ER Visit (level 1, minor) at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$904.82
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.
$904.82
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.
$56.50 with Parkland Community Health Plan vs $1,118.00 with Cigna — 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 |
|---|---|---|---|
| Parkland Community Health Plan | MCD | $56.50 | ↓ -94% |
| Humana | MGMCD | $64.20 | ↓ -93% |
| Aetna Better Health | MCD | $77.04 | ↓ -91% |
| Aetna Better Health | CHIP | $77.04 | ↓ -91% |
| Superior Health Plan | MGMCRDualEligible | $110.12 | ↓ -88% |
| Superior Health Plan | MGMCRPPO | $110.12 | ↓ -88% |
| Superior Health Plan | MGMCRPOS | $110.12 | ↓ -88% |
| Superior Health Plan | MGMCRSNP | $110.12 | ↓ -88% |
| Superior Health Plan | MGMCRHMO | $110.12 | ↓ -88% |
| Superior Health Plan | MGMCRPFFS | $110.12 | ↓ -88% |
| Cigna | IFP | $122.15 | ↓ -87% |
| Cigna | QHP | $126.67 | ↓ -86% |
| Molina | MCDSTAR | $140.00 | ↓ -85% |
| Molina | CHIP | $140.00 | ↓ -85% |
| Molina | STAR+PLUS | $140.00 | ↓ -85% |
| Molina | STARKIDS | $140.00 | ↓ -85% |
| United | OptionsPPO | $157.44 | ↓ -83% |
| Aetna | QHPHIX | $191.00 | ↓ -79% |
| Cigna Healthspring | MGMCD | $200.00 | ↓ -78% |
| Aetna | NewBusiness | $260.00 | ↓ -71% |
| LifeCare Hospitals | MGMCD | $271.45 | ↓ -70% |
| LifeCare Hospitals | MGMCR | $271.45 | ↓ -70% |
| BCBS | BluePremier | $272.00 | ↓ -70% |
| Aetna | Meritain | $280.00 | ↓ -69% |
| Aetna | COMM | $280.00 | ↓ -69% |
| United | NarrowNetworkIndivExchange | $295.00 | ↓ -67% |
| Oscar | HIX | $300.00 | ↓ -67% |
| Healthcare Highways | CityofPlano | $305.83 | ↓ -66% |
| Aetna | OON | $329.00 | ↓ -64% |
| Healthcare Highways | NarrowNetwork | $354.00 | ↓ -61% |
| Prominence Health Plan | HIX | $361.93 | ↓ -60% |
| Evry Health | COMM | $362.00 | ↓ -60% |
| Amerigroup | MGMCD | $363.00 | ↓ -60% |
| Amerigroup | CHIP | $363.00 | ↓ -60% |
| United | SmallGroup | $375.00 | ↓ -59% |
| BCBS | Traditional | $401.74 | ↓ -56% |
| City of McKinney | COMM | $407.17 | ↓ -55% |
| BCBS | BlueAdvantageHMO | $424.00 | ↓ -53% |
| BCBS | MyBlueHealth | $424.00 | ↓ -53% |
| National ChoiceCare | WCOMP | $452.41 | ↓ -50% |
| Aetna | ASA | $476.84 | ↓ -47% |
| Aetna | WCOMP | $497.65 | ↓ -45% |
| PC Texas Partners | WCOMP | $497.65 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $497.65 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $497.65 | ↓ -45% |
| Averde Health, Inc | PPO | $524.80 | ↓ -42% |
| United | AllPayerAppendix | $525.00 | ↓ -42% |
| BCBS | BlueEssentials | $546.00 | ↓ -40% |
| BCBS | BlueEssentialsAccess | $546.00 | ↓ -40% |
| Aetna Coventry First Health | EXCLUSIVE | $547.42 | ↓ -39% |
| Aetna Coventry First Health | NONEXCLUSIVE | $547.42 | ↓ -39% |
| BCBS | EPOSOA | $574.00 | ↓ -37% |
| Curative Administrators | COMM | $575.00 | ↓ -36% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $588.13 | ↓ -35% |
| BCBS | PPO | $600.00 | ↓ -34% |
| Coastal Comp Health Networks | WCOMP | $633.37 | ↓ -30% |
| Mega Life | MGMCRPPO | $633.37 | ↓ -30% |
| Humana | COMM | $634.00 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $678.62 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $678.62 | ↓ -25% |
| USC Health Services | COMM | $723.86 | ↓ -20% |
| USA Managed Care | COMM | $723.86 | ↓ -20% |
| Galaxy Health Network | PPO | $769.10 | ↓ -15% |
| Cigna | LocalPlus | $791.00 | ↓ -13% |
| Cigna | NewBusiness | $792.00 | ↓ -12% |
| Cigna | HMO | $884.00 | ↓ -2% |
| Cigna | NetworkBenefit | $884.00 | ↓ -2% |
| Cigna | OpenAccessPlus | $884.00 | ↓ -2% |
| Independent Medical Systems | COMM | $904.82 | ↑ +0% |
| National Healthcare Solutions | COMM | $904.82 | ↑ +0% |
| Unicare | MCD | $904.82 | ↑ +0% |
| Cigna | AllOther | $1,118.00 | ↑ +24% |
| Multiplan PHCS | PrimaryNetwork | not published by hospital | — |
| United | STARPLUS | not published by hospital | — |
| United | STAR | not published by hospital | — |
| United | CHIP | not published by hospital | — |
| United | STARPerinate | not published by hospital | — |
| United | STARKids | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 1, minor) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $286.94 | $76.52 – $859.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $286.94 | $80.47 – $358.67 |
| Texas Health Hospital Frisco | Frisco | $184.50 | not published |
| Adventhealth Rollins Brook | Lampasas | $409.49 | $268.04 – $268.04 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $286.94 | $80.47 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $312.33 | $64.29 – $859.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $333.31 | $66.66 – $859.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $312.33 | $80.47 – $859.00 |