Opn ax/subcla art expos 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.
$348.47 with Superior Health Plan vs $6,587.00 with Oscar — 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $348.47 | — |
| Superior Health Plan | STARHealth | $348.47 | — |
| Superior Health Plan | MCDSTAR | $348.47 | — |
| Superior Health Plan | STARPLUS | $348.47 | — |
| Superior Health Plan | STARKids | $348.47 | — |
| Cigna | IFP | $672.06 | — |
| Cigna | QHP | $696.95 | — |
| United | OptionsPPO | $866.21 | — |
| Imperial Insurance Company | MCR | $945.86 | — |
| BCBS | BlueAdvantageHMO | $1,229.62 | — |
| BCBS | MyBlueHealth | $1,229.62 | — |
| United | NarrowNetworkIndivExchange | $1,259.00 | — |
| Cigna | LocalPlus | $1,314.24 | — |
| Cigna | NewBusiness | $1,314.24 | — |
| BCBS | BluePremier | $1,453.63 | — |
| United | SmallGroup | $1,454.00 | — |
| Cigna | OpenAccessPlus | $1,468.57 | — |
| Cigna | NetworkBenefit | $1,468.57 | — |
| Cigna | HMO | $1,468.57 | — |
| LifeCare Hospitals | MGMCR | $1,493.46 | — |
| LifeCare Hospitals | MGMCD | $1,493.46 | — |
| BCBS | BlueEssentialsAccess | $1,588.05 | — |
| BCBS | BlueEssentials | $1,588.05 | — |
| BCBS | EPOSOA | $1,667.70 | — |
| Curative Administrators | COMM | $1,672.00 | — |
| Healthcare Highways | CityofPlano | $1,682.63 | — |
| BCBS | PPO | $1,742.37 | — |
| Cigna | AllOther | $1,856.87 | — |
| Prominence Health Plan | HIX | $1,991.28 | — |
| Fidelis SecureCare | MGMCR | $1,995.00 | — |
| Healthcare Highways | NarrowNetwork | $2,069.00 | — |
| Humana | COMM | $2,173.37 | — |
| United | AllPayerAppendix | $2,174.00 | — |
| BCBS | Traditional | $2,210.32 | — |
| City of McKinney | COMM | $2,240.19 | — |
| Evry Health | COMM | $2,287.00 | — |
| National ChoiceCare | WCOMP | $2,489.10 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| Aetna | ASA | $2,623.51 | — |
| PC Texas Partners | WCOMP | $2,738.01 | — |
| Rockport Health Group | WORKERSCOMP | $2,738.01 | — |
| Aetna | WCOMP | $2,738.01 | — |
| Physicians Coop of TX | MGMCR | $2,738.01 | — |
| Averde Health, Inc | PPO | $2,887.36 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $3,011.81 | — |
| Aetna Coventry First Health | EXCLUSIVE | $3,011.81 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $3,235.83 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Coastal Comp Health Networks | WCOMP | $3,484.74 | — |
| Multiplan PHCS | PrimaryNetwork | $3,484.74 | — |
| Mega Life | MGMCRPPO | $3,484.74 | — |
| Aetna | COMM | $3,682.00 | — |
| Aetna | Meritain | $3,682.00 | — |
| HealthSmart Preferred Care | PPO | $3,733.65 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3,733.65 | — |
| USA Managed Care | COMM | $3,982.56 | — |
| USC Health Services | COMM | $3,982.56 | — |
| Galaxy Health Network | PPO | $4,231.47 | — |
| Aetna | OON | $4,332.00 | — |
| Unicare | MCD | $4,978.20 | — |
| National Healthcare Solutions | COMM | $4,978.20 | — |
| Independent Medical Systems | COMM | $4,978.20 | — |
| Oscar | HIX | $6,587.00 | — |
| WellMed | MGMCR | not published by hospital | — |
Visitor-reported prices
Comments
Opn ax/subcla art expos at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Frisco | Frisco | not published | not published |
| Baylor St Luke's Medical Center | Houston | $103.60 | $32.56 – $296.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $103.60 | $29.60 – $296.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $103.60 | $23.68 – $296.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $103.60 | $23.68 – $296.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $103.60 | $23.68 – $296.00 |
| CHRISTUS Health - West Beaumont | Beaumont | $515.13 | $2,885.00 – $4,989.00 |
| Houston Methodist The Woodlands Hospital | The Woodlands | $6,247.50 | $4,610.00 – $7,316.00 |