Ophth Ultrasound b & quant a 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.
$51.02 with Aetna vs $465.56 with BCBS — 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 |
|---|---|---|---|
| Aetna | QHPHIX | $51.02 | — |
| Amerigroup | CHIP | $68.83 | — |
| United | STARPerinate | $68.83 | — |
| Amerigroup | MGMCD | $68.83 | — |
| United | STARPLUS | $68.83 | — |
| United | CHIP | $68.83 | — |
| United | STAR | $68.83 | — |
| United | STARKids | $68.83 | — |
| Aetna | NewBusiness | $69.95 | — |
| Cigna Healthspring | MGMCD | $72.27 | — |
| Aetna Better Health | MCD | $74.34 | — |
| Aetna Better Health | CHIP | $74.34 | — |
| Aetna | COMM | $74.94 | — |
| Aetna | Meritain | $74.94 | — |
| Parkland Community Health Plan | MCD | $75.71 | — |
| Molina | STAR+PLUS | $75.71 | — |
| Molina | STARKIDS | $75.71 | — |
| Molina | MCDSTAR | $75.71 | — |
| Molina | CHIP | $75.71 | — |
| Humana | MGMCD | $86.04 | — |
| Aetna | OON | $87.89 | — |
| Cigna | LocalPlus | $121.89 | — |
| Cigna | NewBusiness | $122.01 | — |
| BCBS | BluePremier | $129.75 | — |
| Cigna | HMO | $136.21 | — |
| Cigna | OpenAccessPlus | $136.21 | — |
| Cigna | NetworkBenefit | $136.21 | — |
| United | SmallGroup | $141.80 | — |
| United | NarrowNetworkIndivExchange | $141.80 | — |
| BCBS | MyBlueHealth | $142.83 | — |
| BCBS | BlueAdvantageHMO | $142.83 | — |
| Cigna | AllOther | $172.28 | — |
| United | AllPayerAppendix | $251.89 | — |
| Humana | COMM | $263.29 | — |
| BCBS | BlueEssentials | $424.13 | — |
| BCBS | BlueEssentialsAccess | $424.13 | — |
| BCBS | EPOSOA | $444.84 | — |
| BCBS | PPO | $465.56 | — |
Visitor-reported prices
Comments
Ophth Ultrasound b & quant a at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Frisco | Frisco | not published | $68.83 – $74.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $588.14 | $121.06 – $882.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $601.90 | $68.83 – $752.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $588.14 | $73.65 – $882.22 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $588.14 | $68.83 – $882.22 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $601.90 | $68.83 – $902.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $588.14 | $68.83 – $735.18 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $588.14 | $68.83 – $882.22 |