Inj., omadacycline, 1 mg at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$2,099.93
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.
$2,099.93
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.
$3.75 with Humana vs $2,099.93 with Independent Medical Systems — 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 |
|---|---|---|---|
| Humana | Tricare | $3.75 | ↓ -100% |
| TriWest Health Alliance | TRCR | $3.87 | ↓ -100% |
| United | AllPayerAppendix | $6.83 | ↓ -100% |
| United | SmallGroup | $6.83 | ↓ -100% |
| United | NarrowNetworkIndivExchange | $6.83 | ↓ -100% |
| BCBS | BluePremier | $11.42 | ↓ -99% |
| BCBS | MyBlueHealth | $11.90 | ↓ -99% |
| BCBS | BlueAdvantageHMO | $11.90 | ↓ -99% |
| BCBS | BlueEssentials | $17.42 | ↓ -99% |
| BCBS | BlueEssentialsAccess | $17.42 | ↓ -99% |
| BCBS | EPOSOA | $18.29 | ↓ -99% |
| BCBS | PPO | $19.15 | ↓ -99% |
| Cigna | LocalPlus | $24.75 | ↓ -99% |
| Cigna | NewBusiness | $24.77 | ↓ -99% |
| Cigna | NetworkBenefit | $27.65 | ↓ -99% |
| Cigna | HMO | $27.65 | ↓ -99% |
| Cigna | OpenAccessPlus | $27.65 | ↓ -99% |
| Cigna | AllOther | $34.98 | ↓ -98% |
| Superior Health Plan | STARPLUS | $147.00 | ↓ -93% |
| Superior Health Plan | STARHealth | $147.00 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $147.00 | ↓ -93% |
| Superior Health Plan | CHIP | $147.00 | ↓ -93% |
| Superior Health Plan | STARKids | $147.00 | ↓ -93% |
| Cigna | IFP | $283.49 | ↓ -87% |
| Cigna | QHP | $293.99 | ↓ -86% |
| Aetna | QHPHIX | $342.29 | ↓ -84% |
| United | OptionsPPO | $365.39 | ↓ -83% |
| Aetna | NewBusiness | $499.78 | ↓ -76% |
| Aetna | Meritain | $537.58 | ↓ -74% |
| Aetna | COMM | $537.58 | ↓ -74% |
| LifeCare Hospitals | MGMCD | $629.98 | ↓ -70% |
| LifeCare Hospitals | MGMCR | $629.98 | ↓ -70% |
| Aetna | OON | $629.98 | ↓ -70% |
| Healthcare Highways | CityofPlano | $709.78 | ↓ -66% |
| Prominence Health Plan | HIX | $839.97 | ↓ -60% |
| BCBS | Traditional | $932.37 | ↓ -56% |
| City of McKinney | COMM | $944.97 | ↓ -55% |
| National ChoiceCare | WCOMP | $1,049.96 | ↓ -50% |
| Aetna | ASA | $1,106.66 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $1,154.96 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $1,154.96 | ↓ -45% |
| PC Texas Partners | WCOMP | $1,154.96 | ↓ -45% |
| Aetna | WCOMP | $1,154.96 | ↓ -45% |
| Averde Health, Inc | PPO | $1,217.96 | ↓ -42% |
| Aetna Coventry First Health | NONEXCLUSIVE | $1,270.46 | ↓ -39% |
| Aetna Coventry First Health | EXCLUSIVE | $1,270.46 | ↓ -39% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $1,364.95 | ↓ -35% |
| Coastal Comp Health Networks | WCOMP | $1,469.95 | ↓ -30% |
| Mega Life | MGMCRPPO | $1,469.95 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $1,574.95 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,574.95 | ↓ -25% |
| USC Health Services | COMM | $1,679.94 | ↓ -20% |
| USA Managed Care | COMM | $1,679.94 | ↓ -20% |
| Galaxy Health Network | PPO | $1,784.94 | ↓ -15% |
| National Healthcare Solutions | COMM | $2,099.93 | ↑ +0% |
| Unicare | MCD | $2,099.93 | ↑ +0% |
| Independent Medical Systems | COMM | $2,099.93 | ↑ +0% |
Visitor-reported prices
Comments
Inj., omadacycline, 1 mg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Frisco | Frisco | $865.34 | $4.50 – $14.21 |
| Texas Health Presbyterian Hospital Allen | Allen | $865.34 | $4.50 – $14.21 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $865.34 | $7.07 – $14.21 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $865.34 | $4.50 – $14.21 |
| Texas Health Arlington Memorial Hospital | Arlington | $865.34 | $4.50 – $14.21 |
| Texas Health Presbyterian Hospital Denton | Denton | $865.34 | $4.50 – $14.21 |
| Texas Health Presbyterian Hospital Plano | Plano | $865.34 | $4.50 – $14.21 |
| Texas Health Hospital Rockwall | Rockwall | $865.34 | $7.07 – $14.21 |