Naltrexone, depot form 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.
$4.00 with Humana vs $36.26 with Cigna — 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 |
|---|---|---|---|
| Humana | Tricare | $4.00 | — |
| TriWest Health Alliance | TRCR | $4.12 | — |
| United | AllPayerAppendix | $7.00 | — |
| United | NarrowNetworkIndivExchange | $7.00 | — |
| United | SmallGroup | $7.00 | — |
| BCBS | BluePremier | $10.89 | — |
| BCBS | BlueAdvantageHMO | $11.35 | — |
| BCBS | MyBlueHealth | $11.35 | — |
| BCBS | BlueEssentialsAccess | $16.61 | — |
| BCBS | BlueEssentials | $16.61 | — |
| BCBS | EPOSOA | $17.44 | — |
| BCBS | PPO | $18.26 | — |
| Humana | COMM | $23.32 | — |
| Cigna | LocalPlus | $25.66 | — |
| Cigna | NewBusiness | $25.68 | — |
| Cigna | HMO | $28.66 | — |
| Cigna | NetworkBenefit | $28.66 | — |
| Cigna | OpenAccessPlus | $28.66 | — |
| Cigna | AllOther | $36.26 | — |
Visitor-reported prices
Comments
Naltrexone, depot form at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Frisco | Frisco | $3,249.40 | $4.29 – $15.24 |
| HCA HOUSTON SOUTHEAST | PASADENA | $8,827.84 | $4.12 – $31.75 |
| Texas Health Presbyterian Hospital Allen | Allen | $3,249.40 | $4.29 – $15.24 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $3,249.40 | $6.74 – $15.24 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $3,249.40 | $4.29 – $15.24 |
| Texas Health Arlington Memorial Hospital | Arlington | $3,249.40 | $4.29 – $15.24 |
| Texas Health Presbyterian Hospital Denton | Denton | $3,249.40 | $4.29 – $15.24 |
| Texas Health Presbyterian Hospital Plano | Plano | $3,249.40 | $4.29 – $15.24 |