Fragmenting of kidney stone 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.
$1,142.90 with United vs $16,960.00 with United — 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 |
|---|---|---|---|
| United | CHIP | $1,142.90 | — |
| United | STARPerinate | $1,142.90 | — |
| United | STARPLUS | $1,142.90 | — |
| United | STARKids | $1,142.90 | — |
| United | STAR | $1,142.90 | — |
| Amerigroup | CHIP | $1,200.05 | — |
| Amerigroup | MGMCD | $1,200.05 | — |
| Cigna Healthspring | MGMCD | $1,200.05 | — |
| Molina | STAR+PLUS | $1,257.19 | — |
| Molina | CHIP | $1,257.19 | — |
| Parkland Community Health Plan | MCD | $1,257.19 | — |
| Molina | MCDSTAR | $1,257.19 | — |
| Molina | STARKIDS | $1,257.19 | — |
| Aetna Better Health | CHIP | $1,371.48 | — |
| Aetna Better Health | MCD | $1,371.48 | — |
| Humana | MGMCD | $1,428.63 | — |
| Superior Health Plan | CHIP | $2,843.00 | — |
| Superior Health Plan | MCDSTAR | $2,843.00 | — |
| Superior Health Plan | STARPLUS | $2,843.00 | — |
| Superior Health Plan | STARKids | $2,843.00 | — |
| Superior Health Plan | STARHealth | $2,843.00 | — |
| WellMed | MGMCR | $3,558.75 | — |
| BCBS | BluePremier | $4,195.77 | — |
| Fidelis SecureCare | MGMCR | $4,200.00 | — |
| Bravo Health | MCRPFFS | $4,200.00 | — |
| Bravo Health | MCRPOS | $4,200.00 | — |
| Bravo Health | MCRPPO | $4,200.00 | — |
| Bravo Health | MCRSNP | $4,200.00 | — |
| Bravo Health | MCRHMO | $4,200.00 | — |
| BCBS | MyBlueHealth | $6,097.45 | — |
| BCBS | BlueAdvantageHMO | $6,097.45 | — |
| BCBS | BlueEssentials | $7,214.31 | — |
| BCBS | BlueEssentialsAccess | $7,214.31 | — |
| BCBS | EPOSOA | $7,576.54 | — |
| BCBS | PPO | $7,938.76 | — |
| Aetna | QHPHIX | $8,456.00 | — |
| Healthcare Highways | NarrowNetwork | $8,517.00 | — |
| Oscar | HIX | $8,560.00 | — |
| Evry Health | COMM | $9,907.00 | — |
| Cigna | LocalPlus | $9,967.00 | — |
| Cigna | NewBusiness | $9,977.00 | — |
| United | NarrowNetworkIndivExchange | $10,089.00 | — |
| United | SmallGroup | $10,730.00 | — |
| Cigna | NetworkBenefit | $11,136.00 | — |
| Cigna | OpenAccessPlus | $11,136.00 | — |
| Cigna | HMO | $11,136.00 | — |
| Aetna | NewBusiness | $11,586.00 | — |
| Aetna | COMM | $12,379.00 | — |
| Aetna | Meritain | $12,379.00 | — |
| Curative Administrators | COMM | $12,436.00 | — |
| Cigna | AllOther | $14,088.00 | — |
| Aetna | OON | $14,565.00 | — |
| United | AllPayerAppendix | $16,960.00 | — |
| Humana | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Fragmenting of kidney stone at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $13,091.90 | $1,142.90 – $12,306.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $13,091.90 | $1,142.90 – $12,306.00 |
| Texas Health Hospital Frisco | Frisco | $18,406.05 | $1,142.90 – $1,234.33 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $13,091.90 | $1,142.90 – $10,982.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $12,835.46 | $71.00 – $12,407.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $13,092.17 | $71.00 – $10,982.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $12,835.46 | $85.00 – $12,407.61 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $12,835.46 | $1,142.90 – $10,696.22 |