Brace fx hum ovr shldr sm 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.
$401.52 with Humana vs $2,338.62 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 |
|---|---|---|---|
| Humana | Tricare | $401.52 | — |
| BCBS | MCRPPO | $405.82 | — |
| BCBS | MGMCRHMO | $405.82 | — |
| WellMed | MGMCR | $411.87 | — |
| Devoted Health | MCR | $413.94 | — |
| Devoted Health | MME | $413.94 | — |
| Humana | MGMCR | $413.94 | — |
| Triwest Veterans | FED | $413.94 | — |
| Devoted Health | SNP | $413.94 | — |
| Devoted Health | HMO | $413.94 | — |
| Devoted Health | POS | $413.94 | — |
| Amerigroup | DualEligible | $413.94 | — |
| Mutual of Omaha | MGMCR | $413.94 | — |
| TriWest Health Alliance | TRCR | $413.94 | — |
| TriWest Veterans | FEDERAL | $413.94 | — |
| Devoted Health | PPO | $413.94 | — |
| United | MGMCR | $416.01 | — |
| Aetna | MCR | $417.46 | — |
| Care N Care | MGMCR | $418.08 | — |
| Cigna Healthspring | MGMCR | $422.22 | — |
| WellCare | MGMCR | $426.36 | — |
| Integranet | MGMCR | $426.36 | — |
| Superior Health Plan | MGMCRPOS | $434.64 | — |
| Superior Health Plan | MGMCRSNP | $434.64 | — |
| American Health Plan of Texas, Inc. | MGMCR | $434.64 | — |
| ProCare Advantge | MCR | $434.64 | — |
| Superior Health Plan | MGMCRHMO | $434.64 | — |
| Superior Health Plan | MGMCRPPO | $434.64 | — |
| Superior Health Plan | MGMCRDualEligible | $434.64 | — |
| Superior Health Plan | MGMCRPFFS | $434.64 | — |
| Texas Independent Health Plan | MGMCR | $438.78 | — |
| Provider Partners Health Plan | MCR | $438.78 | — |
| Molina | MME | $451.19 | — |
| Molina | MMP | $451.19 | — |
| Molina | MCR | $451.19 | — |
| Imperial Insurance Company | MCR | $455.33 | — |
| Universal Healthcare Group | MCR | $496.73 | — |
| Verda Health Plan | MGMCR | $538.12 | — |
| Bravo Health | MCRSNP | $620.91 | — |
| Bravo Health | MCRPOS | $620.91 | — |
| Bravo Health | MCRPFFS | $620.91 | — |
| Bravo Health | MCRHMO | $620.91 | — |
| Bravo Health | MCRPPO | $620.91 | — |
| Superior | ValueHMO | $740.95 | — |
| USA Managed Care | WORKERSCOMP | $786.49 | — |
| Corvel Corporation | WORKERSCOMP | $819.60 | — |
| Superior | EPO | $927.23 | — |
| Superior | HMO | $927.23 | — |
| Molina Healthcare | HIX | $1,084.52 | — |
| Humana | COMM | $2,338.62 | — |
Visitor-reported prices
Comments
Brace fx hum ovr shldr sm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Frisco | Frisco | $874.04 | not published |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $229.02 | $23.49 – $171.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $229.02 | $22.83 – $152.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $229.02 | $36.64 – $171.21 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $229.02 | $58.97 – $171.21 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $229.02 | $38.05 – $171.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $229.02 | $22.83 – $152.18 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $229.02 | $28.53 – $171.21 |