Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$342.30
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.
$342.30
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.
$23.96 with Superior Health Plan vs $342.30 with Independent Medical Systems — 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 | STARHealth | $23.96 | ↓ -93% |
| Superior Health Plan | STARPLUS | $23.96 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $23.96 | ↓ -93% |
| Superior Health Plan | STARKids | $23.96 | ↓ -93% |
| Superior Health Plan | CHIP | $23.96 | ↓ -93% |
| WellMed | MGMCR | $42.34 | ↓ -88% |
| BCBS | MCRPPO | $42.44 | ↓ -88% |
| BCBS | MGMCRHMO | $42.44 | ↓ -88% |
| Amerigroup | DualEligible | $42.55 | ↓ -88% |
| Devoted Health | HMO | $42.55 | ↓ -88% |
| Devoted Health | MCR | $42.55 | ↓ -88% |
| Devoted Health | MME | $42.55 | ↓ -88% |
| TriWest Veterans | FEDERAL | $42.55 | ↓ -88% |
| Mutual of Omaha | MGMCR | $42.55 | ↓ -88% |
| Devoted Health | PPO | $42.55 | ↓ -88% |
| Humana | MGMCR | $42.55 | ↓ -88% |
| Triwest Veterans | FED | $42.55 | ↓ -88% |
| Devoted Health | SNP | $42.55 | ↓ -88% |
| Devoted Health | POS | $42.55 | ↓ -88% |
| United | MGMCR | $42.76 | ↓ -88% |
| Aetna | MCR | $42.91 | ↓ -87% |
| Care N Care | MGMCR | $42.97 | ↓ -87% |
| Cigna Healthspring | MGMCR | $43.40 | ↓ -87% |
| Integranet | MGMCR | $43.82 | ↓ -87% |
| WellCare | MGMCR | $43.82 | ↓ -87% |
| Superior Health Plan | MGMCRPOS | $44.68 | ↓ -87% |
| ProCare Advantge | MCR | $44.68 | ↓ -87% |
| American Health Plan of Texas, Inc. | MGMCR | $44.68 | ↓ -87% |
| Superior Health Plan | MGMCRHMO | $44.68 | ↓ -87% |
| Superior Health Plan | MGMCRPPO | $44.68 | ↓ -87% |
| Superior Health Plan | MGMCRDualEligible | $44.68 | ↓ -87% |
| Superior Health Plan | MGMCRPFFS | $44.68 | ↓ -87% |
| Superior Health Plan | MGMCRSNP | $44.68 | ↓ -87% |
| Texas Independent Health Plan | MGMCR | $45.10 | ↓ -87% |
| Provider Partners Health Plan | MCR | $45.10 | ↓ -87% |
| Cigna | IFP | $46.21 | ↓ -87% |
| Molina | MME | $46.38 | ↓ -86% |
| Molina | MMP | $46.38 | ↓ -86% |
| Molina | MCR | $46.38 | ↓ -86% |
| Humana | Tricare | $46.78 | ↓ -86% |
| Imperial Insurance Company | MCR | $46.80 | ↓ -86% |
| Cigna | QHP | $47.92 | ↓ -86% |
| TriWest Health Alliance | TRCR | $48.23 | ↓ -86% |
| Universal Healthcare Group | MCR | $51.06 | ↓ -85% |
| Verda Health Plan | MGMCR | $55.31 | ↓ -84% |
| United | OptionsPPO | $59.56 | ↓ -83% |
| Bravo Health | MCRPFFS | $63.82 | ↓ -81% |
| Bravo Health | MCRHMO | $63.82 | ↓ -81% |
| Bravo Health | MCRPOS | $63.82 | ↓ -81% |
| Bravo Health | MCRPPO | $63.82 | ↓ -81% |
| Bravo Health | MCRSNP | $63.82 | ↓ -81% |
| Oscar | HIX | $71.20 | ↓ -79% |
| Superior | ValueHMO | $76.16 | ↓ -78% |
| USA Managed Care | WORKERSCOMP | $80.84 | ↓ -76% |
| Corvel Corporation | WORKERSCOMP | $84.25 | ↓ -75% |
| Superior | EPO | $95.31 | ↓ -72% |
| Superior | HMO | $95.31 | ↓ -72% |
| LifeCare Hospitals | MGMCR | $102.69 | ↓ -70% |
| LifeCare Hospitals | MGMCD | $102.69 | ↓ -70% |
| Aetna | QHPHIX | $106.00 | ↓ -69% |
| Molina Healthcare | HIX | $111.48 | ↓ -67% |
| Healthcare Highways | CityofPlano | $115.70 | ↓ -66% |
| BCBS | BluePremier | $121.63 | ↓ -64% |
| Prominence Health Plan | HIX | $136.92 | ↓ -60% |
| BCBS | BlueAdvantageHMO | $141.73 | ↓ -59% |
| BCBS | MyBlueHealth | $141.73 | ↓ -59% |
| Aetna | NewBusiness | $143.00 | ↓ -58% |
| BCBS | Traditional | $151.98 | ↓ -56% |
| City of McKinney | COMM | $154.03 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $154.03 | ↓ -55% |
| Aetna | COMM | $155.00 | ↓ -55% |
| Aetna | Meritain | $155.00 | ↓ -55% |
| National ChoiceCare | WCOMP | $171.15 | ↓ -50% |
| Aetna | OON | $179.00 | ↓ -48% |
| Aetna | ASA | $180.39 | ↓ -47% |
| Aetna | WCOMP | $188.26 | ↓ -45% |
| PC Texas Partners | WCOMP | $188.26 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $188.26 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $188.26 | ↓ -45% |
| Averde Health, Inc | PPO | $198.53 | ↓ -42% |
| Aetna Coventry First Health | EXCLUSIVE | $207.09 | ↓ -40% |
| Aetna Coventry First Health | NONEXCLUSIVE | $207.09 | ↓ -40% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $222.50 | ↓ -35% |
| Mega Life | MGMCRPPO | $239.61 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $239.61 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $239.61 | ↓ -30% |
| BCBS | BlueEssentialsAccess | $251.00 | ↓ -27% |
| BCBS | BlueEssentials | $251.00 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $256.73 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $256.73 | ↓ -25% |
| BCBS | EPOSOA | $263.37 | ↓ -23% |
| USC Health Services | COMM | $273.84 | ↓ -20% |
| USA Managed Care | COMM | $273.84 | ↓ -20% |
| BCBS | PPO | $275.74 | ↓ -19% |
| Galaxy Health Network | PPO | $290.95 | ↓ -15% |
| Humana | COMM | $337.87 | ↓ -1% |
| Unicare | MCD | $342.30 | ↑ +0% |
| National Healthcare Solutions | COMM | $342.30 | ↑ +0% |
| Independent Medical Systems | COMM | $342.30 | ↑ +0% |
Visitor-reported prices
Comments
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $124.35 | $33.16 – $176.16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $124.35 | $58.03 – $176.16 |
| Texas Health Hospital Frisco | Frisco | $134.70 | $69.99 – $69.99 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $124.35 | $35.23 – $176.16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $135.00 | $27.79 – $202.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $118.67 | $23.73 – $155.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $135.00 | $43.34 – $202.50 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $135.00 | $69.75 – $253.00 |