Polatuzumab vedotin-piiq 140 mg intravenous solution at MEDICAL CITY FRISCO HOSPITAL

5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

not published by hospital

Cash price

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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

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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.

$128.75 with Humana vs $18,279.72 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 →

Payer
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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
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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 Tricare $128.75
TriWest Health Alliance TRCR $132.73
United AllPayerAppendix $225.67
United SmallGroup $225.67
United NarrowNetworkIndivExchange $225.67
BCBS BluePremier $417.79
BCBS MyBlueHealth $435.46
BCBS BlueAdvantageHMO $435.46
BCBS BlueEssentials $637.41
BCBS BlueEssentialsAccess $637.41
BCBS EPOSOA $668.97
BCBS PPO $700.52
Cigna LocalPlus $824.33
Cigna NewBusiness $825.15
Cigna NetworkBenefit $920.91
Cigna HMO $920.91
Cigna OpenAccessPlus $920.91
Cigna AllOther $1,165.04
Superior Health Plan STARPLUS $1,279.58
Superior Health Plan STARHealth $1,279.58
Superior Health Plan MCDSTAR $1,279.58
Superior Health Plan CHIP $1,279.58
Superior Health Plan STARKids $1,279.58
Cigna IFP $2,467.76
Cigna QHP $2,559.16
Aetna QHPHIX $2,979.59
United OptionsPPO $3,180.67
Aetna NewBusiness $4,350.57
Aetna Meritain $4,679.61
Aetna COMM $4,679.61
LifeCare Hospitals MGMCD $5,483.92
LifeCare Hospitals MGMCR $5,483.92
Aetna OON $5,483.92
Healthcare Highways CityofPlano $6,178.55
Prominence Health Plan HIX $7,311.89
BCBS Traditional $8,116.20
City of McKinney COMM $8,225.87
National ChoiceCare WCOMP $9,139.86
Aetna ASA $9,633.41
Rockport Health Group WORKERSCOMP $10,053.85
Physicians Coop of TX MGMCR $10,053.85
PC Texas Partners WCOMP $10,053.85
Aetna WCOMP $10,053.85
Averde Health, Inc PPO $10,602.24
Aetna Coventry First Health NONEXCLUSIVE $11,059.23
Aetna Coventry First Health EXCLUSIVE $11,059.23
Texas Healthcare Foundation WC WORKERSCOMP $11,881.82
Coastal Comp Health Networks WCOMP $12,795.80
Mega Life MGMCRPPO $12,795.80
HealthSmart Preferred Care PPO $13,709.79
LEWISVILLE ISD/DLS CONSULTING COMMPPO $13,709.79
USC Health Services COMM $14,623.78
USA Managed Care COMM $14,623.78
Galaxy Health Network PPO $15,537.76
National Healthcare Solutions COMM $18,279.72
Unicare MCD $18,279.72
Independent Medical Systems COMM $18,279.72

Visitor-reported prices

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Polatuzumab vedotin-piiq 140 mg intravenous solution at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $32,554.79 $130.21 – $40,693.49
BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY Frisco $32,554.79 $130.21 – $40,693.49
Texas Health Hospital Frisco Frisco $34,735.22 $164.72 – $468.66
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $32,554.79 $130.21 – $40,693.49
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $32,554.79 $132.15 – $48,832.19
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $32,554.79 $130.37 – $40,693.49
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $32,554.79 $130.37 – $48,832.19
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $32,554.79 $150.95 – $48,832.19

All Texas hospitals for this procedure →