R&l hrt cath chd nml nt cnj 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.
$681.71 with Superior Health Plan vs $28,286.00 with Cigna — 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 | $681.71 | — |
| Superior Health Plan | STARHealth | $681.71 | — |
| Superior Health Plan | MCDSTAR | $681.71 | — |
| Superior Health Plan | STARPLUS | $681.71 | — |
| Superior Health Plan | STARKids | $681.71 | — |
| Cigna | IFP | $1,314.72 | — |
| Cigna | QHP | $1,363.41 | — |
| Aetna | QHPHIX | $1,587.40 | — |
| United | OptionsPPO | $1,694.53 | — |
| Aetna | NewBusiness | $2,317.80 | — |
| Healthcare Highways | NarrowNetwork | $2,385.97 | — |
| Aetna | COMM | $2,493.10 | — |
| Aetna | Meritain | $2,493.10 | — |
| Evry Health | COMM | $2,512.57 | — |
| LifeCare Hospitals | MGMCD | $2,921.60 | — |
| Aetna | OON | $2,921.60 | — |
| LifeCare Hospitals | MGMCR | $2,921.60 | — |
| Humana | COMM | $3,018.01 | — |
| Healthcare Highways | CityofPlano | $3,291.67 | — |
| Prominence Health Plan | HIX | $3,895.46 | — |
| BCBS | Traditional | $4,323.97 | — |
| Fidelis SecureCare | MGMCR | $4,382.40 | — |
| City of McKinney | COMM | $4,382.40 | — |
| National ChoiceCare | WCOMP | $4,869.33 | — |
| Aetna | ASA | $5,132.27 | — |
| Aetna | WCOMP | $5,356.26 | — |
| Physicians Coop of TX | MGMCR | $5,356.26 | — |
| Rockport Health Group | WORKERSCOMP | $5,356.26 | — |
| PC Texas Partners | WCOMP | $5,356.26 | — |
| Averde Health, Inc | PPO | $5,648.42 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $5,891.89 | — |
| Aetna Coventry First Health | EXCLUSIVE | $5,891.89 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $6,330.13 | — |
| Mega Life | MGMCRPPO | $6,817.06 | — |
| Multiplan PHCS | PrimaryNetwork | $6,817.06 | — |
| Coastal Comp Health Networks | WCOMP | $6,817.06 | — |
| BCBS | BluePremier | $6,989.19 | — |
| HealthSmart Preferred Care | PPO | $7,303.99 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $7,303.99 | — |
| USC Health Services | COMM | $7,790.93 | — |
| USA Managed Care | COMM | $7,790.93 | — |
| Curative Administrators | COMM | $7,799.00 | — |
| Galaxy Health Network | PPO | $8,277.86 | — |
| BCBS | BlueAdvantageHMO | $9,062.25 | — |
| BCBS | MyBlueHealth | $9,062.25 | — |
| Oscar | HIX | $9,364.00 | — |
| Unicare | MCD | $9,738.66 | — |
| National Healthcare Solutions | COMM | $9,738.66 | — |
| Independent Medical Systems | COMM | $9,738.66 | — |
| BCBS | BlueEssentials | $11,698.00 | — |
| BCBS | BlueEssentialsAccess | $11,698.00 | — |
| BCBS | EPOSOA | $12,290.31 | — |
| United | NarrowNetworkIndivExchange | $12,818.00 | — |
| BCBS | PPO | $12,853.00 | — |
| United | SmallGroup | $16,650.00 | — |
| Cigna | LocalPlus | $20,013.00 | — |
| Cigna | NewBusiness | $20,033.00 | — |
| Cigna | OpenAccessPlus | $22,360.00 | — |
| Cigna | NetworkBenefit | $22,360.00 | — |
| Cigna | HMO | $22,360.00 | — |
| United | AllPayerAppendix | $22,644.00 | — |
| Cigna | AllOther | $28,286.00 | — |
Visitor-reported prices
Comments
R&l hrt cath chd nml nt cnj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $8,577.93 | $2,287.45 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $8,577.93 | $3,093.86 – $10,722.41 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $8,577.93 | $2,430.41 – $10,722.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $10,102.36 | $2,079.40 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $10,607.48 | $2,121.50 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $10,102.36 | $3,093.86 – $17,181.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $10,102.36 | $5,219.55 – $15,153.54 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $10,607.48 | $3,093.86 – $15,911.22 |