Interrog dev eval icpms ip 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.
$20.83 with Superior Health Plan vs $297.61 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 |
|---|---|---|---|
| Superior Health Plan | STARKids | $20.83 | — |
| Superior Health Plan | STARHealth | $20.83 | — |
| Superior Health Plan | MCDSTAR | $20.83 | — |
| Superior Health Plan | CHIP | $20.83 | — |
| Superior Health Plan | STARPLUS | $20.83 | — |
| Cigna | IFP | $40.18 | — |
| Cigna | QHP | $41.67 | — |
| Aetna | QHPHIX | $48.51 | — |
| United | OptionsPPO | $51.78 | — |
| Oscar | HIX | $61.90 | — |
| Aetna | NewBusiness | $70.83 | — |
| Healthcare Highways | NarrowNetwork | $72.91 | — |
| Aetna | COMM | $76.19 | — |
| Aetna | Meritain | $76.19 | — |
| Evry Health | COMM | $76.78 | — |
| Cigna | LocalPlus | $78.57 | — |
| Cigna | NewBusiness | $78.57 | — |
| BCBS | BluePremier | $85.55 | — |
| Cigna | NetworkBenefit | $87.79 | — |
| Cigna | HMO | $87.79 | — |
| Cigna | OpenAccessPlus | $87.79 | — |
| LifeCare Hospitals | MGMCR | $89.28 | — |
| Aetna | OON | $89.28 | — |
| LifeCare Hospitals | MGMCD | $89.28 | — |
| BCBS | MyBlueHealth | $99.69 | — |
| BCBS | BlueAdvantageHMO | $99.69 | — |
| Healthcare Highways | CityofPlano | $100.59 | — |
| Humana | COMM | $101.08 | — |
| Cigna | AllOther | $111.01 | — |
| Prominence Health Plan | HIX | $119.04 | — |
| Curative Administrators | COMM | $119.04 | — |
| BCBS | Traditional | $132.14 | — |
| Fidelis SecureCare | MGMCR | $133.92 | — |
| City of McKinney | COMM | $133.92 | — |
| National ChoiceCare | WCOMP | $148.81 | — |
| Aetna | ASA | $156.84 | — |
| Rockport Health Group | WORKERSCOMP | $163.69 | — |
| Physicians Coop of TX | MGMCR | $163.69 | — |
| PC Texas Partners | WCOMP | $163.69 | — |
| Aetna | WCOMP | $163.69 | — |
| Averde Health, Inc | PPO | $172.61 | — |
| BCBS | BlueEssentials | $176.54 | — |
| BCBS | BlueEssentialsAccess | $176.54 | — |
| Aetna Coventry First Health | EXCLUSIVE | $180.05 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $180.05 | — |
| BCBS | EPOSOA | $185.24 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $193.45 | — |
| BCBS | PPO | $193.94 | — |
| Multiplan PHCS | PrimaryNetwork | $208.33 | — |
| Coastal Comp Health Networks | WCOMP | $208.33 | — |
| Mega Life | MGMCRPPO | $208.33 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $223.21 | — |
| HealthSmart Preferred Care | PPO | $223.21 | — |
| USA Managed Care | COMM | $238.09 | — |
| USC Health Services | COMM | $238.09 | — |
| Galaxy Health Network | PPO | $252.97 | — |
| Independent Medical Systems | COMM | $297.61 | — |
| Unicare | MCD | $297.61 | — |
| National Healthcare Solutions | COMM | $297.61 | — |
Visitor-reported prices
Comments
Interrog dev eval icpms ip at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $162.05 | $35.62 – $917.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $162.05 | $35.62 – $202.57 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $162.05 | $35.62 – $202.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $77.49 | $15.95 – $917.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $137.72 | $27.54 – $917.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $77.49 | $24.87 – $917.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $77.49 | $40.04 – $116.23 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $137.72 | $35.62 – $206.59 |