Cath pezzer 34fr drain bardex propor head mushrm ltx 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.
$38.73 with BCBS vs $255.67 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 |
|---|---|---|---|
| BCBS | BlueAdvantageHMO | $38.73 | — |
| BCBS | MyBlueHealth | $38.73 | — |
| Humana | Tricare | $43.89 | — |
| BCBS | BluePremier | $43.90 | — |
| BCBS | MGMCRHMO | $44.36 | — |
| BCBS | MCRPPO | $44.36 | — |
| WellMed | MGMCR | $45.02 | — |
| TriWest Veterans | FEDERAL | $45.25 | — |
| Devoted Health | PPO | $45.25 | — |
| TriWest Health Alliance | TRCR | $45.25 | — |
| Mutual of Omaha | MGMCR | $45.25 | — |
| Amerigroup | DualEligible | $45.25 | — |
| Humana | MGMCR | $45.25 | — |
| Devoted Health | SNP | $45.25 | — |
| Devoted Health | HMO | $45.25 | — |
| Devoted Health | POS | $45.25 | — |
| Devoted Health | MCR | $45.25 | — |
| Devoted Health | MME | $45.25 | — |
| Triwest Veterans | FED | $45.25 | — |
| United | MGMCR | $45.48 | — |
| Aetna | MCR | $45.63 | — |
| Care N Care | MGMCR | $45.70 | — |
| Cigna Healthspring | MGMCR | $46.16 | — |
| WellCare | MGMCR | $46.61 | — |
| Integranet | MGMCR | $46.61 | — |
| Superior Health Plan | MGMCRSNP | $47.51 | — |
| Superior Health Plan | MGMCRPOS | $47.51 | — |
| Superior Health Plan | MGMCRPFFS | $47.51 | — |
| ProCare Advantge | MCR | $47.51 | — |
| Superior Health Plan | MGMCRDualEligible | $47.51 | — |
| American Health Plan of Texas, Inc. | MGMCR | $47.51 | — |
| Superior Health Plan | MGMCRPPO | $47.51 | — |
| Superior Health Plan | MGMCRHMO | $47.51 | — |
| Provider Partners Health Plan | MCR | $47.97 | — |
| Texas Independent Health Plan | MGMCR | $47.97 | — |
| Molina | MMP | $49.32 | — |
| Molina | MME | $49.32 | — |
| Molina | MCR | $49.32 | — |
| Imperial Insurance Company | MCR | $49.78 | — |
| BCBS | BlueEssentialsAccess | $49.80 | — |
| BCBS | BlueEssentials | $49.80 | — |
| BCBS | EPOSOA | $52.38 | — |
| Universal Healthcare Group | MCR | $54.30 | — |
| BCBS | PPO | $54.60 | — |
| Verda Health Plan | MGMCR | $58.83 | — |
| Bravo Health | MCRPOS | $67.88 | — |
| Bravo Health | MCRPPO | $67.88 | — |
| Bravo Health | MCRHMO | $67.88 | — |
| Bravo Health | MCRPFFS | $67.88 | — |
| Bravo Health | MCRSNP | $67.88 | — |
| Superior | ValueHMO | $81.00 | — |
| USA Managed Care | WORKERSCOMP | $85.97 | — |
| Corvel Corporation | WORKERSCOMP | $89.59 | — |
| Superior | EPO | $101.36 | — |
| Superior | HMO | $101.36 | — |
| Molina Healthcare | HIX | $118.56 | — |
| Humana | COMM | $255.67 | — |
Visitor-reported prices
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Cath pezzer 34fr drain bardex propor head mushrm ltx at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Frisco | Frisco | $64.06 | not published |
| Baylor St Luke's Medical Center | Houston | $38.22 | $9.93 – $36.75 |
| St. Joseph Health Madison Hospital | Madisonville | $22.40 | $7.78 – $54.90 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $38.22 | $9.93 – $36.75 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $38.22 | $9.93 – $36.75 |
| St. Joseph Health College Station Hospital | College Station | $22.40 | $29.89 – $53.12 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $38.22 | $9.93 – $36.75 |
| Texas Health Presbyterian Hospital Allen | Allen | $64.06 | not published |