Peng benzathine/procaine inj 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.
$15.23 with BCBS vs $233.10 with National Healthcare Solutions — 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 | BluePremier | $15.23 | — |
| BCBS | BlueAdvantageHMO | $15.87 | — |
| BCBS | MyBlueHealth | $15.87 | — |
| Superior Health Plan | STARHealth | $16.32 | — |
| Superior Health Plan | CHIP | $16.32 | — |
| Superior Health Plan | STARKids | $16.32 | — |
| Superior Health Plan | STARPLUS | $16.32 | — |
| Superior Health Plan | MCDSTAR | $16.32 | — |
| Humana | Tricare | $16.85 | — |
| TriWest Health Alliance | TRCR | $17.37 | — |
| BCBS | BlueEssentials | $23.23 | — |
| BCBS | BlueEssentialsAccess | $23.23 | — |
| BCBS | EPOSOA | $24.38 | — |
| BCBS | PPO | $25.53 | — |
| Cigna | IFP | $31.47 | — |
| United | AllPayerAppendix | $32.21 | — |
| United | NarrowNetworkIndivExchange | $32.21 | — |
| United | SmallGroup | $32.21 | — |
| Cigna | QHP | $32.63 | — |
| Aetna | QHPHIX | $38.00 | — |
| United | OptionsPPO | $40.56 | — |
| Aetna | NewBusiness | $55.48 | — |
| Aetna | COMM | $59.67 | — |
| Aetna | Meritain | $59.67 | — |
| LifeCare Hospitals | MGMCR | $69.93 | — |
| LifeCare Hospitals | MGMCD | $69.93 | — |
| Aetna | OON | $69.93 | — |
| Healthcare Highways | CityofPlano | $78.79 | — |
| Humana | COMM | $79.41 | — |
| Prominence Health Plan | HIX | $93.24 | — |
| BCBS | Traditional | $103.50 | — |
| City of McKinney | COMM | $104.89 | — |
| Cigna | LocalPlus | $105.11 | — |
| Cigna | NewBusiness | $105.21 | — |
| National ChoiceCare | WCOMP | $116.55 | — |
| Cigna | HMO | $117.42 | — |
| Cigna | OpenAccessPlus | $117.42 | — |
| Cigna | NetworkBenefit | $117.42 | — |
| Aetna | ASA | $122.84 | — |
| Rockport Health Group | WORKERSCOMP | $128.21 | — |
| Aetna | WCOMP | $128.21 | — |
| PC Texas Partners | WCOMP | $128.21 | — |
| Physicians Coop of TX | MGMCR | $128.21 | — |
| Averde Health, Inc | PPO | $135.20 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $141.03 | — |
| Aetna Coventry First Health | EXCLUSIVE | $141.03 | — |
| Cigna | AllOther | $148.55 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $151.51 | — |
| Mega Life | MGMCRPPO | $163.17 | — |
| Coastal Comp Health Networks | WCOMP | $163.17 | — |
| HealthSmart Preferred Care | PPO | $174.82 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $174.82 | — |
| USA Managed Care | COMM | $186.48 | — |
| USC Health Services | COMM | $186.48 | — |
| Galaxy Health Network | PPO | $198.13 | — |
| Unicare | MCD | $233.10 | — |
| Independent Medical Systems | COMM | $233.10 | — |
| National Healthcare Solutions | COMM | $233.10 | — |
Visitor-reported prices
Comments
Peng benzathine/procaine inj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Frisco | Frisco | $477.40 | $6.00 – $60.57 |
| Baylor St Luke's Medical Center | Houston | $168.10 | $4.14 – $480.27 |
| St. Joseph Health Madison Hospital | Madisonville | $26.59 | $6.35 – $136.73 |
| St. Luke's Health Memorial Lufkin | Lufkin | $363.50 | $5.46 – $35.06 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $168.10 | $5.01 – $480.27 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $168.10 | $5.01 – $480.27 |
| St. Joseph Health College Station Hospital | College Station | $26.59 | $6.35 – $129.14 |
| HCA HOUSTON SOUTHEAST | PASADENA | $957.98 | $9.02 – $108.11 |