Established Patient Office Visit (level 1) 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.
$10.74 with Superior Health Plan vs $153.47 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $10.74 | — |
| Superior Health Plan | STARHealth | $10.74 | — |
| Superior Health Plan | MCDSTAR | $10.74 | — |
| Superior Health Plan | STARPLUS | $10.74 | — |
| Superior Health Plan | STARKids | $10.74 | — |
| Cigna | IFP | $20.72 | — |
| Cigna | QHP | $21.49 | — |
| Aetna | QHPHIX | $25.02 | — |
| BCBS | MyBlueHealth | $25.77 | — |
| BCBS | BlueAdvantageHMO | $25.77 | — |
| United | OptionsPPO | $26.70 | — |
| Imperial Insurance Company | MCR | $29.16 | — |
| Aetna | NewBusiness | $36.53 | — |
| Healthcare Highways | NarrowNetwork | $37.60 | — |
| Aetna | Meritain | $39.29 | — |
| Aetna | COMM | $39.29 | — |
| Evry Health | COMM | $39.60 | — |
| Cigna | NewBusiness | $42.27 | — |
| Cigna | LocalPlus | $42.27 | — |
| BCBS | BlueEssentials | $45.63 | — |
| BCBS | BlueEssentialsAccess | $45.63 | — |
| Aetna | OON | $46.04 | — |
| LifeCare Hospitals | MGMCD | $46.04 | — |
| LifeCare Hospitals | MGMCR | $46.04 | — |
| Cigna | HMO | $47.23 | — |
| Cigna | OpenAccessPlus | $47.23 | — |
| Cigna | NetworkBenefit | $47.23 | — |
| BCBS | EPOSOA | $47.88 | — |
| BCBS | PPO | $50.13 | — |
| Healthcare Highways | CityofPlano | $51.87 | — |
| Cigna | AllOther | $59.72 | — |
| Prominence Health Plan | HIX | $61.39 | — |
| Curative Administrators | COMM | $61.39 | — |
| BCBS | Traditional | $68.14 | — |
| Fidelis SecureCare | MGMCR | $69.06 | — |
| City of McKinney | COMM | $69.06 | — |
| National ChoiceCare | WCOMP | $76.73 | — |
| Aetna | ASA | $80.88 | — |
| Rockport Health Group | WORKERSCOMP | $84.41 | — |
| Physicians Coop of TX | MGMCR | $84.41 | — |
| PC Texas Partners | WCOMP | $84.41 | — |
| Aetna | WCOMP | $84.41 | — |
| Humana | COMM | $84.56 | — |
| Averde Health, Inc | PPO | $89.01 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $92.85 | — |
| Aetna Coventry First Health | EXCLUSIVE | $92.85 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $99.76 | — |
| Mega Life | MGMCRPPO | $107.43 | — |
| Multiplan PHCS | PrimaryNetwork | $107.43 | — |
| Coastal Comp Health Networks | WCOMP | $107.43 | — |
| HealthSmart Preferred Care | PPO | $115.10 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $115.10 | — |
| USA Managed Care | COMM | $122.78 | — |
| USC Health Services | COMM | $122.78 | — |
| Galaxy Health Network | PPO | $130.45 | — |
| Independent Medical Systems | COMM | $153.47 | — |
| Unicare | MCD | $153.47 | — |
| National Healthcare Solutions | COMM | $153.47 | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Frisco | Frisco | $387.00 | $12.72 – $12.72 |
| Adventhealth Rollins Brook | Lampasas | $256.64 | $36.07 – $36.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $134.02 | $15.44 – $112.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $96.94 | $15.00 – $93.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $134.02 | $24.07 – $112.50 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $134.02 | $38.75 – $112.50 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $96.94 | $25.00 – $112.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $134.02 | $15.00 – $106.25 |