Ostomy irrigation 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.
$59.62 with BCBS vs $393.45 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 | BlueAdvantageHMO | $59.62 | — |
| BCBS | MyBlueHealth | $59.62 | — |
| Humana | Tricare | $67.56 | — |
| BCBS | BluePremier | $67.57 | — |
| BCBS | MGMCRHMO | $68.28 | — |
| BCBS | MCRPPO | $68.28 | — |
| WellMed | MGMCR | $69.30 | — |
| TriWest Veterans | FEDERAL | $69.65 | — |
| Devoted Health | PPO | $69.65 | — |
| TriWest Health Alliance | TRCR | $69.65 | — |
| Mutual of Omaha | MGMCR | $69.65 | — |
| Amerigroup | DualEligible | $69.65 | — |
| Humana | MGMCR | $69.65 | — |
| Devoted Health | SNP | $69.65 | — |
| Devoted Health | HMO | $69.65 | — |
| Devoted Health | POS | $69.65 | — |
| Devoted Health | MCR | $69.65 | — |
| Devoted Health | MME | $69.65 | — |
| Triwest Veterans | FED | $69.65 | — |
| United | MGMCR | $70.00 | — |
| Aetna | MCR | $70.24 | — |
| Care N Care | MGMCR | $70.35 | — |
| Cigna Healthspring | MGMCR | $71.04 | — |
| WellCare | MGMCR | $71.74 | — |
| Integranet | MGMCR | $71.74 | — |
| Superior Health Plan | MGMCRSNP | $73.13 | — |
| Superior Health Plan | MGMCRPOS | $73.13 | — |
| Superior Health Plan | MGMCRPFFS | $73.13 | — |
| ProCare Advantge | MCR | $73.13 | — |
| Superior Health Plan | MGMCRDualEligible | $73.13 | — |
| American Health Plan of Texas, Inc. | MGMCR | $73.13 | — |
| Superior Health Plan | MGMCRPPO | $73.13 | — |
| Superior Health Plan | MGMCRHMO | $73.13 | — |
| Provider Partners Health Plan | MCR | $73.83 | — |
| Texas Independent Health Plan | MGMCR | $73.83 | — |
| Molina | MMP | $75.92 | — |
| Molina | MME | $75.92 | — |
| Molina | MCR | $75.92 | — |
| Imperial Insurance Company | MCR | $76.62 | — |
| BCBS | BlueEssentialsAccess | $76.65 | — |
| BCBS | BlueEssentials | $76.65 | — |
| BCBS | EPOSOA | $80.63 | — |
| Universal Healthcare Group | MCR | $83.58 | — |
| BCBS | PPO | $84.03 | — |
| Verda Health Plan | MGMCR | $90.55 | — |
| Bravo Health | MCRPOS | $104.48 | — |
| Bravo Health | MCRPPO | $104.48 | — |
| Bravo Health | MCRHMO | $104.48 | — |
| Bravo Health | MCRPFFS | $104.48 | — |
| Bravo Health | MCRSNP | $104.48 | — |
| Superior | ValueHMO | $124.67 | — |
| USA Managed Care | WORKERSCOMP | $132.34 | — |
| Corvel Corporation | WORKERSCOMP | $137.91 | — |
| Superior | EPO | $156.02 | — |
| Superior | HMO | $156.02 | — |
| Molina Healthcare | HIX | $182.48 | — |
| Humana | COMM | $393.45 | — |
Visitor-reported prices
Comments
Ostomy irrigation set at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Frisco | Frisco | $41.58 | not published |
| Texas Health Presbyterian Hospital Allen | Allen | $41.58 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $41.58 | not published |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $41.58 | not published |
| Texas Health Arlington Memorial Hospital | Arlington | $41.58 | not published |
| Texas Health Presbyterian Hospital Denton | Denton | $41.58 | not published |
| Texas Health Presbyterian Hospital Plano | Plano | $41.58 | not published |
| Texas Health Hospital Rockwall | Rockwall | $41.58 | not published |