Revision of knee joint 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,995.00 with Fidelis SecureCare vs $52,363.12 with BCBS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Fidelis SecureCare | MGMCR | $1,995.00 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Aetna | COMM | $3,682.00 | — |
| Aetna | Meritain | $3,682.00 | — |
| Aetna | OON | $4,332.00 | — |
| United | STARKids | $4,811.02 | — |
| United | STARPerinate | $4,811.02 | — |
| United | CHIP | $4,811.02 | — |
| United | STARPLUS | $4,811.02 | — |
| United | STAR | $4,811.02 | — |
| Amerigroup | MGMCD | $5,051.57 | — |
| Cigna Healthspring | MGMCD | $5,051.57 | — |
| Amerigroup | CHIP | $5,051.57 | — |
| Parkland Community Health Plan | MCD | $5,292.12 | — |
| Molina | CHIP | $5,292.12 | — |
| Molina | STAR+PLUS | $5,292.12 | — |
| Molina | STARKIDS | $5,292.12 | — |
| Molina | MCDSTAR | $5,292.12 | — |
| Aetna Better Health | MCD | $5,773.22 | — |
| Aetna Better Health | CHIP | $5,773.22 | — |
| Humana | MGMCD | $6,013.78 | — |
| Multiplan PHCS | PrimaryNetwork | $7,092.00 | — |
| Healthcare Highways | NarrowNetwork | $7,300.00 | — |
| Curative Administrators | COMM | $7,799.00 | — |
| Oscar | HIX | $8,024.00 | — |
| Evry Health | COMM | $8,072.00 | — |
| United | SmallGroup | $8,696.00 | — |
| United | NarrowNetworkIndivExchange | $10,011.00 | — |
| Humana | COMM | $11,743.00 | — |
| Cigna | LocalPlus | $12,566.00 | — |
| Cigna | NewBusiness | $12,579.00 | — |
| WellMed | MGMCR | $12,961.68 | — |
| Cigna | NetworkBenefit | $14,040.00 | — |
| Cigna | HMO | $14,040.00 | — |
| Cigna | OpenAccessPlus | $14,040.00 | — |
| United | AllPayerAppendix | $14,420.00 | — |
| Devoted Health | MCR | $16,121.49 | — |
| Devoted Health | PPO | $16,121.49 | — |
| Devoted Health | SNP | $16,121.49 | — |
| Devoted Health | HMO | $16,121.49 | — |
| Devoted Health | POS | $16,121.49 | — |
| Devoted Health | MME | $16,121.49 | — |
| BCBS | BluePremier | $16,541.99 | — |
| Cigna | AllOther | $17,761.00 | — |
| BCBS | BlueEssentialsAccess | $47,602.84 | — |
| BCBS | BlueEssentials | $47,602.84 | — |
| BCBS | EPOSOA | $49,982.98 | — |
| BCBS | BlueAdvantageHMO | $52,006.10 | — |
| BCBS | MyBlueHealth | $52,006.10 | — |
| BCBS | PPO | $52,363.12 | — |
Visitor-reported prices
Comments
Revision of knee joint at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Frisco | Frisco | not published | $4,811.02 – $5,195.90 |
| Adventhealth Rollins Brook | Lampasas | not published | $8,715.36 – $14,875.89 |
| CHRISTUS Children's Hospital | San Antonio | not published | $3,849.00 – $5,051.57 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $4,714.80 – $23,920.43 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $5,162.41 – $31,179.86 |
| Covenant Children's Hospital | Lubbock | not published | $2,750.00 – $25,348.51 |
| HCA HOUSTON CONROE | CONROE | not published | $4,714.80 – $28,204.68 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $4,714.80 – $28,204.68 |