Cdna analysis for variants at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$3,372.20
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.
$3,372.20
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.
$155.57 with United vs $3,372.20 with Independent Medical Systems — 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 |
|---|---|---|---|
| United | STARKids | $155.57 | ↓ -95% |
| Amerigroup | MGMCD | $155.57 | ↓ -95% |
| United | CHIP | $155.57 | ↓ -95% |
| United | STARPLUS | $155.57 | ↓ -95% |
| United | STARPerinate | $155.57 | ↓ -95% |
| United | STAR | $155.57 | ↓ -95% |
| Amerigroup | CHIP | $155.57 | ↓ -95% |
| Cigna Healthspring | MGMCD | $163.35 | ↓ -95% |
| Aetna Better Health | CHIP | $168.02 | ↓ -95% |
| Aetna Better Health | MCD | $168.02 | ↓ -95% |
| Molina | MCDSTAR | $171.13 | ↓ -95% |
| Parkland Community Health Plan | MCD | $171.13 | ↓ -95% |
| Molina | CHIP | $171.13 | ↓ -95% |
| Molina | STAR+PLUS | $171.13 | ↓ -95% |
| Molina | STARKIDS | $171.13 | ↓ -95% |
| WellMed | MGMCR | $184.27 | ↓ -95% |
| BCBS | MCRPPO | $185.20 | ↓ -95% |
| Mutual of Omaha | MGMCR | $185.20 | ↓ -95% |
| Amerigroup | DualEligible | $185.20 | ↓ -95% |
| Humana | MGMCR | $185.20 | ↓ -95% |
| Devoted Health | SNP | $185.20 | ↓ -95% |
| TriWest Veterans | FEDERAL | $185.20 | ↓ -95% |
| BCBS | MGMCRHMO | $185.20 | ↓ -95% |
| Devoted Health | MCR | $185.20 | ↓ -95% |
| Devoted Health | MME | $185.20 | ↓ -95% |
| Devoted Health | PPO | $185.20 | ↓ -95% |
| Triwest Veterans | FED | $185.20 | ↓ -95% |
| United | AllPayerAppendix | $185.20 | ↓ -95% |
| United | SmallGroup | $185.20 | ↓ -95% |
| United | NarrowNetworkIndivExchange | $185.20 | ↓ -95% |
| Devoted Health | HMO | $185.20 | ↓ -95% |
| Devoted Health | POS | $185.20 | ↓ -95% |
| United | MGMCR | $186.13 | ↓ -94% |
| Aetna | MCR | $186.77 | ↓ -94% |
| Care N Care | MGMCR | $187.05 | ↓ -94% |
| Cigna Healthspring | MGMCR | $188.90 | ↓ -94% |
| Integranet | MGMCR | $190.76 | ↓ -94% |
| WellCare | MGMCR | $190.76 | ↓ -94% |
| Superior Health Plan | MGMCRPOS | $194.46 | ↓ -94% |
| Humana | MGMCD | $194.46 | ↓ -94% |
| Superior Health Plan | MGMCRHMO | $194.46 | ↓ -94% |
| Superior Health Plan | MGMCRPPO | $194.46 | ↓ -94% |
| Superior Health Plan | MGMCRDualEligible | $194.46 | ↓ -94% |
| Superior Health Plan | MGMCRPFFS | $194.46 | ↓ -94% |
| Superior Health Plan | MGMCRSNP | $194.46 | ↓ -94% |
| American Health Plan of Texas, Inc. | MGMCR | $194.46 | ↓ -94% |
| ProCare Advantge | MCR | $194.46 | ↓ -94% |
| Texas Independent Health Plan | MGMCR | $196.31 | ↓ -94% |
| Provider Partners Health Plan | MCR | $196.31 | ↓ -94% |
| Molina | MMP | $201.87 | ↓ -94% |
| Molina | MCR | $201.87 | ↓ -94% |
| Molina | MME | $201.87 | ↓ -94% |
| Imperial Insurance Company | MCR | $203.72 | ↓ -94% |
| Universal Healthcare Group | MCR | $222.24 | ↓ -93% |
| Aetna | QHPHIX | $235.57 | ↓ -93% |
| Superior Health Plan | STARKids | $236.05 | ↓ -93% |
| Superior Health Plan | STARHealth | $236.05 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $236.05 | ↓ -93% |
| Superior Health Plan | STARPLUS | $236.05 | ↓ -93% |
| Superior Health Plan | CHIP | $236.05 | ↓ -93% |
| BCBS | BluePremier | $237.06 | ↓ -93% |
| Verda Health Plan | MGMCR | $240.76 | ↓ -93% |
| Bravo Health | MCRSNP | $277.80 | ↓ -92% |
| Bravo Health | MCRHMO | $277.80 | ↓ -92% |
| Bravo Health | MCRPOS | $277.80 | ↓ -92% |
| Bravo Health | MCRPPO | $277.80 | ↓ -92% |
| Bravo Health | MCRPFFS | $277.80 | ↓ -92% |
| BCBS | MyBlueHealth | $324.10 | ↓ -90% |
| BCBS | BlueAdvantageHMO | $324.10 | ↓ -90% |
| Aetna | NewBusiness | $324.47 | ↓ -90% |
| Superior | ValueHMO | $331.51 | ↓ -90% |
| BCBS | BlueEssentials | $337.06 | ↓ -90% |
| BCBS | BlueEssentialsAccess | $337.06 | ↓ -90% |
| Aetna | Meritain | $345.58 | ↓ -90% |
| Aetna | COMM | $345.58 | ↓ -90% |
| USA Managed Care | WORKERSCOMP | $351.88 | ↓ -90% |
| BCBS | EPOSOA | $353.73 | ↓ -90% |
| Corvel Corporation | WORKERSCOMP | $366.70 | ↓ -89% |
| BCBS | PPO | $370.40 | ↓ -89% |
| Aetna | OON | $406.70 | ↓ -88% |
| Superior | HMO | $414.85 | ↓ -88% |
| Superior | EPO | $414.85 | ↓ -88% |
| Cigna | IFP | $455.25 | ↓ -86% |
| Cigna | QHP | $472.11 | ↓ -86% |
| Oscar | HIX | $481.52 | ↓ -86% |
| Molina Healthcare | HIX | $485.22 | ↓ -86% |
| United | OptionsPPO | $586.76 | ↓ -83% |
| Cigna | LocalPlus | $734.30 | ↓ -78% |
| Cigna | NewBusiness | $735.00 | ↓ -78% |
| Cigna | NetworkBenefit | $820.58 | ↓ -76% |
| Cigna | OpenAccessPlus | $820.58 | ↓ -76% |
| Cigna | HMO | $820.58 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $826.19 | ↓ -75% |
| Evry Health | COMM | $870.03 | ↓ -74% |
| LifeCare Hospitals | MGMCR | $1,011.66 | ↓ -70% |
| LifeCare Hospitals | MGMCD | $1,011.66 | ↓ -70% |
| Cigna | AllOther | $1,037.87 | ↓ -69% |
| Healthcare Highways | CityofPlano | $1,139.80 | ↓ -66% |
| Prominence Health Plan | HIX | $1,348.88 | ↓ -60% |
| BCBS | Traditional | $1,497.26 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $1,517.49 | ↓ -55% |
| City of McKinney | COMM | $1,517.49 | ↓ -55% |
| Humana | COMM | $1,666.49 | ↓ -51% |
| National ChoiceCare | WCOMP | $1,686.10 | ↓ -50% |
| Aetna | ASA | $1,777.15 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $1,854.71 | ↓ -45% |
| PC Texas Partners | WCOMP | $1,854.71 | ↓ -45% |
| Aetna | WCOMP | $1,854.71 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $1,854.71 | ↓ -45% |
| Averde Health, Inc | PPO | $1,955.88 | ↓ -42% |
| Aetna Coventry First Health | NONEXCLUSIVE | $2,040.18 | ↓ -40% |
| Aetna Coventry First Health | EXCLUSIVE | $2,040.18 | ↓ -40% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $2,191.93 | ↓ -35% |
| Multiplan PHCS | PrimaryNetwork | $2,360.54 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $2,360.54 | ↓ -30% |
| Mega Life | MGMCRPPO | $2,360.54 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $2,529.15 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $2,529.15 | ↓ -25% |
| USA Managed Care | COMM | $2,697.76 | ↓ -20% |
| USC Health Services | COMM | $2,697.76 | ↓ -20% |
| Galaxy Health Network | PPO | $2,866.37 | ↓ -15% |
| Unicare | MCD | $3,372.20 | ↑ +0% |
| National Healthcare Solutions | COMM | $3,372.20 | ↑ +0% |
| Independent Medical Systems | COMM | $3,372.20 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Cdna analysis for variants at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $750.00 | $10.00 – $444.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $750.00 | $10.00 – $398.18 |
| Texas Health Hospital Frisco | Frisco | $804.00 | $155.57 – $508.94 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $750.00 | $10.00 – $444.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $750.00 | $12.00 – $444.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $750.00 | $12.00 – $444.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $750.00 | $12.00 – $444.48 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $750.00 | $8.00 – $444.48 |