Compatibility test incubate at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$620.90
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.
$620.90
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.
$41.55 with Aetna vs $620.90 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 |
|---|---|---|---|
| Aetna | QHPHIX | $41.55 | ↓ -93% |
| Superior Health Plan | STARHealth | $43.46 | ↓ -93% |
| Superior Health Plan | CHIP | $43.46 | ↓ -93% |
| Superior Health Plan | STARKids | $43.46 | ↓ -93% |
| Superior Health Plan | STARPLUS | $43.46 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $43.46 | ↓ -93% |
| Aetna | NewBusiness | $57.23 | ↓ -91% |
| Aetna | Meritain | $60.96 | ↓ -90% |
| Aetna | COMM | $60.96 | ↓ -90% |
| Aetna | OON | $71.74 | ↓ -88% |
| Cigna | IFP | $83.82 | ↓ -87% |
| Cigna | QHP | $86.93 | ↓ -86% |
| United | OptionsPPO | $108.04 | ↓ -83% |
| Cigna | LocalPlus | $122.18 | ↓ -80% |
| Cigna | NewBusiness | $122.30 | ↓ -80% |
| Oscar | HIX | $129.15 | ↓ -79% |
| Cigna | HMO | $136.54 | ↓ -78% |
| Cigna | OpenAccessPlus | $136.54 | ↓ -78% |
| Cigna | NetworkBenefit | $136.54 | ↓ -78% |
| United | AllPayerAppendix | $149.16 | ↓ -76% |
| United | NarrowNetworkIndivExchange | $149.16 | ↓ -76% |
| United | SmallGroup | $149.16 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $152.12 | ↓ -76% |
| Evry Health | COMM | $160.19 | ↓ -74% |
| Cigna | AllOther | $172.69 | ↓ -72% |
| BCBS | BluePremier | $183.68 | ↓ -70% |
| LifeCare Hospitals | MGMCR | $186.27 | ↓ -70% |
| LifeCare Hospitals | MGMCD | $186.27 | ↓ -70% |
| Healthcare Highways | CityofPlano | $209.86 | ↓ -66% |
| Prominence Health Plan | HIX | $248.36 | ↓ -60% |
| BCBS | MyBlueHealth | $251.13 | ↓ -60% |
| BCBS | BlueAdvantageHMO | $251.13 | ↓ -60% |
| BCBS | BlueEssentialsAccess | $261.17 | ↓ -58% |
| BCBS | BlueEssentials | $261.17 | ↓ -58% |
| BCBS | EPOSOA | $274.08 | ↓ -56% |
| BCBS | Traditional | $275.68 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $279.40 | ↓ -55% |
| City of McKinney | COMM | $279.40 | ↓ -55% |
| Humana | COMM | $282.55 | ↓ -54% |
| BCBS | PPO | $287.00 | ↓ -54% |
| National ChoiceCare | WCOMP | $310.45 | ↓ -50% |
| Aetna | ASA | $327.21 | ↓ -47% |
| PC Texas Partners | WCOMP | $341.50 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $341.50 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $341.50 | ↓ -45% |
| Aetna | WCOMP | $341.50 | ↓ -45% |
| Averde Health, Inc | PPO | $360.12 | ↓ -42% |
| Aetna Coventry First Health | EXCLUSIVE | $375.64 | ↓ -40% |
| Aetna Coventry First Health | NONEXCLUSIVE | $375.64 | ↓ -40% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $403.58 | ↓ -35% |
| Mega Life | MGMCRPPO | $434.63 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $434.63 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $434.63 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $465.68 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $465.68 | ↓ -25% |
| USA Managed Care | COMM | $496.72 | ↓ -20% |
| USC Health Services | COMM | $496.72 | ↓ -20% |
| Galaxy Health Network | PPO | $527.76 | ↓ -15% |
| Unicare | MCD | $620.90 | ↑ +0% |
| National Healthcare Solutions | COMM | $620.90 | ↑ +0% |
| Independent Medical Systems | COMM | $620.90 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Compatibility test incubate at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Frisco | Frisco | not published | $19.53 – $19.53 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $647.07 | $120.02 – $339.75 |
| HCA HOUSTON MEDICAL CENTER | Houston | $957.45 | $120.02 – $339.75 |
| HCA HOUSTON CONROE | CONROE | $554.35 | $120.02 – $339.75 |
| HCA HOUSTON KINGWOOD | HUMBLE | $1,040.20 | $120.02 – $339.75 |
| HCA HOUSTON NORTHWEST | SPRING | $869.82 | $120.02 – $339.75 |
| St. Luke's Health - Patients Medical Center | Pasadena | $48.83 | $76.00 – $193.77 |
| Baylor St Luke's Medical Center | Houston | $133.70 | $36.95 – $382.00 |