Insert cath pleura with image at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
not published by hospital
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.
not published by hospital
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.
$181.11 with United vs $21,207.57 with National Healthcare Solutions — 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 | STARPerinate | $181.11 | — |
| United | STAR | $181.11 | — |
| United | CHIP | $181.11 | — |
| United | STARPLUS | $181.11 | — |
| United | STARKids | $181.11 | — |
| Amerigroup | MGMCD | $468.58 | — |
| Cigna Healthspring | MGMCD | $468.58 | — |
| Amerigroup | CHIP | $468.58 | — |
| Molina | CHIP | $490.90 | — |
| Molina | STARKIDS | $490.90 | — |
| Molina | MCDSTAR | $490.90 | — |
| Parkland Community Health Plan | MCD | $490.90 | — |
| Molina | STAR+PLUS | $490.90 | — |
| Aetna Better Health | CHIP | $535.52 | — |
| Aetna Better Health | MCD | $535.52 | — |
| Humana | MGMCD | $557.84 | — |
| Healthcare Highways | NarrowNetwork | $1,217.00 | — |
| Evry Health | COMM | $1,346.00 | — |
| Superior Health Plan | STARHealth | $1,484.53 | — |
| Superior Health Plan | CHIP | $1,484.53 | — |
| Superior Health Plan | STARKids | $1,484.53 | — |
| Superior Health Plan | STARPLUS | $1,484.53 | — |
| Superior Health Plan | MCDSTAR | $1,484.53 | — |
| WellMed | MGMCR | $1,589.23 | — |
| United | SmallGroup | $1,603.00 | — |
| United | NarrowNetworkIndivExchange | $1,807.00 | — |
| Fidelis SecureCare | MGMCR | $1,995.00 | — |
| Curative Administrators | COMM | $2,012.00 | — |
| BCBS | BluePremier | $2,267.27 | — |
| United | AllPayerAppendix | $2,300.00 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| Cigna | LocalPlus | $2,514.00 | — |
| Cigna | NewBusiness | $2,515.00 | — |
| Cigna | NetworkBenefit | $2,808.00 | — |
| Cigna | HMO | $2,808.00 | — |
| Cigna | OpenAccessPlus | $2,808.00 | — |
| Cigna | IFP | $2,863.02 | — |
| Cigna | QHP | $2,969.06 | — |
| Oscar | HIX | $3,293.00 | — |
| BCBS | MyBlueHealth | $3,294.88 | — |
| BCBS | BlueAdvantageHMO | $3,294.88 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Cigna | AllOther | $3,553.00 | — |
| Aetna | Meritain | $3,682.00 | — |
| Aetna | COMM | $3,682.00 | — |
| United | OptionsPPO | $3,690.12 | — |
| BCBS | BlueEssentials | $3,898.40 | — |
| BCBS | BlueEssentialsAccess | $3,898.40 | — |
| BCBS | EPOSOA | $4,094.14 | — |
| BCBS | PPO | $4,289.87 | — |
| Aetna | OON | $4,332.00 | — |
| LifeCare Hospitals | MGMCR | $6,362.27 | — |
| LifeCare Hospitals | MGMCD | $6,362.27 | — |
| Humana | COMM | $7,113.00 | — |
| Healthcare Highways | CityofPlano | $7,168.16 | — |
| Prominence Health Plan | HIX | $8,483.03 | — |
| BCBS | Traditional | $9,416.16 | — |
| City of McKinney | COMM | $9,543.41 | — |
| National ChoiceCare | WCOMP | $10,603.78 | — |
| Aetna | ASA | $11,176.39 | — |
| Physicians Coop of TX | MGMCR | $11,664.16 | — |
| Aetna | WCOMP | $11,664.16 | — |
| PC Texas Partners | WCOMP | $11,664.16 | — |
| Rockport Health Group | WORKERSCOMP | $11,664.16 | — |
| Averde Health, Inc | PPO | $12,300.39 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $12,830.58 | — |
| Aetna Coventry First Health | EXCLUSIVE | $12,830.58 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $13,784.92 | — |
| Multiplan PHCS | PrimaryNetwork | $14,845.30 | — |
| Coastal Comp Health Networks | WCOMP | $14,845.30 | — |
| Mega Life | MGMCRPPO | $14,845.30 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $15,905.68 | — |
| HealthSmart Preferred Care | PPO | $15,905.68 | — |
| USC Health Services | COMM | $16,966.06 | — |
| USA Managed Care | COMM | $16,966.06 | — |
| Galaxy Health Network | PPO | $18,026.43 | — |
| Unicare | MCD | $21,207.57 | — |
| Independent Medical Systems | COMM | $21,207.57 | — |
| National Healthcare Solutions | COMM | $21,207.57 | — |
Visitor-reported prices
Comments
Insert cath pleura with image at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,239.02 | $446.27 – $3,967.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $2,239.02 | $446.27 – $2,798.78 |
| Texas Health Hospital Frisco | Frisco | $2,414.10 | $446.27 – $481.97 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,239.02 | $446.27 – $3,967.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,952.51 | $71.00 – $3,967.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,579.11 | $71.00 – $3,967.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,952.51 | $85.00 – $3,967.42 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,952.51 | $446.27 – $3,967.42 |