Mnt subs tx for change dx 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$9.62 with Superior Health Plan vs $158.09 with BCBS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | STARHealth | $9.62 | — |
| Superior Health Plan | MCDSTAR | $9.62 | — |
| Superior Health Plan | STARPLUS | $9.62 | — |
| Superior Health Plan | CHIP | $9.62 | — |
| Superior Health Plan | STARKids | $9.62 | — |
| Humana | COMM | $16.88 | — |
| Cigna | IFP | $18.55 | — |
| Cigna | QHP | $19.23 | — |
| Aetna | QHPHIX | $22.39 | — |
| United | OptionsPPO | $23.90 | — |
| BCBS | MGMCRHMO | $25.62 | — |
| BCBS | MCRPPO | $25.62 | — |
| WellMed | MGMCR | $26.10 | — |
| Mutual of Omaha | MGMCR | $26.23 | — |
| Devoted Health | SNP | $26.23 | — |
| Devoted Health | HMO | $26.23 | — |
| Devoted Health | POS | $26.23 | — |
| Devoted Health | MCR | $26.23 | — |
| Devoted Health | MME | $26.23 | — |
| Humana | MGMCR | $26.23 | — |
| Triwest Veterans | FED | $26.23 | — |
| Amerigroup | DualEligible | $26.23 | — |
| TriWest Veterans | FEDERAL | $26.23 | — |
| Devoted Health | PPO | $26.23 | — |
| United | MGMCR | $26.36 | — |
| Aetna | MCR | $26.45 | — |
| Care N Care | MGMCR | $26.49 | — |
| Cigna Healthspring | MGMCR | $26.75 | — |
| Integranet | MGMCR | $27.02 | — |
| WellCare | MGMCR | $27.02 | — |
| Superior Health Plan | MGMCRSNP | $27.54 | — |
| Superior Health Plan | MGMCRPOS | $27.54 | — |
| American Health Plan of Texas, Inc. | MGMCR | $27.54 | — |
| Superior Health Plan | MGMCRPFFS | $27.54 | — |
| ProCare Advantge | MCR | $27.54 | — |
| Superior Health Plan | MGMCRDualEligible | $27.54 | — |
| Superior Health Plan | MGMCRPPO | $27.54 | — |
| Superior Health Plan | MGMCRHMO | $27.54 | — |
| Provider Partners Health Plan | MCR | $27.80 | — |
| Texas Independent Health Plan | MGMCR | $27.80 | — |
| Oscar | HIX | $28.58 | — |
| Molina | MCR | $28.59 | — |
| Molina | MMP | $28.59 | — |
| Molina | MME | $28.59 | — |
| Imperial Insurance Company | MCR | $28.85 | — |
| Universal Healthcare Group | MCR | $31.48 | — |
| Aetna | NewBusiness | $32.70 | — |
| Healthcare Highways | NarrowNetwork | $33.66 | — |
| Verda Health Plan | MGMCR | $34.10 | — |
| Aetna | Meritain | $35.17 | — |
| Aetna | COMM | $35.17 | — |
| Evry Health | COMM | $35.44 | — |
| Cigna | NewBusiness | $36.27 | — |
| Cigna | LocalPlus | $36.27 | — |
| Bravo Health | MCRPFFS | $39.34 | — |
| Bravo Health | MCRPOS | $39.34 | — |
| Bravo Health | MCRHMO | $39.34 | — |
| Bravo Health | MCRPPO | $39.34 | — |
| Bravo Health | MCRSNP | $39.34 | — |
| Cigna | HMO | $40.53 | — |
| Cigna | OpenAccessPlus | $40.53 | — |
| Cigna | NetworkBenefit | $40.53 | — |
| Aetna | OON | $41.21 | — |
| LifeCare Hospitals | MGMCD | $41.21 | — |
| LifeCare Hospitals | MGMCR | $41.21 | — |
| Healthcare Highways | CityofPlano | $46.43 | — |
| Superior | ValueHMO | $46.95 | — |
| USA Managed Care | WORKERSCOMP | $49.84 | — |
| Cigna | AllOther | $51.24 | — |
| Corvel Corporation | WORKERSCOMP | $51.94 | — |
| Curative Administrators | COMM | $54.95 | — |
| Prominence Health Plan | HIX | $54.95 | — |
| Superior | HMO | $58.76 | — |
| Superior | EPO | $58.76 | — |
| BCBS | Traditional | $61.00 | — |
| Fidelis SecureCare | MGMCR | $61.82 | — |
| City of McKinney | COMM | $61.82 | — |
| National ChoiceCare | WCOMP | $68.69 | — |
| Molina Healthcare | HIX | $68.72 | — |
| BCBS | BluePremier | $69.74 | — |
| Aetna | ASA | $72.40 | — |
| Physicians Coop of TX | MGMCR | $75.56 | — |
| Aetna | WCOMP | $75.56 | — |
| Rockport Health Group | WORKERSCOMP | $75.56 | — |
| PC Texas Partners | WCOMP | $75.56 | — |
| Averde Health, Inc | PPO | $79.68 | — |
| BCBS | BlueAdvantageHMO | $81.26 | — |
| BCBS | MyBlueHealth | $81.26 | — |
| Aetna Coventry First Health | EXCLUSIVE | $83.11 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $83.11 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $89.30 | — |
| Multiplan PHCS | PrimaryNetwork | $96.17 | — |
| Mega Life | MGMCRPPO | $96.17 | — |
| Coastal Comp Health Networks | WCOMP | $96.17 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $103.03 | — |
| HealthSmart Preferred Care | PPO | $103.03 | — |
| USA Managed Care | COMM | $109.90 | — |
| USC Health Services | COMM | $109.90 | — |
| Galaxy Health Network | PPO | $116.77 | — |
| National Healthcare Solutions | COMM | $137.38 | — |
| Unicare | MCD | $137.38 | — |
| Independent Medical Systems | COMM | $137.38 | — |
| BCBS | BlueEssentialsAccess | $143.91 | — |
| BCBS | BlueEssentials | $143.91 | — |
| BCBS | EPOSOA | $151.00 | — |
| BCBS | PPO | $158.09 | — |
Visitor-reported prices
Comments
Mnt subs tx for change dx at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $57.53 | $15.34 – $81.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $57.53 | $26.85 – $90.72 |
| Texas Health Hospital Frisco | Frisco | $90.00 | $40.13 – $40.13 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $57.53 | $16.30 – $90.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $58.82 | $12.11 – $88.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $64.70 | $12.94 – $89.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $58.82 | $18.88 – $109.04 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $58.82 | $30.39 – $88.23 |