Observation direct referral from physician office for admission at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$2,029.37
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.
$2,029.37
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.
$227.88 with Cigna vs $2,029.37 with Unicare — 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 |
|---|---|---|---|
| Cigna | IFP | $227.88 | ↓ -89% |
| Cigna | QHP | $236.32 | ↓ -88% |
| United | OptionsPPO | $293.71 | ↓ -86% |
| BCBS | BluePremier | $300.24 | ↓ -85% |
| BCBS | MyBlueHealth | $349.86 | ↓ -83% |
| BCBS | BlueAdvantageHMO | $349.86 | ↓ -83% |
| Healthcare Highways | CityofPlano | $570.54 | ↓ -72% |
| LifeCare Hospitals | MGMCR | $608.81 | ↓ -70% |
| LifeCare Hospitals | MGMCD | $608.81 | ↓ -70% |
| BCBS | BlueEssentialsAccess | $619.56 | ↓ -69% |
| BCBS | BlueEssentials | $619.56 | ↓ -69% |
| BCBS | EPOSOA | $650.09 | ↓ -68% |
| Prominence Health Plan | HIX | $675.19 | ↓ -67% |
| BCBS | PPO | $680.63 | ↓ -66% |
| Aetna | ASA | $889.57 | ↓ -56% |
| BCBS | Traditional | $901.04 | ↓ -56% |
| City of McKinney | COMM | $913.22 | ↓ -55% |
| National ChoiceCare | WCOMP | $1,014.68 | ↓ -50% |
| Aetna Coventry First Health | NONEXCLUSIVE | $1,021.23 | ↓ -50% |
| Aetna Coventry First Health | EXCLUSIVE | $1,021.23 | ↓ -50% |
| PC Texas Partners | WCOMP | $1,116.15 | ↓ -45% |
| Aetna | WCOMP | $1,116.15 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $1,116.15 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $1,116.15 | ↓ -45% |
| Averde Health, Inc | PPO | $1,177.03 | ↓ -42% |
| Multiplan PHCS | PrimaryNetwork | $1,181.59 | ↓ -42% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $1,319.09 | ↓ -35% |
| Mega Life | MGMCRPPO | $1,420.56 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $1,420.56 | ↓ -30% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,522.03 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $1,522.03 | ↓ -25% |
| USC Health Services | COMM | $1,623.50 | ↓ -20% |
| USA Managed Care | COMM | $1,623.50 | ↓ -20% |
| Independent Medical Systems | COMM | $1,687.98 | ↓ -17% |
| National Healthcare Solutions | COMM | $1,687.98 | ↓ -17% |
| Galaxy Health Network | PPO | $1,724.96 | ↓ -15% |
| Unicare | MCD | $2,029.37 | ↑ +0% |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $554.33 | $147.82 – $1,591.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $554.33 | $258.69 – $1,286.22 |
| Texas Health Hospital Frisco | Frisco | $384.00 | $172.76 – $172.76 |
| Adventhealth Rollins Brook | Lampasas | $162.54 | $489.80 – $489.80 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $554.33 | $157.06 – $1,591.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $527.99 | $71.00 – $1,591.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $602.45 | $71.00 – $1,591.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $527.99 | $169.48 – $1,591.17 |