Permanent tear duct plug 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.
$193.22 with Humana vs $2,247.00 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 |
|---|---|---|---|
| Humana | COMM | $193.22 | — |
| Cigna | IFP | $303.35 | — |
| Cigna | QHP | $314.58 | — |
| United | OptionsPPO | $390.98 | — |
| BCBS | BlueAdvantageHMO | $555.01 | — |
| BCBS | MyBlueHealth | $555.01 | — |
| Cigna | NewBusiness | $593.21 | — |
| Cigna | LocalPlus | $593.21 | — |
| Cigna | NetworkBenefit | $662.87 | — |
| Cigna | HMO | $662.87 | — |
| Cigna | OpenAccessPlus | $662.87 | — |
| LifeCare Hospitals | MGMCD | $674.10 | — |
| LifeCare Hospitals | MGMCR | $674.10 | — |
| BCBS | BlueEssentialsAccess | $716.79 | — |
| BCBS | BlueEssentials | $716.79 | — |
| BCBS | EPOSOA | $752.75 | — |
| Healthcare Highways | CityofPlano | $759.49 | — |
| BCBS | PPO | $786.45 | — |
| Cigna | AllOther | $838.13 | — |
| Prominence Health Plan | HIX | $898.80 | — |
| BCBS | Traditional | $997.67 | — |
| City of McKinney | COMM | $1,011.15 | — |
| National ChoiceCare | WCOMP | $1,123.50 | — |
| Aetna | ASA | $1,184.17 | — |
| PC Texas Partners | WCOMP | $1,235.85 | — |
| Aetna | WCOMP | $1,235.85 | — |
| Rockport Health Group | WORKERSCOMP | $1,235.85 | — |
| Physicians Coop of TX | MGMCR | $1,235.85 | — |
| Averde Health, Inc | PPO | $1,303.26 | — |
| Aetna Coventry First Health | EXCLUSIVE | $1,359.43 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $1,359.43 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $1,460.55 | — |
| Mega Life | MGMCRPPO | $1,572.90 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,685.25 | — |
| HealthSmart Preferred Care | PPO | $1,685.25 | — |
| USC Health Services | COMM | $1,797.60 | — |
| USA Managed Care | COMM | $1,797.60 | — |
| Galaxy Health Network | PPO | $1,909.95 | — |
| Unicare | MCD | $2,247.00 | — |
| Independent Medical Systems | COMM | $2,247.00 | — |
| National Healthcare Solutions | COMM | $2,247.00 | — |
Visitor-reported prices
Comments
Permanent tear duct plug at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Frisco | Frisco | $241.08 | not published |
| Covenant Children's Hospital | Lubbock | $511.01 | not published |
| Texas Health Presbyterian Hospital Allen | Allen | $241.08 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $241.08 | not published |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $241.08 | not published |
| Texas Health Arlington Memorial Hospital | Arlington | $241.08 | not published |
| Texas Health Presbyterian Hospital Denton | Denton | $241.08 | not published |
| Texas Health Presbyterian Hospital Plano | Plano | $241.08 | not published |