Abd/low ext cath addl at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$1,508.18
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.
$1,508.18
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.
$94.26 with Superior Health Plan vs $4,332.00 with Aetna — 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 | CHIP | $94.26 | ↓ -94% |
| Superior Health Plan | MCDSTAR | $94.26 | ↓ -94% |
| Superior Health Plan | STARPLUS | $94.26 | ↓ -94% |
| Superior Health Plan | STARKids | $94.26 | ↓ -94% |
| Superior Health Plan | STARHealth | $94.26 | ↓ -94% |
| Cigna | IFP | $181.79 | ↓ -88% |
| Cigna | QHP | $188.52 | ↓ -88% |
| United | OptionsPPO | $234.31 | ↓ -84% |
| Imperial Insurance Company | MCR | $255.85 | ↓ -83% |
| BCBS | BlueAdvantageHMO | $332.61 | ↓ -78% |
| BCBS | MyBlueHealth | $332.61 | ↓ -78% |
| Cigna | LocalPlus | $355.50 | ↓ -76% |
| Cigna | NewBusiness | $355.50 | ↓ -76% |
| BCBS | BluePremier | $393.20 | ↓ -74% |
| Cigna | OpenAccessPlus | $397.24 | ↓ -74% |
| Cigna | HMO | $397.24 | ↓ -74% |
| Cigna | NetworkBenefit | $397.24 | ↓ -74% |
| LifeCare Hospitals | MGMCD | $403.98 | ↓ -73% |
| LifeCare Hospitals | MGMCR | $403.98 | ↓ -73% |
| BCBS | BlueEssentials | $429.56 | ↓ -72% |
| BCBS | BlueEssentialsAccess | $429.56 | ↓ -72% |
| BCBS | EPOSOA | $451.11 | ↓ -70% |
| Healthcare Highways | CityofPlano | $455.15 | ↓ -70% |
| BCBS | PPO | $471.31 | ↓ -69% |
| Cigna | AllOther | $502.28 | ↓ -67% |
| Prominence Health Plan | HIX | $538.64 | ↓ -64% |
| BCBS | Traditional | $597.89 | ↓ -60% |
| City of McKinney | COMM | $605.97 | ↓ -60% |
| National ChoiceCare | WCOMP | $673.29 | ↓ -55% |
| Humana | COMM | $702.99 | ↓ -53% |
| Aetna | ASA | $709.65 | ↓ -53% |
| Aetna | WCOMP | $740.62 | ↓ -51% |
| Rockport Health Group | WORKERSCOMP | $740.62 | ↓ -51% |
| Physicians Coop of TX | MGMCR | $740.62 | ↓ -51% |
| PC Texas Partners | WCOMP | $740.62 | ↓ -51% |
| Averde Health, Inc | PPO | $781.02 | ↓ -48% |
| Aetna Coventry First Health | EXCLUSIVE | $814.69 | ↓ -46% |
| Aetna Coventry First Health | NONEXCLUSIVE | $814.69 | ↓ -46% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $875.28 | ↓ -42% |
| Mega Life | MGMCRPPO | $942.61 | ↓ -38% |
| Coastal Comp Health Networks | WCOMP | $942.61 | ↓ -38% |
| Multiplan PHCS | PrimaryNetwork | $942.61 | ↓ -38% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,009.94 | ↓ -33% |
| HealthSmart Preferred Care | PPO | $1,009.94 | ↓ -33% |
| USA Managed Care | COMM | $1,077.27 | ↓ -29% |
| USC Health Services | COMM | $1,077.27 | ↓ -29% |
| Galaxy Health Network | PPO | $1,144.60 | ↓ -24% |
| United | NarrowNetworkIndivExchange | $1,259.00 | ↓ -17% |
| Unicare | MCD | $1,346.59 | ↓ -11% |
| National Healthcare Solutions | COMM | $1,346.59 | ↓ -11% |
| Independent Medical Systems | COMM | $1,346.59 | ↓ -11% |
| United | SmallGroup | $1,454.00 | ↓ -4% |
| Curative Administrators | COMM | $1,672.00 | ↑ +11% |
| Fidelis SecureCare | MGMCR | $1,995.00 | ↑ +32% |
| Healthcare Highways | NarrowNetwork | $2,069.00 | ↑ +37% |
| United | AllPayerAppendix | $2,174.00 | ↑ +44% |
| Evry Health | COMM | $2,287.00 | ↑ +52% |
| Aetna | QHPHIX | $2,513.00 | ↑ +67% |
| Oscar | HIX | $2,636.00 | ↑ +75% |
| Aetna | NewBusiness | $3,445.00 | ↑ +128% |
| Aetna | Meritain | $3,682.00 | ↑ +144% |
| Aetna | COMM | $3,682.00 | ↑ +144% |
| Aetna | OON | $4,332.00 | ↑ +187% |
| WellMed | MGMCR | not published by hospital | — |
Visitor-reported prices
Comments
Abd/low ext cath addl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,680.49 | $448.13 – $2,380.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $1,680.49 | $784.23 – $2,380.69 |
| Texas Health Hospital Frisco | Frisco | $3,699.15 | not published |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,680.49 | $476.14 – $2,380.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,020.60 | $71.00 – $1,530.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,020.60 | $71.00 – $1,275.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,020.60 | $85.00 – $1,530.90 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,020.60 | $527.31 – $1,530.90 |