Neg pres wound ther drsg set 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.
$28.84 with BCBS vs $175.19 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 |
|---|---|---|---|
| BCBS | MyBlueHealth | $28.84 | — |
| BCBS | BlueAdvantageHMO | $28.84 | — |
| Humana | Tricare | $30.41 | — |
| BCBS | MCRPPO | $30.53 | — |
| BCBS | MGMCRHMO | $30.53 | — |
| WellMed | MGMCR | $31.19 | — |
| Triwest Veterans | FED | $31.35 | — |
| TriWest Veterans | FEDERAL | $31.35 | — |
| Devoted Health | PPO | $31.35 | — |
| TriWest Health Alliance | TRCR | $31.35 | — |
| Mutual of Omaha | MGMCR | $31.35 | — |
| Amerigroup | DualEligible | $31.35 | — |
| Humana | MGMCR | $31.35 | — |
| Devoted Health | SNP | $31.35 | — |
| Devoted Health | HMO | $31.35 | — |
| Devoted Health | POS | $31.35 | — |
| Devoted Health | MCR | $31.35 | — |
| Devoted Health | MME | $31.35 | — |
| United | MGMCR | $31.51 | — |
| Aetna | MCR | $31.62 | — |
| Care N Care | MGMCR | $31.66 | — |
| Cigna Healthspring | MGMCR | $31.98 | — |
| WellCare | MGMCR | $32.29 | — |
| Integranet | MGMCR | $32.29 | — |
| BCBS | BluePremier | $32.69 | — |
| Superior Health Plan | MGMCRPOS | $32.92 | — |
| Superior Health Plan | MGMCRPFFS | $32.92 | — |
| Superior Health Plan | MGMCRDualEligible | $32.92 | — |
| ProCare Advantge | MCR | $32.92 | — |
| Superior Health Plan | MGMCRSNP | $32.92 | — |
| Superior Health Plan | MGMCRPPO | $32.92 | — |
| American Health Plan of Texas, Inc. | MGMCR | $32.92 | — |
| Superior Health Plan | MGMCRHMO | $32.92 | — |
| Texas Independent Health Plan | MGMCR | $33.23 | — |
| Provider Partners Health Plan | MCR | $33.23 | — |
| Molina | MME | $34.17 | — |
| Molina | MMP | $34.17 | — |
| Molina | MCR | $34.17 | — |
| Imperial Insurance Company | MCR | $34.49 | — |
| BCBS | BlueEssentialsAccess | $37.08 | — |
| BCBS | BlueEssentials | $37.08 | — |
| Universal Healthcare Group | MCR | $37.62 | — |
| BCBS | EPOSOA | $39.01 | — |
| BCBS | PPO | $40.66 | — |
| Verda Health Plan | MGMCR | $40.76 | — |
| Bravo Health | MCRPOS | $47.03 | — |
| Bravo Health | MCRPPO | $47.03 | — |
| Bravo Health | MCRHMO | $47.03 | — |
| Bravo Health | MCRPFFS | $47.03 | — |
| Bravo Health | MCRSNP | $47.03 | — |
| Superior | ValueHMO | $56.12 | — |
| USA Managed Care | WORKERSCOMP | $59.56 | — |
| Corvel Corporation | WORKERSCOMP | $62.07 | — |
| Superior | EPO | $70.22 | — |
| Superior | HMO | $70.22 | — |
| Molina Healthcare | HIX | $82.14 | — |
| Humana | COMM | $175.19 | — |
Visitor-reported prices
Comments
Neg pres wound ther drsg set at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Frisco | Frisco | $130.38 | not published |
| Covenant Children's Hospital | Lubbock | $2,525.25 | $31.59 – $31.59 |
| Baylor St Luke's Medical Center | Houston | $2,229.99 | $24.45 – $109.20 |
| St. Luke's Health Memorial Lufkin | Lufkin | $312.33 | $44.78 – $351.54 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $2,229.99 | $29.49 – $109.20 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $2,229.99 | $29.49 – $109.20 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $2,229.99 | $29.49 – $109.20 |
| Texas Health Presbyterian Hospital Allen | Allen | $130.38 | not published |