Pr moderate sedation same physician >= 5 years initial 15 minutes 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.
$9.32 with Superior Health Plan vs $265.76 with Humana — 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 | $9.32 | — |
| Superior Health Plan | STARPLUS | $9.32 | — |
| Superior Health Plan | STARKids | $9.32 | — |
| Superior Health Plan | CHIP | $9.32 | — |
| Superior Health Plan | MCDSTAR | $9.32 | — |
| Cigna | IFP | $17.98 | — |
| Cigna | QHP | $18.64 | — |
| Aetna | QHPHIX | $21.71 | — |
| United | OptionsPPO | $23.17 | — |
| Imperial Insurance Company | MCR | $25.32 | — |
| Oscar | HIX | $27.71 | — |
| BCBS | BluePremier | $29.76 | — |
| Aetna | NewBusiness | $31.69 | — |
| Healthcare Highways | NarrowNetwork | $32.62 | — |
| Aetna | COMM | $34.09 | — |
| Aetna | Meritain | $34.09 | — |
| Evry Health | COMM | $34.38 | — |
| BCBS | MyBlueHealth | $34.68 | — |
| BCBS | BlueAdvantageHMO | $34.68 | — |
| Cigna | LocalPlus | $35.15 | — |
| Cigna | NewBusiness | $35.15 | — |
| Cigna | NetworkBenefit | $39.28 | — |
| Cigna | HMO | $39.28 | — |
| Cigna | OpenAccessPlus | $39.28 | — |
| Aetna | OON | $39.95 | — |
| LifeCare Hospitals | MGMCD | $39.97 | — |
| LifeCare Hospitals | MGMCR | $39.97 | — |
| Healthcare Highways | CityofPlano | $45.01 | — |
| Cigna | AllOther | $49.67 | — |
| Curative Administrators | COMM | $53.26 | — |
| Prominence Health Plan | HIX | $53.30 | — |
| BCBS | Traditional | $59.12 | — |
| Fidelis SecureCare | MGMCR | $59.96 | — |
| City of McKinney | COMM | $59.96 | — |
| BCBS | BlueEssentialsAccess | $61.41 | — |
| BCBS | BlueEssentials | $61.41 | — |
| BCBS | EPOSOA | $64.44 | — |
| National ChoiceCare | WCOMP | $66.62 | — |
| BCBS | PPO | $67.46 | — |
| Aetna | ASA | $70.18 | — |
| Physicians Coop of TX | MGMCR | $73.28 | — |
| PC Texas Partners | WCOMP | $73.28 | — |
| Aetna | WCOMP | $73.28 | — |
| Rockport Health Group | WORKERSCOMP | $73.28 | — |
| Averde Health, Inc | PPO | $77.28 | — |
| Aetna Coventry First Health | EXCLUSIVE | $80.56 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $80.56 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $86.61 | — |
| Multiplan PHCS | PrimaryNetwork | $93.21 | — |
| Mega Life | MGMCRPPO | $93.27 | — |
| Coastal Comp Health Networks | WCOMP | $93.27 | — |
| HealthSmart Preferred Care | PPO | $99.93 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $99.93 | — |
| USA Managed Care | COMM | $106.59 | — |
| USC Health Services | COMM | $106.59 | — |
| Galaxy Health Network | PPO | $113.25 | — |
| Unicare | MCD | $133.24 | — |
| Independent Medical Systems | COMM | $133.24 | — |
| National Healthcare Solutions | COMM | $133.24 | — |
| Humana | COMM | $265.76 | — |
Visitor-reported prices
Comments
Pr moderate sedation same physician >= 5 years initial 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $232.42 | $29.51 – $329.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $232.42 | $38.71 – $329.26 |
| Texas Health Hospital Frisco | Frisco | $228.45 | $15.35 – $15.35 |
| Adventhealth Rollins Brook | Lampasas | $1,290.89 | $48.55 – $48.55 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $232.42 | $38.71 – $329.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $232.42 | $38.08 – $348.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $232.42 | $38.08 – $290.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $232.42 | $46.53 – $348.63 |