Connect omega .5mm 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.
$357.44 with Humana vs $6,675.00 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 |
|---|---|---|---|
| Humana | Tricare | $357.44 | — |
| BCBS | MGMCRHMO | $361.27 | — |
| BCBS | MCRPPO | $361.27 | — |
| WellMed | MGMCR | $366.66 | — |
| TriWest Veterans | FEDERAL | $368.50 | — |
| Devoted Health | MME | $368.50 | — |
| Triwest Veterans | FED | $368.50 | — |
| Devoted Health | POS | $368.50 | — |
| Devoted Health | PPO | $368.50 | — |
| Humana | MGMCR | $368.50 | — |
| Devoted Health | HMO | $368.50 | — |
| Devoted Health | SNP | $368.50 | — |
| Devoted Health | MCR | $368.50 | — |
| TriWest Health Alliance | TRCR | $368.50 | — |
| Mutual of Omaha | MGMCR | $368.50 | — |
| Amerigroup | DualEligible | $368.50 | — |
| United | MGMCR | $370.34 | — |
| Aetna | MCR | $371.63 | — |
| Care N Care | MGMCR | $372.19 | — |
| Cigna Healthspring | MGMCR | $375.87 | — |
| Integranet | MGMCR | $379.56 | — |
| WellCare | MGMCR | $379.56 | — |
| Superior Health Plan | MGMCRPPO | $386.93 | — |
| Superior Health Plan | MGMCRSNP | $386.93 | — |
| ProCare Advantge | MCR | $386.93 | — |
| Superior Health Plan | MGMCRPFFS | $386.93 | — |
| Superior Health Plan | MGMCRPOS | $386.93 | — |
| Superior Health Plan | MGMCRDualEligible | $386.93 | — |
| Superior Health Plan | MGMCRHMO | $386.93 | — |
| American Health Plan of Texas, Inc. | MGMCR | $386.93 | — |
| Provider Partners Health Plan | MCR | $390.61 | — |
| Texas Independent Health Plan | MGMCR | $390.61 | — |
| Molina | MCR | $401.67 | — |
| Molina | MMP | $401.67 | — |
| Molina | MME | $401.67 | — |
| Imperial Insurance Company | MCR | $405.35 | — |
| Universal Healthcare Group | MCR | $442.20 | — |
| Superior Health Plan | STARKids | $467.25 | — |
| Superior Health Plan | MCDSTAR | $467.25 | — |
| Superior Health Plan | CHIP | $467.25 | — |
| Superior Health Plan | STARHealth | $467.25 | — |
| Superior Health Plan | STARPLUS | $467.25 | — |
| Verda Health Plan | MGMCR | $479.05 | — |
| Cigna | IFP | $540.67 | — |
| Bravo Health | MCRHMO | $552.75 | — |
| Bravo Health | MCRPPO | $552.75 | — |
| Bravo Health | MCRSNP | $552.75 | — |
| Bravo Health | MCRPFFS | $552.75 | — |
| Bravo Health | MCRPOS | $552.75 | — |
| Cigna | QHP | $560.70 | — |
| Superior | ValueHMO | $659.62 | — |
| United | OptionsPPO | $696.87 | — |
| USA Managed Care | WORKERSCOMP | $700.15 | — |
| Corvel Corporation | WORKERSCOMP | $729.63 | — |
| Superior | HMO | $825.44 | — |
| Superior | EPO | $825.44 | — |
| Molina Healthcare | HIX | $965.47 | — |
| BCBS | MyBlueHealth | $989.24 | — |
| BCBS | BlueAdvantageHMO | $989.24 | — |
| Cigna | NewBusiness | $1,057.32 | — |
| Cigna | LocalPlus | $1,057.32 | — |
| Cigna | HMO | $1,181.47 | — |
| Cigna | OpenAccessPlus | $1,181.47 | — |
| Cigna | NetworkBenefit | $1,181.47 | — |
| BCBS | BlueEssentials | $1,277.60 | — |
| BCBS | BlueEssentialsAccess | $1,277.60 | — |
| BCBS | EPOSOA | $1,341.67 | — |
| Healthcare Highways | CityofPlano | $1,353.69 | — |
| BCBS | PPO | $1,401.75 | — |
| Cigna | AllOther | $1,493.87 | — |
| Prominence Health Plan | HIX | $1,602.00 | — |
| LifeCare Hospitals | MGMCR | $2,002.50 | — |
| LifeCare Hospitals | MGMCD | $2,002.50 | — |
| Humana | COMM | $2,081.87 | — |
| Aetna | ASA | $2,110.64 | — |
| Aetna Coventry First Health | EXCLUSIVE | $2,423.03 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $2,423.03 | — |
| BCBS | Traditional | $2,963.70 | — |
| City of McKinney | COMM | $3,003.75 | — |
| National ChoiceCare | WCOMP | $3,337.50 | — |
| Aetna | WCOMP | $3,671.25 | — |
| PC Texas Partners | WCOMP | $3,671.25 | — |
| Physicians Coop of TX | MGMCR | $3,671.25 | — |
| Rockport Health Group | WORKERSCOMP | $3,671.25 | — |
| Averde Health, Inc | PPO | $3,871.50 | — |
| National Healthcare Solutions | COMM | $4,005.00 | — |
| Independent Medical Systems | COMM | $4,005.00 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $4,338.75 | — |
| Mega Life | MGMCRPPO | $4,672.50 | — |
| HealthSmart Preferred Care | PPO | $5,006.25 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $5,006.25 | — |
| USA Managed Care | COMM | $5,340.00 | — |
| USC Health Services | COMM | $5,340.00 | — |
| Galaxy Health Network | PPO | $5,673.75 | — |
| Unicare | MCD | $6,675.00 | — |
Visitor-reported prices
Comments
Connect omega .5mm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,447.28 | $106.43 – $532.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $1,447.28 | $186.25 – $532.15 |
| Texas Health Hospital Frisco | Frisco | $1,393.59 | not published |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,447.28 | $113.08 – $587.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,447.28 | $82.15 – $598.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,447.28 | $79.82 – $532.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,447.28 | $128.12 – $598.67 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,447.28 | $206.21 – $598.67 |