Prev med cnsl indiv apprx 60 at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$299.45
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.
$299.45
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.
$20.96 with Superior Health Plan vs $541.79 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 | $20.96 | ↓ -93% |
| Superior Health Plan | STARHealth | $20.96 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $20.96 | ↓ -93% |
| Superior Health Plan | STARPLUS | $20.96 | ↓ -93% |
| Superior Health Plan | STARKids | $20.96 | ↓ -93% |
| Cigna | IFP | $40.43 | ↓ -86% |
| Cigna | QHP | $41.92 | ↓ -86% |
| Aetna | QHPHIX | $48.81 | ↓ -84% |
| United | OptionsPPO | $52.10 | ↓ -83% |
| Imperial Insurance Company | MCR | $56.90 | ↓ -81% |
| Oscar | HIX | $62.29 | ↓ -79% |
| Aetna | NewBusiness | $71.27 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $73.37 | ↓ -75% |
| Humana | Tricare | $74.65 | ↓ -75% |
| Aetna | COMM | $76.66 | ↓ -74% |
| Aetna | Meritain | $76.66 | ↓ -74% |
| TriWest Health Alliance | TRCR | $76.96 | ↓ -74% |
| Evry Health | COMM | $77.26 | ↓ -74% |
| Cigna | LocalPlus | $79.05 | ↓ -74% |
| Cigna | NewBusiness | $79.05 | ↓ -74% |
| Cigna | HMO | $88.34 | ↓ -70% |
| Cigna | NetworkBenefit | $88.34 | ↓ -70% |
| Cigna | OpenAccessPlus | $88.34 | ↓ -70% |
| Humana | COMM | $89.42 | ↓ -70% |
| Aetna | OON | $89.83 | ↓ -70% |
| LifeCare Hospitals | MGMCR | $89.83 | ↓ -70% |
| LifeCare Hospitals | MGMCD | $89.83 | ↓ -70% |
| Healthcare Highways | CityofPlano | $101.21 | ↓ -66% |
| Cigna | AllOther | $111.69 | ↓ -63% |
| Curative Administrators | COMM | $119.78 | ↓ -60% |
| Prominence Health Plan | HIX | $119.78 | ↓ -60% |
| BCBS | Traditional | $132.96 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $134.75 | ↓ -55% |
| City of McKinney | COMM | $134.75 | ↓ -55% |
| National ChoiceCare | WCOMP | $149.72 | ↓ -50% |
| Aetna | ASA | $157.81 | ↓ -47% |
| Aetna | WCOMP | $164.70 | ↓ -45% |
| PC Texas Partners | WCOMP | $164.70 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $164.70 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $164.70 | ↓ -45% |
| Averde Health, Inc | PPO | $173.68 | ↓ -42% |
| Aetna Coventry First Health | NONEXCLUSIVE | $181.17 | ↓ -39% |
| Aetna Coventry First Health | EXCLUSIVE | $181.17 | ↓ -39% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $194.64 | ↓ -35% |
| Multiplan PHCS | PrimaryNetwork | $209.62 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $209.62 | ↓ -30% |
| Mega Life | MGMCRPPO | $209.62 | ↓ -30% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $224.59 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $224.59 | ↓ -25% |
| USA Managed Care | COMM | $239.56 | ↓ -20% |
| USC Health Services | COMM | $239.56 | ↓ -20% |
| Galaxy Health Network | PPO | $254.53 | ↓ -15% |
| BCBS | BlueAdvantageHMO | $278.49 | ↓ -7% |
| BCBS | MyBlueHealth | $278.49 | ↓ -7% |
| Unicare | MCD | $299.45 | ↑ +0% |
| Independent Medical Systems | COMM | $299.45 | ↑ +0% |
| National Healthcare Solutions | COMM | $299.45 | ↑ +0% |
| BCBS | BlueEssentials | $493.18 | ↑ +65% |
| BCBS | BlueEssentialsAccess | $493.18 | ↑ +65% |
| BCBS | EPOSOA | $517.49 | ↑ +73% |
| BCBS | PPO | $541.79 | ↑ +81% |
Visitor-reported prices
Comments
Prev med cnsl indiv apprx 60 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Mansfield | Mansfield | $111.49 | $276.26 – $276.26 |
| Adventhealth Rollins Brook | Lampasas | not published | $389.89 – $389.89 |
| CHRISTUS Children's Hospital | San Antonio | not published | $295.77 – $295.77 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $80.64 – $236.97 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $80.64 – $236.97 |
| Covenant Children's Hospital | Lubbock | not published | $345.33 – $345.33 |
| HCA HOUSTON CONROE | CONROE | not published | $69.75 – $236.97 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $72.34 – $236.97 |