Brace knee postop tscope xl 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.
$1,044.03 with Humana vs $6,080.79 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 | $1,044.03 | — |
| BCBS | MCRPPO | $1,055.22 | — |
| BCBS | MGMCRHMO | $1,055.22 | — |
| WellMed | MGMCR | $1,070.94 | — |
| Devoted Health | MCR | $1,076.32 | — |
| Devoted Health | MME | $1,076.32 | — |
| Humana | MGMCR | $1,076.32 | — |
| Triwest Veterans | FED | $1,076.32 | — |
| Devoted Health | SNP | $1,076.32 | — |
| Devoted Health | HMO | $1,076.32 | — |
| Devoted Health | POS | $1,076.32 | — |
| Amerigroup | DualEligible | $1,076.32 | — |
| Mutual of Omaha | MGMCR | $1,076.32 | — |
| TriWest Health Alliance | TRCR | $1,076.32 | — |
| TriWest Veterans | FEDERAL | $1,076.32 | — |
| Devoted Health | PPO | $1,076.32 | — |
| United | MGMCR | $1,081.70 | — |
| Aetna | MCR | $1,085.47 | — |
| Care N Care | MGMCR | $1,087.08 | — |
| Cigna Healthspring | MGMCR | $1,097.85 | — |
| WellCare | MGMCR | $1,108.61 | — |
| Integranet | MGMCR | $1,108.61 | — |
| Superior Health Plan | MGMCRPOS | $1,130.14 | — |
| Superior Health Plan | MGMCRSNP | $1,130.14 | — |
| American Health Plan of Texas, Inc. | MGMCR | $1,130.14 | — |
| ProCare Advantge | MCR | $1,130.14 | — |
| Superior Health Plan | MGMCRHMO | $1,130.14 | — |
| Superior Health Plan | MGMCRPPO | $1,130.14 | — |
| Superior Health Plan | MGMCRDualEligible | $1,130.14 | — |
| Superior Health Plan | MGMCRPFFS | $1,130.14 | — |
| Texas Independent Health Plan | MGMCR | $1,140.90 | — |
| Provider Partners Health Plan | MCR | $1,140.90 | — |
| Molina | MME | $1,173.19 | — |
| Molina | MMP | $1,173.19 | — |
| Molina | MCR | $1,173.19 | — |
| Imperial Insurance Company | MCR | $1,183.95 | — |
| Universal Healthcare Group | MCR | $1,291.58 | — |
| Verda Health Plan | MGMCR | $1,399.22 | — |
| Bravo Health | MCRSNP | $1,614.48 | — |
| Bravo Health | MCRPOS | $1,614.48 | — |
| Bravo Health | MCRPFFS | $1,614.48 | — |
| Bravo Health | MCRHMO | $1,614.48 | — |
| Bravo Health | MCRPPO | $1,614.48 | — |
| Superior | ValueHMO | $1,926.61 | — |
| USA Managed Care | WORKERSCOMP | $2,045.01 | — |
| Corvel Corporation | WORKERSCOMP | $2,131.11 | — |
| Superior | EPO | $2,410.96 | — |
| Superior | HMO | $2,410.96 | — |
| Molina Healthcare | HIX | $2,819.96 | — |
| Humana | COMM | $6,080.79 | — |
Visitor-reported prices
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Brace knee postop tscope xl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $901.93 | $43.90 – $219.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $901.93 | $76.83 – $219.51 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $901.93 | $46.65 – $219.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,171.87 | $33.89 – $246.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,171.87 | $32.93 – $219.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,171.87 | $52.85 – $246.95 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,171.87 | $85.06 – $246.95 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,171.87 | $54.88 – $246.95 |