Factor ix at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$1,089.75
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.
$1,089.75
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.
$15.99 with Amerigroup vs $1,089.75 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 |
|---|---|---|---|
| Amerigroup | CHIP | $15.99 | ↓ -99% |
| Amerigroup | MGMCD | $15.99 | ↓ -99% |
| United | STARPerinate | $15.99 | ↓ -99% |
| United | CHIP | $15.99 | ↓ -99% |
| United | STARPLUS | $15.99 | ↓ -99% |
| United | STAR | $15.99 | ↓ -99% |
| United | STARKids | $15.99 | ↓ -99% |
| Cigna Healthspring | MGMCD | $16.79 | ↓ -98% |
| Aetna Better Health | MCD | $17.27 | ↓ -98% |
| Aetna Better Health | CHIP | $17.27 | ↓ -98% |
| Molina | STARKIDS | $17.59 | ↓ -98% |
| Molina | MCDSTAR | $17.59 | ↓ -98% |
| Parkland Community Health Plan | MCD | $17.59 | ↓ -98% |
| Molina | CHIP | $17.59 | ↓ -98% |
| Molina | STAR+PLUS | $17.59 | ↓ -98% |
| WellMed | MGMCR | $18.94 | ↓ -98% |
| Amerigroup | DualEligible | $19.04 | ↓ -98% |
| TriWest Veterans | FEDERAL | $19.04 | ↓ -98% |
| Humana | MGMCR | $19.04 | ↓ -98% |
| Devoted Health | POS | $19.04 | ↓ -98% |
| United | NarrowNetworkIndivExchange | $19.04 | ↓ -98% |
| Devoted Health | PPO | $19.04 | ↓ -98% |
| Devoted Health | SNP | $19.04 | ↓ -98% |
| BCBS | MCRPPO | $19.04 | ↓ -98% |
| Mutual of Omaha | MGMCR | $19.04 | ↓ -98% |
| Devoted Health | HMO | $19.04 | ↓ -98% |
| United | SmallGroup | $19.04 | ↓ -98% |
| BCBS | MGMCRHMO | $19.04 | ↓ -98% |
| United | AllPayerAppendix | $19.04 | ↓ -98% |
| Devoted Health | MCR | $19.04 | ↓ -98% |
| Devoted Health | MME | $19.04 | ↓ -98% |
| Triwest Veterans | FED | $19.04 | ↓ -98% |
| United | MGMCR | $19.14 | ↓ -98% |
| Aetna | MCR | $19.20 | ↓ -98% |
| Care N Care | MGMCR | $19.23 | ↓ -98% |
| Cigna Healthspring | MGMCR | $19.42 | ↓ -98% |
| Integranet | MGMCR | $19.61 | ↓ -98% |
| WellCare | MGMCR | $19.61 | ↓ -98% |
| Superior Health Plan | MGMCRSNP | $19.99 | ↓ -98% |
| Humana | Tricare | $19.99 | ↓ -98% |
| Humana | MGMCD | $19.99 | ↓ -98% |
| ProCare Advantge | MCR | $19.99 | ↓ -98% |
| Superior Health Plan | MGMCRHMO | $19.99 | ↓ -98% |
| Superior Health Plan | MGMCRPPO | $19.99 | ↓ -98% |
| Superior Health Plan | MGMCRDualEligible | $19.99 | ↓ -98% |
| Superior Health Plan | MGMCRPFFS | $19.99 | ↓ -98% |
| Superior Health Plan | MGMCRPOS | $19.99 | ↓ -98% |
| American Health Plan of Texas, Inc. | MGMCR | $19.99 | ↓ -98% |
| Provider Partners Health Plan | MCR | $20.18 | ↓ -98% |
| Texas Independent Health Plan | MGMCR | $20.18 | ↓ -98% |
| TriWest Health Alliance | TRCR | $20.61 | ↓ -98% |
| Molina | MMP | $20.75 | ↓ -98% |
| Molina | MCR | $20.75 | ↓ -98% |
| Molina | MME | $20.75 | ↓ -98% |
| Imperial Insurance Company | MCR | $20.94 | ↓ -98% |
| Universal Healthcare Group | MCR | $22.85 | ↓ -98% |
| Aetna | QHPHIX | $24.21 | ↓ -98% |
| BCBS | BluePremier | $24.37 | ↓ -98% |
| Verda Health Plan | MGMCR | $24.75 | ↓ -98% |
| Bravo Health | MCRPOS | $28.56 | ↓ -97% |
| Bravo Health | MCRHMO | $28.56 | ↓ -97% |
| Bravo Health | MCRPPO | $28.56 | ↓ -97% |
| Bravo Health | MCRSNP | $28.56 | ↓ -97% |
| Bravo Health | MCRPFFS | $28.56 | ↓ -97% |
| BCBS | MyBlueHealth | $33.32 | ↓ -97% |
| BCBS | BlueAdvantageHMO | $33.32 | ↓ -97% |
| Aetna | NewBusiness | $33.35 | ↓ -97% |
| Superior | ValueHMO | $34.08 | ↓ -97% |
| BCBS | BlueEssentialsAccess | $34.65 | ↓ -97% |
| BCBS | BlueEssentials | $34.65 | ↓ -97% |
| Aetna | Meritain | $35.52 | ↓ -97% |
| Aetna | COMM | $35.52 | ↓ -97% |
| USA Managed Care | WORKERSCOMP | $36.18 | ↓ -97% |
| BCBS | EPOSOA | $36.37 | ↓ -97% |
| Corvel Corporation | WORKERSCOMP | $37.70 | ↓ -97% |
| BCBS | PPO | $38.08 | ↓ -97% |
| Aetna | OON | $41.80 | ↓ -96% |
| Superior | HMO | $42.65 | ↓ -96% |
| Superior | EPO | $42.65 | ↓ -96% |
| Oscar | HIX | $49.50 | ↓ -95% |
| Molina Healthcare | HIX | $49.88 | ↓ -95% |
| Cigna | LocalPlus | $75.19 | ↓ -93% |
| Cigna | NewBusiness | $75.26 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $76.28 | ↓ -93% |
| Superior Health Plan | CHIP | $76.28 | ↓ -93% |
| Superior Health Plan | STARKids | $76.28 | ↓ -93% |
| Superior Health Plan | STARHealth | $76.28 | ↓ -93% |
| Superior Health Plan | STARPLUS | $76.28 | ↓ -93% |
| Cigna | HMO | $84.02 | ↓ -92% |
| Cigna | OpenAccessPlus | $84.02 | ↓ -92% |
| Cigna | NetworkBenefit | $84.02 | ↓ -92% |
| Cigna | AllOther | $106.27 | ↓ -90% |
| Cigna | IFP | $147.12 | ↓ -86% |
| Cigna | QHP | $152.56 | ↓ -86% |
| United | OptionsPPO | $189.62 | ↓ -83% |
| Humana | COMM | $211.55 | ↓ -81% |
| Healthcare Highways | NarrowNetwork | $266.99 | ↓ -75% |
| Evry Health | COMM | $281.16 | ↓ -74% |
| LifeCare Hospitals | MGMCD | $326.93 | ↓ -70% |
| LifeCare Hospitals | MGMCR | $326.93 | ↓ -70% |
| Healthcare Highways | CityofPlano | $368.34 | ↓ -66% |
| Prominence Health Plan | HIX | $435.90 | ↓ -60% |
| BCBS | Traditional | $483.85 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $490.39 | ↓ -55% |
| City of McKinney | COMM | $490.39 | ↓ -55% |
| National ChoiceCare | WCOMP | $544.88 | ↓ -50% |
| Aetna | ASA | $574.30 | ↓ -47% |
| Aetna | WCOMP | $599.36 | ↓ -45% |
| PC Texas Partners | WCOMP | $599.36 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $599.36 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $599.36 | ↓ -45% |
| Averde Health, Inc | PPO | $632.05 | ↓ -42% |
| Aetna Coventry First Health | EXCLUSIVE | $659.30 | ↓ -39% |
| Aetna Coventry First Health | NONEXCLUSIVE | $659.30 | ↓ -39% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $708.34 | ↓ -35% |
| Mega Life | MGMCRPPO | $762.83 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $762.83 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $762.83 | ↓ -30% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $817.31 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $817.31 | ↓ -25% |
| USA Managed Care | COMM | $871.80 | ↓ -20% |
| USC Health Services | COMM | $871.80 | ↓ -20% |
| Galaxy Health Network | PPO | $926.29 | ↓ -15% |
| National Healthcare Solutions | COMM | $1,089.75 | ↑ +0% |
| Independent Medical Systems | COMM | $1,089.75 | ↑ +0% |
| Unicare | MCD | $1,089.75 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Factor ix at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $251.47 | $10.00 – $70.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $251.47 | $10.00 – $70.12 |
| Texas Health Hospital Frisco | Frisco | $269.55 | $15.99 – $78.65 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $251.47 | $10.00 – $70.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $267.03 | $11.55 – $84.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $259.25 | $12.00 – $70.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $267.03 | $12.00 – $84.15 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $267.03 | $8.00 – $84.15 |