Recon, cta for surg plan at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$5,546.60
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.
$5,546.60
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.
$43.32 with BCBS vs $5,546.60 with Unicare — 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 |
|---|---|---|---|
| BCBS | BluePremier | $43.32 | ↓ -99% |
| BCBS | BlueAdvantageHMO | $47.68 | ↓ -99% |
| BCBS | MyBlueHealth | $47.68 | ↓ -99% |
| BCBS | BlueEssentialsAccess | $141.60 | ↓ -97% |
| BCBS | BlueEssentials | $141.60 | ↓ -97% |
| BCBS | EPOSOA | $148.51 | ↓ -97% |
| BCBS | PPO | $155.43 | ↓ -97% |
| Humana | COMM | $245.16 | ↓ -96% |
| Superior Health Plan | STARHealth | $388.26 | ↓ -93% |
| Superior Health Plan | CHIP | $388.26 | ↓ -93% |
| Superior Health Plan | STARKids | $388.26 | ↓ -93% |
| Superior Health Plan | STARPLUS | $388.26 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $388.26 | ↓ -93% |
| Cigna | IFP | $748.79 | ↓ -87% |
| Cigna | QHP | $776.52 | ↓ -86% |
| Aetna | QHPHIX | $904.10 | ↓ -84% |
| United | OptionsPPO | $965.11 | ↓ -83% |
| Imperial Insurance Company | MCR | $1,053.85 | ↓ -81% |
| Aetna | NewBusiness | $1,320.09 | ↓ -76% |
| Aetna | Meritain | $1,419.93 | ↓ -74% |
| Aetna | COMM | $1,419.93 | ↓ -74% |
| LifeCare Hospitals | MGMCR | $1,663.98 | ↓ -70% |
| LifeCare Hospitals | MGMCD | $1,663.98 | ↓ -70% |
| Aetna | OON | $1,663.98 | ↓ -70% |
| Healthcare Highways | CityofPlano | $1,874.75 | ↓ -66% |
| Prominence Health Plan | HIX | $2,218.64 | ↓ -60% |
| BCBS | Traditional | $2,462.69 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $2,495.97 | ↓ -55% |
| City of McKinney | COMM | $2,495.97 | ↓ -55% |
| National ChoiceCare | WCOMP | $2,773.30 | ↓ -50% |
| Aetna | ASA | $2,923.06 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $3,050.63 | ↓ -45% |
| Aetna | WCOMP | $3,050.63 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $3,050.63 | ↓ -45% |
| PC Texas Partners | WCOMP | $3,050.63 | ↓ -45% |
| Averde Health, Inc | PPO | $3,217.03 | ↓ -42% |
| Aetna Coventry First Health | EXCLUSIVE | $3,355.69 | ↓ -40% |
| Aetna Coventry First Health | NONEXCLUSIVE | $3,355.69 | ↓ -40% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $3,605.29 | ↓ -35% |
| Mega Life | MGMCRPPO | $3,882.62 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $3,882.62 | ↓ -30% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $4,159.95 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $4,159.95 | ↓ -25% |
| USA Managed Care | COMM | $4,437.28 | ↓ -20% |
| USC Health Services | COMM | $4,437.28 | ↓ -20% |
| Galaxy Health Network | PPO | $4,714.61 | ↓ -15% |
| Independent Medical Systems | COMM | $5,546.60 | ↑ +0% |
| National Healthcare Solutions | COMM | $5,546.60 | ↑ +0% |
| Unicare | MCD | $5,546.60 | ↑ +0% |
Visitor-reported prices
Comments
Recon, cta for surg plan at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $508.91 | $83.36 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $508.91 | $72.80 – $1,959.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $508.91 | $72.80 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,184.58 | $122.30 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,184.58 | $122.30 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,184.58 | $148.88 – $1,841.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,184.58 | $612.03 – $2,181.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,184.58 | $122.30 – $1,841.00 |