Oth resp proc, group 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.
$25.70 with Superior Health Plan vs $367.15 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 | STARKids | $25.70 | — |
| Superior Health Plan | STARHealth | $25.70 | — |
| Superior Health Plan | MCDSTAR | $25.70 | — |
| Superior Health Plan | STARPLUS | $25.70 | — |
| Superior Health Plan | CHIP | $25.70 | — |
| BCBS | BluePremier | $29.76 | — |
| BCBS | BlueAdvantageHMO | $34.68 | — |
| BCBS | MyBlueHealth | $34.68 | — |
| Cigna | IFP | $49.57 | — |
| Cigna | QHP | $51.40 | — |
| Aetna | QHPHIX | $59.85 | — |
| BCBS | BlueEssentials | $61.41 | — |
| BCBS | BlueEssentialsAccess | $61.41 | — |
| United | OptionsPPO | $63.88 | — |
| BCBS | EPOSOA | $64.44 | — |
| BCBS | PPO | $67.46 | — |
| Oscar | HIX | $76.37 | — |
| Aetna | NewBusiness | $87.38 | — |
| Humana | COMM | $88.99 | — |
| Aetna | COMM | $93.99 | — |
| Aetna | Meritain | $93.99 | — |
| Aetna | OON | $110.14 | — |
| LifeCare Hospitals | MGMCR | $110.14 | — |
| LifeCare Hospitals | MGMCD | $110.14 | — |
| Healthcare Highways | CityofPlano | $124.10 | — |
| Prominence Health Plan | HIX | $146.86 | — |
| BCBS | Traditional | $163.01 | — |
| City of McKinney | COMM | $165.22 | — |
| Fidelis SecureCare | MGMCR | $165.22 | — |
| National ChoiceCare | WCOMP | $183.57 | — |
| Aetna | ASA | $193.49 | — |
| Physicians Coop of TX | MGMCR | $201.93 | — |
| PC Texas Partners | WCOMP | $201.93 | — |
| Aetna | WCOMP | $201.93 | — |
| Rockport Health Group | WORKERSCOMP | $201.93 | — |
| Averde Health, Inc | PPO | $212.95 | — |
| Aetna Coventry First Health | EXCLUSIVE | $222.13 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $222.13 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $238.65 | — |
| Mega Life | MGMCRPPO | $257.00 | — |
| Multiplan PHCS | PrimaryNetwork | $257.00 | — |
| Coastal Comp Health Networks | WCOMP | $257.00 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $275.36 | — |
| HealthSmart Preferred Care | PPO | $275.36 | — |
| USC Health Services | COMM | $293.72 | — |
| USA Managed Care | COMM | $293.72 | — |
| Galaxy Health Network | PPO | $312.08 | — |
| Unicare | MCD | $367.15 | — |
| National Healthcare Solutions | COMM | $367.15 | — |
| Independent Medical Systems | COMM | $367.15 | — |
Visitor-reported prices
Comments
Oth resp proc, group at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $173.23 | $29.51 – $216.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $173.23 | $35.64 – $216.53 |
| Texas Health Hospital Frisco | Frisco | $79.95 | $17.12 – $17.12 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $173.23 | $35.64 – $216.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $156.25 | $32.16 – $234.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $138.85 | $27.77 – $173.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $156.25 | $35.64 – $234.38 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $156.25 | $80.73 – $3,235.82 |