Ortho hnd without jnt w/fit&adj 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$295.41 with Humana vs $1,720.54 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $295.41 | — |
| BCBS | MCRPPO | $298.58 | — |
| BCBS | MGMCRHMO | $298.58 | — |
| WellMed | MGMCR | $303.03 | — |
| Devoted Health | MCR | $304.55 | — |
| Devoted Health | MME | $304.55 | — |
| Humana | MGMCR | $304.55 | — |
| Triwest Veterans | FED | $304.55 | — |
| Devoted Health | SNP | $304.55 | — |
| Devoted Health | HMO | $304.55 | — |
| Devoted Health | POS | $304.55 | — |
| Amerigroup | DualEligible | $304.55 | — |
| Mutual of Omaha | MGMCR | $304.55 | — |
| TriWest Health Alliance | TRCR | $304.55 | — |
| TriWest Veterans | FEDERAL | $304.55 | — |
| Devoted Health | PPO | $304.55 | — |
| United | MGMCR | $306.07 | — |
| Aetna | MCR | $307.14 | — |
| Care N Care | MGMCR | $307.60 | — |
| Cigna Healthspring | MGMCR | $310.64 | — |
| WellCare | MGMCR | $313.69 | — |
| Integranet | MGMCR | $313.69 | — |
| Superior Health Plan | MGMCRPOS | $319.78 | — |
| Superior Health Plan | MGMCRSNP | $319.78 | — |
| American Health Plan of Texas, Inc. | MGMCR | $319.78 | — |
| ProCare Advantge | MCR | $319.78 | — |
| Superior Health Plan | MGMCRHMO | $319.78 | — |
| Superior Health Plan | MGMCRPPO | $319.78 | — |
| Superior Health Plan | MGMCRDualEligible | $319.78 | — |
| Superior Health Plan | MGMCRPFFS | $319.78 | — |
| Texas Independent Health Plan | MGMCR | $322.82 | — |
| Provider Partners Health Plan | MCR | $322.82 | — |
| Molina | MME | $331.96 | — |
| Molina | MMP | $331.96 | — |
| Molina | MCR | $331.96 | — |
| Imperial Insurance Company | MCR | $335.01 | — |
| Universal Healthcare Group | MCR | $365.46 | — |
| Verda Health Plan | MGMCR | $395.92 | — |
| Bravo Health | MCRSNP | $456.83 | — |
| Bravo Health | MCRPOS | $456.83 | — |
| Bravo Health | MCRPFFS | $456.83 | — |
| Bravo Health | MCRHMO | $456.83 | — |
| Bravo Health | MCRPPO | $456.83 | — |
| Superior | ValueHMO | $545.14 | — |
| USA Managed Care | WORKERSCOMP | $578.64 | — |
| Corvel Corporation | WORKERSCOMP | $603.01 | — |
| Superior | EPO | $682.19 | — |
| Superior | HMO | $682.19 | — |
| Molina Healthcare | HIX | $797.92 | — |
| Humana | COMM | $1,720.54 | — |
Visitor-reported prices
Comments
Ortho hnd without jnt w/fit&adj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $225.00 | $60.00 – $300.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $225.00 | $105.00 – $300.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $225.00 | $63.75 – $300.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $225.00 | $46.31 – $337.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $225.00 | $45.00 – $300.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $225.00 | $72.22 – $337.50 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $225.00 | $116.25 – $337.50 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $225.00 | $75.00 – $337.50 |