Mopath procedure level 1 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.
$53.73 with United vs $575.53 with Humana — 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 |
|---|---|---|---|
| United | CHIP | $53.73 | — |
| Amerigroup | MGMCD | $53.73 | — |
| United | STARKids | $53.73 | — |
| Amerigroup | CHIP | $53.73 | — |
| United | STARPerinate | $53.73 | — |
| United | STARPLUS | $53.73 | — |
| United | STAR | $53.73 | — |
| Cigna Healthspring | MGMCD | $56.42 | — |
| Aetna Better Health | CHIP | $58.03 | — |
| Aetna Better Health | MCD | $58.03 | — |
| Molina | CHIP | $59.10 | — |
| Molina | MCDSTAR | $59.10 | — |
| Parkland Community Health Plan | MCD | $59.10 | — |
| Molina | STARKIDS | $59.10 | — |
| Molina | STAR+PLUS | $59.10 | — |
| WellMed | MGMCR | $63.64 | — |
| United | NarrowNetworkIndivExchange | $63.96 | — |
| Devoted Health | HMO | $63.96 | — |
| Devoted Health | POS | $63.96 | — |
| Devoted Health | MCR | $63.96 | — |
| Devoted Health | MME | $63.96 | — |
| Triwest Veterans | FED | $63.96 | — |
| TriWest Veterans | FEDERAL | $63.96 | — |
| Humana | MGMCR | $63.96 | — |
| Devoted Health | PPO | $63.96 | — |
| Devoted Health | SNP | $63.96 | — |
| BCBS | MGMCRHMO | $63.96 | — |
| BCBS | MCRPPO | $63.96 | — |
| Mutual of Omaha | MGMCR | $63.96 | — |
| Amerigroup | DualEligible | $63.96 | — |
| United | SmallGroup | $63.96 | — |
| United | AllPayerAppendix | $63.96 | — |
| United | MGMCR | $64.28 | — |
| Aetna | MCR | $64.50 | — |
| Care N Care | MGMCR | $64.60 | — |
| Cigna Healthspring | MGMCR | $65.24 | — |
| Integranet | MGMCR | $65.88 | — |
| WellCare | MGMCR | $65.88 | — |
| ProCare Advantge | MCR | $67.16 | — |
| Superior Health Plan | MGMCRSNP | $67.16 | — |
| Superior Health Plan | MGMCRPOS | $67.16 | — |
| Superior Health Plan | MGMCRPFFS | $67.16 | — |
| Superior Health Plan | MGMCRDualEligible | $67.16 | — |
| Superior Health Plan | MGMCRPPO | $67.16 | — |
| Superior Health Plan | MGMCRHMO | $67.16 | — |
| American Health Plan of Texas, Inc. | MGMCR | $67.16 | — |
| Humana | MGMCD | $67.16 | — |
| Texas Independent Health Plan | MGMCR | $67.80 | — |
| Provider Partners Health Plan | MCR | $67.80 | — |
| Molina | MME | $69.72 | — |
| Molina | MMP | $69.72 | — |
| Molina | MCR | $69.72 | — |
| Imperial Insurance Company | MCR | $70.36 | — |
| Universal Healthcare Group | MCR | $76.75 | — |
| Aetna | QHPHIX | $81.37 | — |
| BCBS | BluePremier | $81.87 | — |
| Verda Health Plan | MGMCR | $83.15 | — |
| Bravo Health | MCRHMO | $95.94 | — |
| Bravo Health | MCRPOS | $95.94 | — |
| Bravo Health | MCRPPO | $95.94 | — |
| Bravo Health | MCRSNP | $95.94 | — |
| Bravo Health | MCRPFFS | $95.94 | — |
| BCBS | MyBlueHealth | $111.93 | — |
| BCBS | BlueAdvantageHMO | $111.93 | — |
| Aetna | NewBusiness | $112.07 | — |
| Superior | ValueHMO | $114.49 | — |
| BCBS | BlueEssentialsAccess | $116.41 | — |
| BCBS | BlueEssentials | $116.41 | — |
| Aetna | Meritain | $119.36 | — |
| Aetna | COMM | $119.36 | — |
| USA Managed Care | WORKERSCOMP | $121.52 | — |
| BCBS | EPOSOA | $122.16 | — |
| Corvel Corporation | WORKERSCOMP | $126.64 | — |
| BCBS | PPO | $127.92 | — |
| Aetna | OON | $140.47 | — |
| Superior | EPO | $143.27 | — |
| Superior | HMO | $143.27 | — |
| Oscar | HIX | $166.30 | — |
| Molina Healthcare | HIX | $167.58 | — |
| Cigna | LocalPlus | $253.70 | — |
| Cigna | NewBusiness | $253.95 | — |
| Cigna | OpenAccessPlus | $283.51 | — |
| Cigna | HMO | $283.51 | — |
| Cigna | NetworkBenefit | $283.51 | — |
| Cigna | AllOther | $358.59 | — |
| Humana | COMM | $575.53 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Mopath procedure level 1 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $371.95 | $10.00 – $287.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $371.95 | $10.00 – $287.81 |
| Texas Health Hospital Frisco | Frisco | not published | $53.73 – $58.03 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $371.95 | $10.00 – $287.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $315.95 | $12.00 – $345.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $332.57 | $12.00 – $287.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $315.95 | $12.00 – $345.38 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $315.95 | $8.00 – $345.38 |