Diab manage trn ind/group 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.
$14.37 with Humana vs $217.65 with National Healthcare Solutions — 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 | $14.37 | — |
| TriWest Health Alliance | TRCR | $14.81 | — |
| BCBS | MGMCRHMO | $14.81 | — |
| BCBS | MCRPPO | $14.81 | — |
| Superior Health Plan | MCDSTAR | $15.24 | — |
| Superior Health Plan | CHIP | $15.24 | — |
| Superior Health Plan | STARKids | $15.24 | — |
| Superior Health Plan | STARPLUS | $15.24 | — |
| Superior Health Plan | STARHealth | $15.24 | — |
| WellMed | MGMCR | $15.55 | — |
| Devoted Health | POS | $15.63 | — |
| Devoted Health | HMO | $15.63 | — |
| Devoted Health | PPO | $15.63 | — |
| Amerigroup | DualEligible | $15.63 | — |
| Devoted Health | SNP | $15.63 | — |
| TriWest Veterans | FEDERAL | $15.63 | — |
| Mutual of Omaha | MGMCR | $15.63 | — |
| Triwest Veterans | FED | $15.63 | — |
| Devoted Health | MCR | $15.63 | — |
| Humana | MGMCR | $15.63 | — |
| Devoted Health | MME | $15.63 | — |
| United | MGMCR | $15.71 | — |
| Aetna | MCR | $15.76 | — |
| Care N Care | MGMCR | $15.79 | — |
| Cigna Healthspring | MGMCR | $15.94 | — |
| WellCare | MGMCR | $16.10 | — |
| Integranet | MGMCR | $16.10 | — |
| Superior Health Plan | MGMCRPFFS | $16.41 | — |
| Superior Health Plan | MGMCRPOS | $16.41 | — |
| Superior Health Plan | MGMCRSNP | $16.41 | — |
| ProCare Advantge | MCR | $16.41 | — |
| American Health Plan of Texas, Inc. | MGMCR | $16.41 | — |
| Superior Health Plan | MGMCRPPO | $16.41 | — |
| Superior Health Plan | MGMCRHMO | $16.41 | — |
| Superior Health Plan | MGMCRDualEligible | $16.41 | — |
| Texas Independent Health Plan | MGMCR | $16.57 | — |
| Provider Partners Health Plan | MCR | $16.57 | — |
| Molina | MME | $17.04 | — |
| Molina | MCR | $17.04 | — |
| Molina | MMP | $17.04 | — |
| Imperial Insurance Company | MCR | $17.19 | — |
| Universal Healthcare Group | MCR | $18.76 | — |
| Verda Health Plan | MGMCR | $20.32 | — |
| Bravo Health | MCRPFFS | $23.45 | — |
| Bravo Health | MCRHMO | $23.45 | — |
| Bravo Health | MCRPOS | $23.45 | — |
| Bravo Health | MCRSNP | $23.45 | — |
| Bravo Health | MCRPPO | $23.45 | — |
| Superior | ValueHMO | $27.98 | — |
| Cigna | IFP | $29.38 | — |
| USA Managed Care | WORKERSCOMP | $29.70 | — |
| Cigna | QHP | $30.47 | — |
| Corvel Corporation | WORKERSCOMP | $30.95 | — |
| Superior | EPO | $35.01 | — |
| Superior | HMO | $35.01 | — |
| Aetna | QHPHIX | $35.48 | — |
| BCBS | BluePremier | $36.58 | — |
| United | OptionsPPO | $37.87 | — |
| Molina Healthcare | HIX | $40.95 | — |
| BCBS | BlueAdvantageHMO | $42.63 | — |
| BCBS | MyBlueHealth | $42.63 | — |
| Oscar | HIX | $45.27 | — |
| Aetna | NewBusiness | $51.80 | — |
| Healthcare Highways | NarrowNetwork | $53.32 | — |
| Aetna | Meritain | $55.72 | — |
| Aetna | COMM | $55.72 | — |
| Evry Health | COMM | $56.15 | — |
| Cigna | NewBusiness | $57.46 | — |
| Cigna | LocalPlus | $57.46 | — |
| Cigna | NetworkBenefit | $64.21 | — |
| Cigna | HMO | $64.21 | — |
| Cigna | OpenAccessPlus | $64.21 | — |
| Aetna | OON | $65.30 | — |
| LifeCare Hospitals | MGMCD | $65.30 | — |
| LifeCare Hospitals | MGMCR | $65.30 | — |
| Healthcare Highways | CityofPlano | $73.57 | — |
| BCBS | BlueEssentials | $75.48 | — |
| BCBS | BlueEssentialsAccess | $75.48 | — |
| BCBS | EPOSOA | $79.20 | — |
| Cigna | AllOther | $81.18 | — |
| BCBS | PPO | $82.92 | — |
| Curative Administrators | COMM | $87.06 | — |
| Prominence Health Plan | HIX | $87.06 | — |
| BCBS | Traditional | $96.64 | — |
| City of McKinney | COMM | $97.94 | — |
| Fidelis SecureCare | MGMCR | $97.94 | — |
| Humana | COMM | $102.66 | — |
| National ChoiceCare | WCOMP | $108.83 | — |
| Aetna | ASA | $114.70 | — |
| Aetna | WCOMP | $119.71 | — |
| Physicians Coop of TX | MGMCR | $119.71 | — |
| PC Texas Partners | WCOMP | $119.71 | — |
| Rockport Health Group | WORKERSCOMP | $119.71 | — |
| Averde Health, Inc | PPO | $126.24 | — |
| Aetna Coventry First Health | EXCLUSIVE | $131.68 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $131.68 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $141.47 | — |
| Mega Life | MGMCRPPO | $152.35 | — |
| Coastal Comp Health Networks | WCOMP | $152.35 | — |
| Multiplan PHCS | PrimaryNetwork | $152.35 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $163.24 | — |
| HealthSmart Preferred Care | PPO | $163.24 | — |
| USA Managed Care | COMM | $174.12 | — |
| USC Health Services | COMM | $174.12 | — |
| Galaxy Health Network | PPO | $185.00 | — |
| Unicare | MCD | $217.65 | — |
| Independent Medical Systems | COMM | $217.65 | — |
| National Healthcare Solutions | COMM | $217.65 | — |
Visitor-reported prices
Comments
Diab manage trn ind/group at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $59.36 | $15.83 – $84.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $59.36 | $27.70 – $84.10 |
| Texas Health Hospital Frisco | Frisco | $84.00 | $21.05 – $21.05 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $59.36 | $16.82 – $84.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $63.45 | $13.06 – $95.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $69.32 | $13.86 – $86.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $63.45 | $20.37 – $95.17 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $63.45 | $32.78 – $95.17 |