Aquatic exercise - group charge 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.
$6.10 with Superior Health Plan vs $179.00 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 | STARPLUS | $6.10 | — |
| Superior Health Plan | CHIP | $6.10 | — |
| Superior Health Plan | STARKids | $6.10 | — |
| Superior Health Plan | STARHealth | $6.10 | — |
| Superior Health Plan | MCDSTAR | $6.10 | — |
| Cigna | IFP | $11.76 | — |
| Cigna | QHP | $12.20 | — |
| BCBS | MCRPPO | $14.98 | — |
| BCBS | MGMCRHMO | $14.98 | — |
| United | OptionsPPO | $15.16 | — |
| WellMed | MGMCR | $15.41 | — |
| Devoted Health | MME | $15.49 | — |
| Devoted Health | SNP | $15.49 | — |
| Devoted Health | HMO | $15.49 | — |
| Devoted Health | POS | $15.49 | — |
| Devoted Health | MCR | $15.49 | — |
| TriWest Veterans | FEDERAL | $15.49 | — |
| Devoted Health | PPO | $15.49 | — |
| Humana | MGMCR | $15.49 | — |
| Triwest Veterans | FED | $15.49 | — |
| Amerigroup | DualEligible | $15.49 | — |
| Mutual of Omaha | MGMCR | $15.49 | — |
| United | MGMCR | $15.57 | — |
| Aetna | MCR | $15.62 | — |
| Care N Care | MGMCR | $15.64 | — |
| Cigna Healthspring | MGMCR | $15.80 | — |
| WellCare | MGMCR | $15.95 | — |
| Integranet | MGMCR | $15.95 | — |
| Superior Health Plan | MGMCRPOS | $16.26 | — |
| Superior Health Plan | MGMCRSNP | $16.26 | — |
| Superior Health Plan | MGMCRPPO | $16.26 | — |
| American Health Plan of Texas, Inc. | MGMCR | $16.26 | — |
| Superior Health Plan | MGMCRHMO | $16.26 | — |
| ProCare Advantge | MCR | $16.26 | — |
| Superior Health Plan | MGMCRDualEligible | $16.26 | — |
| Superior Health Plan | MGMCRPFFS | $16.26 | — |
| Provider Partners Health Plan | MCR | $16.42 | — |
| Texas Independent Health Plan | MGMCR | $16.42 | — |
| Humana | Tricare | $16.51 | — |
| Molina | MME | $16.88 | — |
| Molina | MMP | $16.88 | — |
| Molina | MCR | $16.88 | — |
| TriWest Health Alliance | TRCR | $17.02 | — |
| Imperial Insurance Company | MCR | $17.04 | — |
| Oscar | HIX | $18.12 | — |
| Universal Healthcare Group | MCR | $18.59 | — |
| Verda Health Plan | MGMCR | $20.13 | — |
| Bravo Health | MCRHMO | $23.23 | — |
| Bravo Health | MCRPFFS | $23.23 | — |
| Bravo Health | MCRSNP | $23.23 | — |
| Bravo Health | MCRPPO | $23.23 | — |
| Bravo Health | MCRPOS | $23.23 | — |
| LifeCare Hospitals | MGMCD | $26.13 | — |
| LifeCare Hospitals | MGMCR | $26.13 | — |
| Superior | ValueHMO | $27.72 | — |
| USA Managed Care | WORKERSCOMP | $29.43 | — |
| Healthcare Highways | CityofPlano | $29.44 | — |
| Corvel Corporation | WORKERSCOMP | $30.67 | — |
| Superior | EPO | $34.69 | — |
| Superior | HMO | $34.69 | — |
| Prominence Health Plan | HIX | $34.84 | — |
| BCBS | Traditional | $38.68 | — |
| City of McKinney | COMM | $39.20 | — |
| Fidelis SecureCare | MGMCR | $39.20 | — |
| Molina Healthcare | HIX | $40.58 | — |
| National ChoiceCare | WCOMP | $43.55 | — |
| BCBS | BluePremier | $44.23 | — |
| Aetna | ASA | $45.91 | — |
| PC Texas Partners | WCOMP | $47.91 | — |
| Physicians Coop of TX | MGMCR | $47.91 | — |
| Aetna | WCOMP | $47.91 | — |
| Rockport Health Group | WORKERSCOMP | $47.91 | — |
| Averde Health, Inc | PPO | $50.52 | — |
| BCBS | MyBlueHealth | $51.53 | — |
| BCBS | BlueAdvantageHMO | $51.53 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $52.70 | — |
| Aetna Coventry First Health | EXCLUSIVE | $52.70 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $56.62 | — |
| Coastal Comp Health Networks | WCOMP | $60.98 | — |
| Multiplan PHCS | PrimaryNetwork | $60.98 | — |
| Mega Life | MGMCRPPO | $60.98 | — |
| HealthSmart Preferred Care | PPO | $65.33 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $65.33 | — |
| USC Health Services | COMM | $69.69 | — |
| USA Managed Care | COMM | $69.69 | — |
| Galaxy Health Network | PPO | $74.04 | — |
| National Healthcare Solutions | COMM | $87.11 | — |
| Independent Medical Systems | COMM | $87.11 | — |
| Unicare | MCD | $87.11 | — |
| BCBS | BlueEssentialsAccess | $91.26 | — |
| BCBS | BlueEssentials | $91.26 | — |
| BCBS | EPOSOA | $95.76 | — |
| BCBS | PPO | $100.26 | — |
| Aetna | QHPHIX | $106.00 | — |
| Humana | COMM | $129.91 | — |
| Aetna | NewBusiness | $143.00 | — |
| Aetna | COMM | $155.00 | — |
| Aetna | Meritain | $155.00 | — |
| Aetna | OON | $179.00 | — |
Visitor-reported prices
Comments
Aquatic exercise - group charge at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $117.76 | $31.40 – $166.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $117.76 | $54.95 – $166.82 |
| Texas Health Hospital Frisco | Frisco | $327.15 | $25.45 – $25.45 |
| Adventhealth Rollins Brook | Lampasas | $191.40 | $72.15 – $72.15 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $117.76 | $33.36 – $166.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $117.76 | $24.24 – $176.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $106.47 | $21.29 – $149.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $117.76 | $37.80 – $176.63 |