Prev med cnsl indiv apprx 30 at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$158.83
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.
$158.83
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.
$11.12 with Superior Health Plan vs $273.81 with BCBS — 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 | CHIP | $11.12 | ↓ -93% |
| Superior Health Plan | STARHealth | $11.12 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $11.12 | ↓ -93% |
| Superior Health Plan | STARPLUS | $11.12 | ↓ -93% |
| Superior Health Plan | STARKids | $11.12 | ↓ -93% |
| Cigna | IFP | $21.44 | ↓ -87% |
| Cigna | QHP | $22.24 | ↓ -86% |
| Aetna | QHPHIX | $25.89 | ↓ -84% |
| United | OptionsPPO | $27.64 | ↓ -83% |
| Imperial Insurance Company | MCR | $30.18 | ↓ -81% |
| Oscar | HIX | $33.04 | ↓ -79% |
| Humana | Tricare | $36.97 | ↓ -77% |
| Aetna | NewBusiness | $37.80 | ↓ -76% |
| TriWest Health Alliance | TRCR | $38.11 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $38.91 | ↓ -76% |
| Aetna | COMM | $40.66 | ↓ -74% |
| Aetna | Meritain | $40.66 | ↓ -74% |
| Evry Health | COMM | $40.98 | ↓ -74% |
| Cigna | LocalPlus | $41.93 | ↓ -74% |
| Cigna | NewBusiness | $41.93 | ↓ -74% |
| Cigna | HMO | $46.85 | ↓ -71% |
| Cigna | NetworkBenefit | $46.85 | ↓ -71% |
| Cigna | OpenAccessPlus | $46.85 | ↓ -71% |
| Aetna | OON | $47.65 | ↓ -70% |
| LifeCare Hospitals | MGMCR | $47.65 | ↓ -70% |
| LifeCare Hospitals | MGMCD | $47.65 | ↓ -70% |
| Healthcare Highways | CityofPlano | $53.68 | ↓ -66% |
| Cigna | AllOther | $59.24 | ↓ -63% |
| Curative Administrators | COMM | $63.53 | ↓ -60% |
| Prominence Health Plan | HIX | $63.53 | ↓ -60% |
| BCBS | Traditional | $70.52 | ↓ -56% |
| City of McKinney | COMM | $71.47 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $71.47 | ↓ -55% |
| National ChoiceCare | WCOMP | $79.42 | ↓ -50% |
| Aetna | ASA | $83.70 | ↓ -47% |
| Humana | COMM | $86.99 | ↓ -45% |
| Aetna | WCOMP | $87.36 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $87.36 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $87.36 | ↓ -45% |
| PC Texas Partners | WCOMP | $87.36 | ↓ -45% |
| Averde Health, Inc | PPO | $92.12 | ↓ -42% |
| Aetna Coventry First Health | NONEXCLUSIVE | $96.09 | ↓ -40% |
| Aetna Coventry First Health | EXCLUSIVE | $96.09 | ↓ -40% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $103.24 | ↓ -35% |
| Multiplan PHCS | PrimaryNetwork | $111.18 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $111.18 | ↓ -30% |
| Mega Life | MGMCRPPO | $111.18 | ↓ -30% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $119.12 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $119.12 | ↓ -25% |
| USA Managed Care | COMM | $127.06 | ↓ -20% |
| USC Health Services | COMM | $127.06 | ↓ -20% |
| Galaxy Health Network | PPO | $135.01 | ↓ -15% |
| BCBS | BlueAdvantageHMO | $140.75 | ↓ -11% |
| BCBS | MyBlueHealth | $140.75 | ↓ -11% |
| Unicare | MCD | $158.83 | ↑ +0% |
| Independent Medical Systems | COMM | $158.83 | ↑ +0% |
| National Healthcare Solutions | COMM | $158.83 | ↑ +0% |
| BCBS | BlueEssentials | $249.25 | ↑ +57% |
| BCBS | BlueEssentialsAccess | $249.25 | ↑ +57% |
| BCBS | EPOSOA | $261.53 | ↑ +65% |
| BCBS | PPO | $273.81 | ↑ +72% |
Visitor-reported prices
Comments
Prev med cnsl indiv apprx 30 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $125.42 | $25.08 – $156.77 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $125.42 | $41.81 – $188.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $125.42 | $22.99 – $188.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $125.42 | $39.72 – $167.22 |
| HCA HOUSTON SOUTHEAST | PASADENA | $184.10 | $39.74 – $119.76 |
| Texas Health Hospital Mansfield | Mansfield | $70.41 | $139.62 – $139.62 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth | $196.95 | $69.50 – $69.50 |
| Adventhealth Rollins Brook | Lampasas | not published | $197.04 – $197.04 |