Ins/rpl pm gen exist sgl lead at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$13,270.13
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.
$13,270.13
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.
$1,599.52 with Cigna vs $85,680.00 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 |
|---|---|---|---|
| Cigna | IFP | $1,599.52 | ↓ -88% |
| Cigna | QHP | $1,658.77 | ↓ -87% |
| United | OptionsPPO | $2,061.61 | ↓ -84% |
| Superior Health Plan | STARKids | $2,369.00 | ↓ -82% |
| Superior Health Plan | MCDSTAR | $2,369.00 | ↓ -82% |
| Superior Health Plan | STARPLUS | $2,369.00 | ↓ -82% |
| Superior Health Plan | CHIP | $2,369.00 | ↓ -82% |
| Superior Health Plan | STARHealth | $2,369.00 | ↓ -82% |
| Aetna | QHPHIX | $2,513.00 | ↓ -81% |
| Aetna | NewBusiness | $3,445.00 | ↓ -74% |
| BCBS | BluePremier | $3,459.71 | ↓ -74% |
| LifeCare Hospitals | MGMCD | $3,554.50 | ↓ -73% |
| LifeCare Hospitals | MGMCR | $3,554.50 | ↓ -73% |
| Aetna | Meritain | $3,682.00 | ↓ -72% |
| Aetna | COMM | $3,682.00 | ↓ -72% |
| Healthcare Highways | CityofPlano | $4,004.74 | ↓ -70% |
| Fidelis SecureCare | MGMCR | $4,250.00 | ↓ -68% |
| Aetna | OON | $4,332.00 | ↓ -67% |
| Prominence Health Plan | HIX | $4,739.33 | ↓ -64% |
| BCBS | Traditional | $5,260.66 | ↓ -60% |
| City of McKinney | COMM | $5,331.75 | ↓ -60% |
| United | STARKids | $5,499.92 | ↓ -59% |
| United | STARPerinate | $5,499.92 | ↓ -59% |
| United | CHIP | $5,499.92 | ↓ -59% |
| United | STARPLUS | $5,499.92 | ↓ -59% |
| United | STAR | $5,499.92 | ↓ -59% |
| Multiplan PHCS | PrimaryNetwork | $5,674.00 | ↓ -57% |
| Cigna Healthspring | MGMCD | $5,774.92 | ↓ -56% |
| Amerigroup | MGMCD | $5,774.92 | ↓ -56% |
| Amerigroup | CHIP | $5,774.92 | ↓ -56% |
| National ChoiceCare | WCOMP | $5,924.16 | ↓ -55% |
| Molina | STAR+PLUS | $6,049.91 | ↓ -54% |
| Molina | CHIP | $6,049.91 | ↓ -54% |
| Molina | STARKIDS | $6,049.91 | ↓ -54% |
| Molina | MCDSTAR | $6,049.91 | ↓ -54% |
| Parkland Community Health Plan | MCD | $6,049.91 | ↓ -54% |
| Aetna | ASA | $6,244.07 | ↓ -53% |
| PC Texas Partners | WCOMP | $6,516.58 | ↓ -51% |
| Rockport Health Group | WORKERSCOMP | $6,516.58 | ↓ -51% |
| Physicians Coop of TX | MGMCR | $6,516.58 | ↓ -51% |
| Aetna | WCOMP | $6,516.58 | ↓ -51% |
| Aetna Better Health | CHIP | $6,599.90 | ↓ -50% |
| Aetna Better Health | MCD | $6,599.90 | ↓ -50% |
| Averde Health, Inc | PPO | $6,872.03 | ↓ -48% |
| Humana | MGMCD | $6,874.90 | ↓ -48% |
| Aetna Coventry First Health | NONEXCLUSIVE | $7,168.24 | ↓ -46% |
| Aetna Coventry First Health | EXCLUSIVE | $7,168.24 | ↓ -46% |
| Cigna | LocalPlus | $7,679.00 | ↓ -42% |
| Cigna | NewBusiness | $7,687.00 | ↓ -42% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $7,701.41 | ↓ -42% |
| Oscar | HIX | $7,883.00 | ↓ -41% |
| Coastal Comp Health Networks | WCOMP | $8,293.83 | ↓ -38% |
| Mega Life | MGMCRPPO | $8,293.83 | ↓ -38% |
| WellMed | MGMCR | $8,354.67 | ↓ -37% |
| Cigna | NetworkBenefit | $8,580.00 | ↓ -35% |
| Cigna | HMO | $8,580.00 | ↓ -35% |
| Cigna | OpenAccessPlus | $8,580.00 | ↓ -35% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $8,886.25 | ↓ -33% |
| HealthSmart Preferred Care | PPO | $8,886.25 | ↓ -33% |
| Humana | COMM | $9,302.00 | ↓ -30% |
| USA Managed Care | COMM | $9,478.66 | ↓ -29% |
| USC Health Services | COMM | $9,478.66 | ↓ -29% |
| Healthcare Highways | NarrowNetwork | $9,733.00 | ↓ -27% |
| Galaxy Health Network | PPO | $10,071.08 | ↓ -24% |
| Evry Health | COMM | $10,714.00 | ↓ -19% |
| Cigna | AllOther | $10,853.00 | ↓ -18% |
| Unicare | MCD | $11,848.33 | ↓ -11% |
| Independent Medical Systems | COMM | $11,848.33 | ↓ -11% |
| National Healthcare Solutions | COMM | $11,848.33 | ↓ -11% |
| BCBS | MyBlueHealth | $15,436.54 | ↑ +16% |
| BCBS | BlueAdvantageHMO | $15,436.54 | ↑ +16% |
| BCBS | BlueEssentials | $18,264.02 | ↑ +38% |
| BCBS | BlueEssentialsAccess | $18,264.02 | ↑ +38% |
| BCBS | EPOSOA | $19,181.04 | ↑ +45% |
| BCBS | PPO | $20,098.07 | ↑ +51% |
| Curative Administrators | COMM | $24,035.00 | ↑ +81% |
| United | NarrowNetworkIndivExchange | $48,042.00 | ↑ +262% |
| United | SmallGroup | $60,563.00 | ↑ +356% |
| United | AllPayerAppendix | $85,680.00 | ↑ +546% |
Visitor-reported prices
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Ins/rpl pm gen exist sgl lead at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $10,687.75 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $10,687.75 | $2,763.00 – $17,873.17 |
| Texas Health Hospital Frisco | Frisco | $13,247.55 | $5,499.92 – $5,939.91 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $10,687.75 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $7,336.78 | $1,510.15 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $11,030.18 | $5,499.92 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $7,336.78 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $7,336.78 | $2,763.00 – $21,045.99 |