Compatibility test each unit immediate spin technique at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$500.53
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.
$500.53
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.
$35.04 with Superior Health Plan vs $500.53 with Unicare — 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 | STARKids | $35.04 | ↓ -93% |
| Superior Health Plan | CHIP | $35.04 | ↓ -93% |
| Superior Health Plan | STARHealth | $35.04 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $35.04 | ↓ -93% |
| Superior Health Plan | STARPLUS | $35.04 | ↓ -93% |
| Aetna | QHPHIX | $46.07 | ↓ -91% |
| Aetna | NewBusiness | $63.45 | ↓ -87% |
| Cigna | IFP | $67.57 | ↓ -87% |
| Aetna | Meritain | $67.58 | ↓ -86% |
| Aetna | COMM | $67.58 | ↓ -86% |
| Cigna | QHP | $70.07 | ↓ -86% |
| Aetna | OON | $79.53 | ↓ -84% |
| United | OptionsPPO | $87.09 | ↓ -83% |
| Oscar | HIX | $104.11 | ↓ -79% |
| Healthcare Highways | NarrowNetwork | $122.63 | ↓ -75% |
| Evry Health | COMM | $129.14 | ↓ -74% |
| Cigna | LocalPlus | $135.57 | ↓ -73% |
| Cigna | NewBusiness | $135.70 | ↓ -73% |
| United | AllPayerAppendix | $149.16 | ↓ -70% |
| United | NarrowNetworkIndivExchange | $149.16 | ↓ -70% |
| United | SmallGroup | $149.16 | ↓ -70% |
| LifeCare Hospitals | MGMCR | $150.16 | ↓ -70% |
| LifeCare Hospitals | MGMCD | $150.16 | ↓ -70% |
| Cigna | HMO | $151.50 | ↓ -70% |
| Cigna | OpenAccessPlus | $151.50 | ↓ -70% |
| Cigna | NetworkBenefit | $151.50 | ↓ -70% |
| Healthcare Highways | CityofPlano | $169.18 | ↓ -66% |
| BCBS | BluePremier | $183.68 | ↓ -63% |
| Cigna | AllOther | $191.61 | ↓ -62% |
| Prominence Health Plan | HIX | $200.21 | ↓ -60% |
| BCBS | Traditional | $222.24 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $225.24 | ↓ -55% |
| City of McKinney | COMM | $225.24 | ↓ -55% |
| National ChoiceCare | WCOMP | $250.26 | ↓ -50% |
| BCBS | BlueAdvantageHMO | $251.13 | ↓ -50% |
| BCBS | MyBlueHealth | $251.13 | ↓ -50% |
| BCBS | BlueEssentials | $261.17 | ↓ -48% |
| BCBS | BlueEssentialsAccess | $261.17 | ↓ -48% |
| Aetna | ASA | $263.78 | ↓ -47% |
| BCBS | EPOSOA | $274.08 | ↓ -45% |
| Aetna | WCOMP | $275.29 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $275.29 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $275.29 | ↓ -45% |
| PC Texas Partners | WCOMP | $275.29 | ↓ -45% |
| BCBS | PPO | $287.00 | ↓ -43% |
| Averde Health, Inc | PPO | $290.31 | ↓ -42% |
| Aetna Coventry First Health | EXCLUSIVE | $302.82 | ↓ -40% |
| Aetna Coventry First Health | NONEXCLUSIVE | $302.82 | ↓ -40% |
| Humana | COMM | $312.96 | ↓ -37% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $325.34 | ↓ -35% |
| Multiplan PHCS | PrimaryNetwork | $350.37 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $350.37 | ↓ -30% |
| Mega Life | MGMCRPPO | $350.37 | ↓ -30% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $375.40 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $375.40 | ↓ -25% |
| USA Managed Care | COMM | $400.42 | ↓ -20% |
| USC Health Services | COMM | $400.42 | ↓ -20% |
| Galaxy Health Network | PPO | $425.45 | ↓ -15% |
| Independent Medical Systems | COMM | $500.53 | ↑ +0% |
| National Healthcare Solutions | COMM | $500.53 | ↑ +0% |
| Unicare | MCD | $500.53 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Compatibility test each unit immediate spin technique at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $169.52 | $10.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $169.52 | $10.00 – $367.97 |
| Texas Health Hospital Frisco | Frisco | $177.90 | $29.63 – $159.57 |
| Adventhealth Rollins Brook | Lampasas | $128.09 | $552.48 – $552.48 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $169.52 | $10.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $158.27 | $12.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $149.06 | $12.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $158.27 | $12.00 – $423.12 |