Ionm in operatng room 15 min at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$637.16
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.
$637.16
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.
$44.60 with Superior Health Plan vs $637.16 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 |
|---|---|---|---|
| Superior Health Plan | STARKids | $44.60 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $44.60 | ↓ -93% |
| Superior Health Plan | STARPLUS | $44.60 | ↓ -93% |
| Superior Health Plan | CHIP | $44.60 | ↓ -93% |
| Superior Health Plan | STARHealth | $44.60 | ↓ -93% |
| BCBS | BluePremier | $79.11 | ↓ -88% |
| Cigna | IFP | $86.02 | ↓ -86% |
| Cigna | QHP | $89.20 | ↓ -86% |
| BCBS | MyBlueHealth | $92.18 | ↓ -86% |
| BCBS | BlueAdvantageHMO | $92.18 | ↓ -86% |
| Aetna | QHPHIX | $103.86 | ↓ -84% |
| United | OptionsPPO | $110.87 | ↓ -83% |
| Imperial Insurance Company | MCR | $121.06 | ↓ -81% |
| Oscar | HIX | $132.53 | ↓ -79% |
| Aetna | NewBusiness | $151.64 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $156.10 | ↓ -76% |
| Aetna | COMM | $163.11 | ↓ -74% |
| Aetna | Meritain | $163.11 | ↓ -74% |
| BCBS | BlueEssentials | $163.24 | ↓ -74% |
| BCBS | BlueEssentialsAccess | $163.24 | ↓ -74% |
| Evry Health | COMM | $164.39 | ↓ -74% |
| Cigna | NewBusiness | $168.21 | ↓ -74% |
| Cigna | LocalPlus | $168.21 | ↓ -74% |
| BCBS | EPOSOA | $171.29 | ↓ -73% |
| BCBS | PPO | $179.33 | ↓ -72% |
| Cigna | NetworkBenefit | $187.96 | ↓ -71% |
| Cigna | HMO | $187.96 | ↓ -71% |
| Cigna | OpenAccessPlus | $187.96 | ↓ -71% |
| Aetna | OON | $191.15 | ↓ -70% |
| LifeCare Hospitals | MGMCR | $191.15 | ↓ -70% |
| LifeCare Hospitals | MGMCD | $191.15 | ↓ -70% |
| Healthcare Highways | CityofPlano | $215.36 | ↓ -66% |
| Humana | COMM | $232.42 | ↓ -64% |
| Cigna | AllOther | $237.66 | ↓ -63% |
| Prominence Health Plan | HIX | $254.86 | ↓ -60% |
| Curative Administrators | COMM | $254.86 | ↓ -60% |
| BCBS | Traditional | $282.90 | ↓ -56% |
| City of McKinney | COMM | $286.72 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $286.72 | ↓ -55% |
| National ChoiceCare | WCOMP | $318.58 | ↓ -50% |
| Aetna | ASA | $335.78 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $350.44 | ↓ -45% |
| Aetna | WCOMP | $350.44 | ↓ -45% |
| PC Texas Partners | WCOMP | $350.44 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $350.44 | ↓ -45% |
| Averde Health, Inc | PPO | $369.55 | ↓ -42% |
| Aetna Coventry First Health | NONEXCLUSIVE | $385.48 | ↓ -40% |
| Aetna Coventry First Health | EXCLUSIVE | $385.48 | ↓ -40% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $414.15 | ↓ -35% |
| Mega Life | MGMCRPPO | $446.01 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $446.01 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $446.01 | ↓ -30% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $477.87 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $477.87 | ↓ -25% |
| USC Health Services | COMM | $509.73 | ↓ -20% |
| USA Managed Care | COMM | $509.73 | ↓ -20% |
| Galaxy Health Network | PPO | $541.59 | ↓ -15% |
| National Healthcare Solutions | COMM | $637.16 | ↑ +0% |
| Independent Medical Systems | COMM | $637.16 | ↑ +0% |
| Unicare | MCD | $637.16 | ↑ +0% |
Visitor-reported prices
Comments
Ionm in operatng room 15 min at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $264.65 | $70.57 – $374.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $264.65 | $102.91 – $374.93 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $264.65 | $74.99 – $374.93 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $264.65 | $70.57 – $374.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $264.65 | $66.16 – $374.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $264.65 | $48.52 – $374.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $264.65 | $48.52 – $374.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $264.65 | $74.99 – $374.93 |