Ghs moderate sedation, > 5 yr, 30 min, other at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$133.24
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.
$133.24
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.
$9.33 with Superior Health Plan vs $540.25 with Humana — 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 | $9.33 | ↓ -93% |
| Superior Health Plan | STARHealth | $9.33 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $9.33 | ↓ -93% |
| Superior Health Plan | STARPLUS | $9.33 | ↓ -93% |
| Superior Health Plan | STARKids | $9.33 | ↓ -93% |
| Cigna | IFP | $17.99 | ↓ -86% |
| Cigna | QHP | $18.65 | ↓ -86% |
| Aetna | QHPHIX | $21.72 | ↓ -84% |
| United | OptionsPPO | $23.18 | ↓ -83% |
| Imperial Insurance Company | MCR | $25.32 | ↓ -81% |
| Oscar | HIX | $27.71 | ↓ -79% |
| Aetna | NewBusiness | $31.71 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $32.64 | ↓ -76% |
| Aetna | COMM | $34.11 | ↓ -74% |
| Aetna | Meritain | $34.11 | ↓ -74% |
| Evry Health | COMM | $34.38 | ↓ -74% |
| Cigna | NewBusiness | $35.18 | ↓ -74% |
| Cigna | LocalPlus | $35.18 | ↓ -74% |
| Cigna | OpenAccessPlus | $39.31 | ↓ -70% |
| Cigna | NetworkBenefit | $39.31 | ↓ -70% |
| Cigna | HMO | $39.31 | ↓ -70% |
| LifeCare Hospitals | MGMCR | $39.97 | ↓ -70% |
| Aetna | OON | $39.97 | ↓ -70% |
| LifeCare Hospitals | MGMCD | $39.97 | ↓ -70% |
| Healthcare Highways | CityofPlano | $45.04 | ↓ -66% |
| Cigna | AllOther | $49.70 | ↓ -63% |
| Curative Administrators | COMM | $53.30 | ↓ -60% |
| Prominence Health Plan | HIX | $53.30 | ↓ -60% |
| BCBS | Traditional | $59.16 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $59.96 | ↓ -55% |
| City of McKinney | COMM | $59.96 | ↓ -55% |
| National ChoiceCare | WCOMP | $66.62 | ↓ -50% |
| Aetna | ASA | $70.22 | ↓ -47% |
| Aetna | WCOMP | $73.28 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $73.28 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $73.28 | ↓ -45% |
| PC Texas Partners | WCOMP | $73.28 | ↓ -45% |
| Averde Health, Inc | PPO | $77.28 | ↓ -42% |
| Aetna Coventry First Health | EXCLUSIVE | $80.61 | ↓ -40% |
| Aetna Coventry First Health | NONEXCLUSIVE | $80.61 | ↓ -40% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $86.61 | ↓ -35% |
| Mega Life | MGMCRPPO | $93.27 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $93.27 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $93.27 | ↓ -30% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $99.93 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $99.93 | ↓ -25% |
| USC Health Services | COMM | $106.59 | ↓ -20% |
| USA Managed Care | COMM | $106.59 | ↓ -20% |
| Galaxy Health Network | PPO | $113.25 | ↓ -15% |
| Independent Medical Systems | COMM | $133.24 | ↑ +0% |
| National Healthcare Solutions | COMM | $133.24 | ↑ +0% |
| Unicare | MCD | $133.24 | ↑ +0% |
| BCBS | BluePremier | $190.52 | ↑ +43% |
| BCBS | BlueAdvantageHMO | $222.01 | ↑ +67% |
| BCBS | MyBlueHealth | $222.01 | ↑ +67% |
| BCBS | BlueEssentialsAccess | $393.16 | ↑ +195% |
| BCBS | BlueEssentials | $393.16 | ↑ +195% |
| BCBS | EPOSOA | $412.53 | ↑ +210% |
| BCBS | PPO | $431.91 | ↑ +224% |
| Humana | COMM | $540.25 | ↑ +305% |
Visitor-reported prices
Comments
Ghs moderate sedation, > 5 yr, 30 min, other at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $170.15 | $45.37 – $241.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $170.15 | $79.40 – $247.84 |
| Texas Health Hospital Frisco | Frisco | $228.45 | $98.25 – $98.25 |
| Adventhealth Rollins Brook | Lampasas | $1,290.89 | $310.81 – $310.81 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $170.15 | $48.21 – $247.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $123.30 | $25.38 – $184.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $127.39 | $25.48 – $243.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $123.30 | $39.58 – $297.89 |