Repos lv lead pm/icd at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$11,820.03
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.
$11,820.03
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.
$1,118.22 with United vs $30,818.00 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 |
|---|---|---|---|
| United | CHIP | $1,118.22 | ↓ -91% |
| United | STARPerinate | $1,118.22 | ↓ -91% |
| United | STARPLUS | $1,118.22 | ↓ -91% |
| United | STARKids | $1,118.22 | ↓ -91% |
| United | STAR | $1,118.22 | ↓ -91% |
| Cigna Healthspring | MGMCD | $1,174.13 | ↓ -90% |
| Amerigroup | MGMCD | $1,174.13 | ↓ -90% |
| Amerigroup | CHIP | $1,174.13 | ↓ -90% |
| Parkland Community Health Plan | MCD | $1,230.04 | ↓ -90% |
| Molina | CHIP | $1,230.04 | ↓ -90% |
| Molina | STAR+PLUS | $1,230.04 | ↓ -90% |
| Molina | STARKIDS | $1,230.04 | ↓ -90% |
| Molina | MCDSTAR | $1,230.04 | ↓ -90% |
| Aetna Better Health | CHIP | $1,341.86 | ↓ -89% |
| Aetna Better Health | MCD | $1,341.86 | ↓ -89% |
| Humana | MGMCD | $1,397.78 | ↓ -88% |
| Cigna | IFP | $1,424.74 | ↓ -88% |
| Cigna | QHP | $1,477.50 | ↓ -88% |
| United | OptionsPPO | $1,836.33 | ↓ -84% |
| Fidelis SecureCare | MGMCR | $1,995.00 | ↓ -83% |
| Superior Health Plan | MCDSTAR | $2,369.00 | ↓ -80% |
| Superior Health Plan | STARHealth | $2,369.00 | ↓ -80% |
| Superior Health Plan | CHIP | $2,369.00 | ↓ -80% |
| Superior Health Plan | STARPLUS | $2,369.00 | ↓ -80% |
| Superior Health Plan | STARKids | $2,369.00 | ↓ -80% |
| Aetna | QHPHIX | $2,513.00 | ↓ -79% |
| LifeCare Hospitals | MGMCR | $3,166.08 | ↓ -73% |
| LifeCare Hospitals | MGMCD | $3,166.08 | ↓ -73% |
| WellMed | MGMCR | $3,187.73 | ↓ -73% |
| Aetna | NewBusiness | $3,445.00 | ↓ -71% |
| Healthcare Highways | CityofPlano | $3,567.12 | ↓ -70% |
| Aetna | Meritain | $3,682.00 | ↓ -69% |
| Aetna | COMM | $3,682.00 | ↓ -69% |
| BCBS | BluePremier | $3,852.08 | ↓ -67% |
| Prominence Health Plan | HIX | $4,221.44 | ↓ -64% |
| Aetna | OON | $4,332.00 | ↓ -63% |
| BCBS | Traditional | $4,685.80 | ↓ -60% |
| City of McKinney | COMM | $4,749.12 | ↓ -60% |
| National ChoiceCare | WCOMP | $5,276.80 | ↓ -55% |
| Healthcare Highways | NarrowNetwork | $5,475.00 | ↓ -54% |
| Aetna | ASA | $5,561.75 | ↓ -53% |
| BCBS | MyBlueHealth | $5,597.99 | ↓ -53% |
| BCBS | BlueAdvantageHMO | $5,597.99 | ↓ -53% |
| Physicians Coop of TX | MGMCR | $5,804.48 | ↓ -51% |
| Rockport Health Group | WORKERSCOMP | $5,804.48 | ↓ -51% |
| Aetna | WCOMP | $5,804.48 | ↓ -51% |
| PC Texas Partners | WCOMP | $5,804.48 | ↓ -51% |
| Averde Health, Inc | PPO | $6,121.09 | ↓ -48% |
| Aetna Coventry First Health | NONEXCLUSIVE | $6,384.93 | ↓ -46% |
| Aetna Coventry First Health | EXCLUSIVE | $6,384.93 | ↓ -46% |
| BCBS | BlueEssentialsAccess | $6,623.36 | ↓ -44% |
| BCBS | BlueEssentials | $6,623.36 | ↓ -44% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $6,859.84 | ↓ -42% |
| BCBS | EPOSOA | $6,955.91 | ↓ -41% |
| United | NarrowNetworkIndivExchange | $7,083.00 | ↓ -40% |
| Humana | COMM | $7,113.00 | ↓ -40% |
| BCBS | PPO | $7,288.47 | ↓ -38% |
| Mega Life | MGMCRPPO | $7,387.52 | ↓ -37% |
| Multiplan PHCS | PrimaryNetwork | $7,387.52 | ↓ -37% |
| Coastal Comp Health Networks | WCOMP | $7,387.52 | ↓ -37% |
| United | SmallGroup | $7,449.00 | ↓ -37% |
| Oscar | HIX | $7,883.00 | ↓ -33% |
| HealthSmart Preferred Care | PPO | $7,915.20 | ↓ -33% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $7,915.20 | ↓ -33% |
| USA Managed Care | COMM | $8,442.88 | ↓ -29% |
| USC Health Services | COMM | $8,442.88 | ↓ -29% |
| Galaxy Health Network | PPO | $8,970.56 | ↓ -24% |
| Unicare | MCD | $10,553.60 | ↓ -11% |
| Independent Medical Systems | COMM | $10,553.60 | ↓ -11% |
| National Healthcare Solutions | COMM | $10,553.60 | ↓ -11% |
| Evry Health | COMM | $10,714.00 | ↓ -9% |
| United | AllPayerAppendix | $10,918.00 | ↓ -8% |
| Cigna | LocalPlus | $21,804.00 | ↑ +84% |
| Cigna | NewBusiness | $21,826.00 | ↑ +85% |
| Curative Administrators | COMM | $24,035.00 | ↑ +103% |
| Cigna | HMO | $24,362.00 | ↑ +106% |
| Cigna | OpenAccessPlus | $24,362.00 | ↑ +106% |
| Cigna | NetworkBenefit | $24,362.00 | ↑ +106% |
| Cigna | AllOther | $30,818.00 | ↑ +161% |
Visitor-reported prices
Comments
Repos lv lead pm/icd at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $6,388.15 | $1,118.22 – $7,985.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $6,388.15 | $1,118.22 – $7,985.19 |
| Texas Health Hospital Frisco | Frisco | $4,504.20 | $1,118.22 – $1,207.68 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $6,388.15 | $1,118.22 – $7,985.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $5,007.97 | $1,030.81 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,525.58 | $1,118.22 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $5,007.97 | $1,196.50 – $7,896.23 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $5,007.97 | $1,118.22 – $7,896.23 |