Injection, glucarpidase at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$194,562.58
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.
$194,562.58
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.
$740.34 with United vs $194,562.58 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 |
|---|---|---|---|
| United | AllPayerAppendix | $740.34 | ↓ -100% |
| United | SmallGroup | $740.34 | ↓ -100% |
| United | NarrowNetworkIndivExchange | $740.34 | ↓ -100% |
| Cigna | LocalPlus | $2,541.30 | ↓ -99% |
| Cigna | NewBusiness | $2,543.82 | ↓ -99% |
| Cigna | OpenAccessPlus | $2,839.06 | ↓ -99% |
| Cigna | HMO | $2,839.06 | ↓ -99% |
| Cigna | NetworkBenefit | $2,839.06 | ↓ -99% |
| Cigna | AllOther | $3,591.67 | ↓ -98% |
| Superior Health Plan | STARKids | $13,619.38 | ↓ -93% |
| Superior Health Plan | STARPLUS | $13,619.38 | ↓ -93% |
| Superior Health Plan | STARHealth | $13,619.38 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $13,619.38 | ↓ -93% |
| Superior Health Plan | CHIP | $13,619.38 | ↓ -93% |
| Cigna | IFP | $26,265.95 | ↓ -86% |
| Cigna | QHP | $27,238.76 | ↓ -86% |
| Aetna | QHPHIX | $31,713.70 | ↓ -84% |
| United | OptionsPPO | $33,853.89 | ↓ -83% |
| Aetna | NewBusiness | $46,305.89 | ↓ -76% |
| BCBS | BlueAdvantageHMO | $48,056.96 | ↓ -75% |
| BCBS | MyBlueHealth | $48,056.96 | ↓ -75% |
| Aetna | COMM | $49,808.02 | ↓ -74% |
| Aetna | Meritain | $49,808.02 | ↓ -74% |
| BCBS | BluePremier | $56,812.27 | ↓ -71% |
| LifeCare Hospitals | MGMCD | $58,368.77 | ↓ -70% |
| Aetna | OON | $58,368.77 | ↓ -70% |
| LifeCare Hospitals | MGMCR | $58,368.77 | ↓ -70% |
| BCBS | BlueEssentials | $62,065.46 | ↓ -68% |
| BCBS | BlueEssentialsAccess | $62,065.46 | ↓ -68% |
| BCBS | EPOSOA | $65,178.46 | ↓ -67% |
| Healthcare Highways | CityofPlano | $65,762.15 | ↓ -66% |
| BCBS | PPO | $68,096.90 | ↓ -65% |
| Prominence Health Plan | HIX | $77,825.03 | ↓ -60% |
| BCBS | Traditional | $86,385.79 | ↓ -56% |
| City of McKinney | COMM | $87,553.16 | ↓ -55% |
| National ChoiceCare | WCOMP | $97,281.29 | ↓ -50% |
| Aetna | ASA | $102,534.48 | ↓ -47% |
| PC Texas Partners | WCOMP | $107,009.42 | ↓ -45% |
| Aetna | WCOMP | $107,009.42 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $107,009.42 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $107,009.42 | ↓ -45% |
| Averde Health, Inc | PPO | $112,846.30 | ↓ -42% |
| Aetna Coventry First Health | NONEXCLUSIVE | $117,710.36 | ↓ -40% |
| Aetna Coventry First Health | EXCLUSIVE | $117,710.36 | ↓ -40% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $126,465.68 | ↓ -35% |
| Mega Life | MGMCRPPO | $136,193.81 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $136,193.81 | ↓ -30% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $145,921.93 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $145,921.93 | ↓ -25% |
| USA Managed Care | COMM | $155,650.06 | ↓ -20% |
| USC Health Services | COMM | $155,650.06 | ↓ -20% |
| Galaxy Health Network | PPO | $165,378.19 | ↓ -15% |
| Independent Medical Systems | COMM | $194,562.58 | ↑ +0% |
| National Healthcare Solutions | COMM | $194,562.58 | ↑ +0% |
| Unicare | MCD | $194,562.58 | ↑ +0% |
Visitor-reported prices
Comments
Injection, glucarpidase at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $74,113.20 | $426.64 – $92,641.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $74,113.20 | $426.64 – $92,641.50 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $74,113.20 | $426.64 – $92,641.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $74,113.20 | $15,254.97 – $111,169.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $74,113.20 | $426.64 – $92,641.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $74,113.20 | $426.64 – $111,169.80 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $74,113.20 | $38,291.82 – $111,169.80 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $74,113.20 | $426.64 – $111,169.80 |