Rmvl pm gen w/rplc pm gen sgl lead sys at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$21,000.27
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.
$21,000.27
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.
$1,995.00 with Fidelis SecureCare vs $85,680.00 with United — 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 |
|---|---|---|---|
| Fidelis SecureCare | MGMCR | $1,995.00 | ↓ -91% |
| Superior Health Plan | MCDSTAR | $2,369.00 | ↓ -89% |
| Superior Health Plan | STARHealth | $2,369.00 | ↓ -89% |
| Superior Health Plan | STARPLUS | $2,369.00 | ↓ -89% |
| Superior Health Plan | CHIP | $2,369.00 | ↓ -89% |
| Superior Health Plan | STARKids | $2,369.00 | ↓ -89% |
| Aetna | QHPHIX | $2,513.00 | ↓ -88% |
| Cigna | IFP | $2,531.28 | ↓ -88% |
| Cigna | QHP | $2,625.03 | ↓ -88% |
| United | OptionsPPO | $3,262.54 | ↓ -84% |
| Aetna | NewBusiness | $3,445.00 | ↓ -84% |
| Aetna | Meritain | $3,682.00 | ↓ -82% |
| Aetna | COMM | $3,682.00 | ↓ -82% |
| Aetna | OON | $4,332.00 | ↓ -79% |
| United | STAR | $5,259.03 | ↓ -75% |
| United | STARKids | $5,259.03 | ↓ -75% |
| United | STARPLUS | $5,259.03 | ↓ -75% |
| United | CHIP | $5,259.03 | ↓ -75% |
| United | STARPerinate | $5,259.03 | ↓ -75% |
| BCBS | BluePremier | $5,475.07 | ↓ -74% |
| Amerigroup | MGMCD | $5,521.98 | ↓ -74% |
| Cigna Healthspring | MGMCD | $5,521.98 | ↓ -74% |
| Amerigroup | CHIP | $5,521.98 | ↓ -74% |
| LifeCare Hospitals | MGMCD | $5,625.07 | ↓ -73% |
| LifeCare Hospitals | MGMCR | $5,625.07 | ↓ -73% |
| Molina | STARKIDS | $5,784.93 | ↓ -72% |
| Molina | CHIP | $5,784.93 | ↓ -72% |
| Molina | STAR+PLUS | $5,784.93 | ↓ -72% |
| Molina | MCDSTAR | $5,784.93 | ↓ -72% |
| Parkland Community Health Plan | MCD | $5,784.93 | ↓ -72% |
| Aetna Better Health | MCD | $6,310.84 | ↓ -70% |
| Aetna Better Health | CHIP | $6,310.84 | ↓ -70% |
| Healthcare Highways | CityofPlano | $6,337.58 | ↓ -70% |
| Humana | MGMCD | $6,573.79 | ↓ -69% |
| Humana | COMM | $7,113.00 | ↓ -66% |
| Prominence Health Plan | HIX | $7,500.10 | ↓ -64% |
| Oscar | HIX | $7,883.00 | ↓ -62% |
| BCBS | Traditional | $8,325.11 | ↓ -60% |
| WellMed | MGMCR | $8,354.67 | ↓ -60% |
| City of McKinney | COMM | $8,437.61 | ↓ -60% |
| National ChoiceCare | WCOMP | $9,375.12 | ↓ -55% |
| Healthcare Highways | NarrowNetwork | $9,733.00 | ↓ -54% |
| Aetna | ASA | $9,881.38 | ↓ -53% |
| Rockport Health Group | WORKERSCOMP | $10,312.63 | ↓ -51% |
| Aetna | WCOMP | $10,312.63 | ↓ -51% |
| PC Texas Partners | WCOMP | $10,312.63 | ↓ -51% |
| Physicians Coop of TX | MGMCR | $10,312.63 | ↓ -51% |
| Evry Health | COMM | $10,714.00 | ↓ -49% |
| Averde Health, Inc | PPO | $10,875.14 | ↓ -48% |
| Aetna Coventry First Health | NONEXCLUSIVE | $11,343.90 | ↓ -46% |
| Aetna Coventry First Health | EXCLUSIVE | $11,343.90 | ↓ -46% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $12,187.66 | ↓ -42% |
| Mega Life | MGMCRPPO | $13,125.17 | ↓ -37% |
| Multiplan PHCS | PrimaryNetwork | $13,125.17 | ↓ -37% |
| Coastal Comp Health Networks | WCOMP | $13,125.17 | ↓ -37% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $14,062.68 | ↓ -33% |
| HealthSmart Preferred Care | PPO | $14,062.68 | ↓ -33% |
| USA Managed Care | COMM | $15,000.19 | ↓ -29% |
| USC Health Services | COMM | $15,000.19 | ↓ -29% |
| BCBS | MyBlueHealth | $15,436.54 | ↓ -26% |
| BCBS | BlueAdvantageHMO | $15,436.54 | ↓ -26% |
| Galaxy Health Network | PPO | $15,937.70 | ↓ -24% |
| BCBS | BlueEssentials | $18,264.02 | ↓ -13% |
| BCBS | BlueEssentialsAccess | $18,264.02 | ↓ -13% |
| National Healthcare Solutions | COMM | $18,750.24 | ↓ -11% |
| Independent Medical Systems | COMM | $18,750.24 | ↓ -11% |
| Unicare | MCD | $18,750.24 | ↓ -11% |
| BCBS | EPOSOA | $19,181.04 | ↓ -9% |
| BCBS | PPO | $20,098.07 | ↓ -4% |
| Cigna | LocalPlus | $21,804.00 | ↑ +4% |
| Cigna | NewBusiness | $21,826.00 | ↑ +4% |
| Curative Administrators | COMM | $24,035.00 | ↑ +14% |
| Cigna | HMO | $24,362.00 | ↑ +16% |
| Cigna | NetworkBenefit | $24,362.00 | ↑ +16% |
| Cigna | OpenAccessPlus | $24,362.00 | ↑ +16% |
| Cigna | AllOther | $30,818.00 | ↑ +47% |
| United | NarrowNetworkIndivExchange | $48,042.00 | ↑ +129% |
| United | SmallGroup | $60,563.00 | ↑ +188% |
| United | AllPayerAppendix | $85,680.00 | ↑ +308% |
Visitor-reported prices
Comments
Rmvl pm gen w/rplc pm gen sgl lead sys at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $18,220.94 | $5,259.03 – $22,776.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $18,220.94 | $5,259.03 – $22,776.18 |
| Texas Health Hospital Frisco | Frisco | $17,102.25 | $5,259.03 – $5,679.75 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $18,220.94 | $5,259.03 – $22,776.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $15,676.55 | $3,226.76 – $23,514.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $11,293.45 | $5,259.03 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $15,676.55 | $5,627.16 – $23,514.83 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $15,676.55 | $5,259.03 – $23,514.83 |