M/phmtrc alysishquant/semiq at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$183.74
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.
$183.74
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.
$12.86 with Superior Health Plan vs $655.89 with Humana — 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 | $12.86 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $12.86 | ↓ -93% |
| Superior Health Plan | STARPLUS | $12.86 | ↓ -93% |
| Superior Health Plan | CHIP | $12.86 | ↓ -93% |
| Superior Health Plan | STARHealth | $12.86 | ↓ -93% |
| Cigna | IFP | $24.80 | ↓ -87% |
| Cigna | QHP | $25.72 | ↓ -86% |
| United | OptionsPPO | $31.97 | ↓ -83% |
| Imperial Insurance Company | MCR | $34.91 | ↓ -81% |
| Oscar | HIX | $38.22 | ↓ -79% |
| Healthcare Highways | NarrowNetwork | $45.02 | ↓ -75% |
| Evry Health | COMM | $47.40 | ↓ -74% |
| LifeCare Hospitals | MGMCD | $55.12 | ↓ -70% |
| LifeCare Hospitals | MGMCR | $55.12 | ↓ -70% |
| Healthcare Highways | CityofPlano | $62.10 | ↓ -66% |
| Prominence Health Plan | HIX | $73.50 | ↓ -60% |
| BCBS | Traditional | $81.58 | ↓ -56% |
| City of McKinney | COMM | $82.68 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $82.68 | ↓ -55% |
| United | NarrowNetworkIndivExchange | $85.84 | ↓ -53% |
| United | AllPayerAppendix | $85.84 | ↓ -53% |
| United | SmallGroup | $85.84 | ↓ -53% |
| National ChoiceCare | WCOMP | $91.87 | ↓ -50% |
| Aetna | ASA | $96.83 | ↓ -47% |
| Aetna | WCOMP | $101.06 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $101.06 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $101.06 | ↓ -45% |
| PC Texas Partners | WCOMP | $101.06 | ↓ -45% |
| BCBS | BluePremier | $101.49 | ↓ -45% |
| Averde Health, Inc | PPO | $106.57 | ↓ -42% |
| Aetna | QHPHIX | $110.43 | ↓ -40% |
| Aetna Coventry First Health | NONEXCLUSIVE | $111.16 | ↓ -40% |
| Aetna Coventry First Health | EXCLUSIVE | $111.16 | ↓ -40% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $119.43 | ↓ -35% |
| Mega Life | MGMCRPPO | $128.62 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $128.62 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $128.62 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $137.81 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $137.81 | ↓ -25% |
| BCBS | BlueAdvantageHMO | $138.76 | ↓ -24% |
| BCBS | MyBlueHealth | $138.76 | ↓ -24% |
| BCBS | BlueEssentials | $144.31 | ↓ -21% |
| BCBS | BlueEssentialsAccess | $144.31 | ↓ -21% |
| USA Managed Care | COMM | $146.99 | ↓ -20% |
| USC Health Services | COMM | $146.99 | ↓ -20% |
| BCBS | EPOSOA | $151.44 | ↓ -18% |
| Aetna | NewBusiness | $152.10 | ↓ -17% |
| Galaxy Health Network | PPO | $156.18 | ↓ -15% |
| BCBS | PPO | $158.58 | ↓ -14% |
| Aetna | Meritain | $162.00 | ↓ -12% |
| Aetna | COMM | $162.00 | ↓ -12% |
| Independent Medical Systems | COMM | $183.74 | ↑ +0% |
| National Healthcare Solutions | COMM | $183.74 | ↑ +0% |
| Unicare | MCD | $183.74 | ↑ +0% |
| Aetna | OON | $190.65 | ↑ +4% |
| Cigna | LocalPlus | $359.50 | ↑ +96% |
| Cigna | NewBusiness | $359.84 | ↑ +96% |
| Cigna | OpenAccessPlus | $401.74 | ↑ +119% |
| Cigna | HMO | $401.74 | ↑ +119% |
| Cigna | NetworkBenefit | $401.74 | ↑ +119% |
| Cigna | AllOther | $508.12 | ↑ +177% |
| Humana | COMM | $655.89 | ↑ +257% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
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M/phmtrc alysishquant/semiq at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $331.55 | $35.00 – $469.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $331.55 | $35.00 – $469.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $331.55 | $35.00 – $469.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $100.78 | $20.74 – $151.16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $100.78 | $20.16 – $409.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $100.78 | $32.35 – $500.32 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $100.78 | $26.00 – $151.16 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $100.78 | $33.59 – $409.93 |