS | $13.68 | — |
| Mutual of Omaha | MGMCR | $13.68 | — |
| Devoted Health | MME | $13.68 | — |
| Triwest Veterans | FED | $13.68 | — |
| Amerigroup | DualEligible | $13.68 | — |
| United | MGMCR | $13.75 | — |
| Aetna | MCR | $13.80 | — |
| Care N Care | MGMCR | $13.82 | — |
| Cigna Healthspring | MGMCR | $13.95 | — |
| Integranet | MGMCR | $14.09 | — |
| WellCare | MGMCR | $14.09 | — |
| BCBS | Traditional | $14.21 | — |
| Superior Health Plan | MGMCRPPO | $14.36 | — |
| Superior Health Plan | MGMCRHMO | $14.36 | — |
| Superior Health Plan | MGMCRDualEligible | $14.36 | — |
| Superior Health Plan | MGMCRPFFS | $14.36 | — |
| Superior Health Plan | MGMCRPOS | $14.36 | — |
| Superior Health Plan | MGMCRSNP | $14.36 | — |
| American Health Plan of Texas, Inc. | MGMCR | $14.36 | — |
| ProCare Advantge | MCR | $14.36 | — |
| City of McKinney | COMM | $14.40 | — |
| Texas Independent Health Plan | MGMCR | $14.50 | — |
| Provider Partners Health Plan | MCR | $14.50 | — |
| Molina | MCR | $14.91 | — |
| Molina | MMP | $14.91 | — |
| Molina | MME | $14.91 | — |
| Imperial Insurance Company | MCR | $15.05 | — |
| BCBS | BlueEssentials | $15.07 | — |
| BCBS | BlueEssentialsAccess | $15.07 | — |
| BCBS | EPOSOA | $15.85 | — |
| National ChoiceCare | WCOMP | $16.00 | — |
| Universal Healthcare Group | MCR | $16.42 | — |
| BCBS | PPO | $16.52 | — |
| Aetna | ASA | $16.86 | — |
| Physicians Coop of TX | MGMCR | $17.60 | — |
| Rockport Health Group | WORKERSCOMP | $17.60 | — |
| PC Texas Partners | WCOMP | $17.60 | — |
| Aetna | WCOMP | $17.60 | — |
| Verda Health Plan | MGMCR | $17.78 | — |
| Averde Health, Inc | PPO | $18.56 | — |
| Aetna Coventry First Health | EXCLUSIVE | $19.36 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $19.36 | — |
| Bravo Health | MCRPFFS | $20.52 | — |
| Bravo Health | MCRSNP | $20.52 | — |
| Bravo Health | MCRPPO | $20.52 | — |
| Bravo Health | MCRPOS | $20.52 | — |
| Bravo Health | MCRHMO | $20.52 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $20.80 | — |
| Mega Life | MGMCRPPO | $22.40 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $24.00 | — |
| HealthSmart Preferred Care | PPO | $24.00 | — |
| Superior | ValueHMO | $24.49 | — |
| USA Managed Care | COMM | $25.60 | — |
| USC Health Services | COMM | $25.60 | — |
| USA Managed Care | WORKERSCOMP | $25.99 | — |
| Corvel Corporation | WORKERSCOMP | $27.09 | — |
| Galaxy Health Network | PPO | $27.20 | — |
| Superior | HMO | $30.64 | — |
| Superior | EPO | $30.64 | — |
| Independent Medical Systems | COMM | $32.00 | — |
| National Healthcare Solutions | COMM | $32.00 | — |
| Unicare | MCD | $32.00 | — |
| Molina Healthcare | HIX | $35.84 | — |
| Humana | COMM | $77.33 | — |
Visitor-reported prices
Comments
1 pc ost pou w built-in conv at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Frisco | Frisco | $10.75 | not published |
| HCA HOUSTON MEDICAL CENTER | Houston | $67.00 | $13.41 – $29.41 |
| Texas Health Presbyterian Hospital Allen | Allen | $10.75 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $10.75 | not published |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $10.75 | not published |
| Texas Health Arlington Memorial Hospital | Arlington | $10.75 | not published |
| Texas Health Presbyterian Hospital Denton | Denton | $10.75 | not published |
| Texas Health Presbyterian Hospital Plano | Plano | $10.75 | not published |