Ghs moderate sedation ea addtl 15 min, other at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$68.21
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.
$68.21
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.
$4.77 with Superior Health Plan vs $412.12 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 | $4.77 | ↓ -93% |
| Superior Health Plan | STARHealth | $4.77 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $4.77 | ↓ -93% |
| Superior Health Plan | STARPLUS | $4.77 | ↓ -93% |
| Superior Health Plan | STARKids | $4.77 | ↓ -93% |
| Cigna | IFP | $9.21 | ↓ -86% |
| Cigna | QHP | $9.55 | ↓ -86% |
| Aetna | QHPHIX | $11.12 | ↓ -84% |
| United | OptionsPPO | $11.87 | ↓ -83% |
| Imperial Insurance Company | MCR | $12.96 | ↓ -81% |
| Oscar | HIX | $14.19 | ↓ -79% |
| Aetna | NewBusiness | $16.23 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $16.71 | ↓ -76% |
| Aetna | COMM | $17.46 | ↓ -74% |
| Aetna | Meritain | $17.46 | ↓ -74% |
| Evry Health | COMM | $17.60 | ↓ -74% |
| Cigna | NewBusiness | $18.01 | ↓ -74% |
| Cigna | LocalPlus | $18.01 | ↓ -74% |
| Cigna | OpenAccessPlus | $20.12 | ↓ -71% |
| Cigna | NetworkBenefit | $20.12 | ↓ -71% |
| Cigna | HMO | $20.12 | ↓ -71% |
| LifeCare Hospitals | MGMCR | $20.46 | ↓ -70% |
| Aetna | OON | $20.46 | ↓ -70% |
| LifeCare Hospitals | MGMCD | $20.46 | ↓ -70% |
| Healthcare Highways | CityofPlano | $23.05 | ↓ -66% |
| Cigna | AllOther | $25.44 | ↓ -63% |
| Curative Administrators | COMM | $27.28 | ↓ -60% |
| Prominence Health Plan | HIX | $27.28 | ↓ -60% |
| BCBS | Traditional | $30.29 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $30.69 | ↓ -55% |
| City of McKinney | COMM | $30.69 | ↓ -55% |
| National ChoiceCare | WCOMP | $34.10 | ↓ -50% |
| Aetna | ASA | $35.95 | ↓ -47% |
| Aetna | WCOMP | $37.52 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $37.52 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $37.52 | ↓ -45% |
| PC Texas Partners | WCOMP | $37.52 | ↓ -45% |
| Averde Health, Inc | PPO | $39.56 | ↓ -42% |
| Aetna Coventry First Health | EXCLUSIVE | $41.27 | ↓ -39% |
| Aetna Coventry First Health | NONEXCLUSIVE | $41.27 | ↓ -39% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $44.34 | ↓ -35% |
| Mega Life | MGMCRPPO | $47.75 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $47.75 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $47.75 | ↓ -30% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $51.16 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $51.16 | ↓ -25% |
| USC Health Services | COMM | $54.57 | ↓ -20% |
| USA Managed Care | COMM | $54.57 | ↓ -20% |
| Galaxy Health Network | PPO | $57.98 | ↓ -15% |
| Independent Medical Systems | COMM | $68.21 | ↑ +0% |
| National Healthcare Solutions | COMM | $68.21 | ↑ +0% |
| Unicare | MCD | $68.21 | ↑ +0% |
| BCBS | BluePremier | $154.79 | ↑ +127% |
| BCBS | BlueAdvantageHMO | $180.37 | ↑ +164% |
| BCBS | MyBlueHealth | $180.37 | ↑ +164% |
| BCBS | BlueEssentialsAccess | $319.42 | ↑ +368% |
| BCBS | BlueEssentials | $319.42 | ↑ +368% |
| BCBS | EPOSOA | $335.16 | ↑ +391% |
| BCBS | PPO | $350.91 | ↑ +414% |
| Humana | COMM | $412.12 | ↑ +504% |
Visitor-reported prices
Comments
Ghs moderate sedation ea addtl 15 min, other at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $107.42 | $28.64 – $153.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $107.42 | $50.13 – $201.36 |
| Texas Health Hospital Frisco | Frisco | $228.45 | $79.82 – $79.82 |
| Adventhealth Rollins Brook | Lampasas | $322.73 | $252.52 – $252.52 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $107.42 | $30.44 – $201.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $70.05 | $14.42 – $105.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $115.81 | $23.16 – $198.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $70.05 | $22.49 – $242.03 |