Solid skin barrier 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.
$0.63 with Superior Health Plan vs $25.82 with Humana — 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 | STARPLUS | $0.63 | — |
| Superior Health Plan | STARHealth | $0.63 | — |
| Superior Health Plan | MCDSTAR | $0.63 | — |
| Superior Health Plan | CHIP | $0.63 | — |
| Superior Health Plan | STARKids | $0.63 | — |
| Cigna | IFP | $1.22 | — |
| Cigna | QHP | $1.26 | — |
| United | OptionsPPO | $1.57 | — |
| Cigna | LocalPlus | $2.38 | — |
| Cigna | NewBusiness | $2.38 | — |
| Cigna | HMO | $2.65 | — |
| Cigna | OpenAccessPlus | $2.65 | — |
| Cigna | NetworkBenefit | $2.65 | — |
| LifeCare Hospitals | MGMCD | $2.70 | — |
| LifeCare Hospitals | MGMCR | $2.70 | — |
| Healthcare Highways | CityofPlano | $3.04 | — |
| Cigna | AllOther | $3.36 | — |
| Prominence Health Plan | HIX | $3.60 | — |
| BCBS | MyBlueHealth | $3.91 | — |
| BCBS | BlueAdvantageHMO | $3.91 | — |
| BCBS | Traditional | $4.00 | — |
| City of McKinney | COMM | $4.05 | — |
| Humana | Tricare | $4.42 | — |
| BCBS | BluePremier | $4.43 | — |
| BCBS | MCRPPO | $4.47 | — |
| BCBS | MGMCRHMO | $4.47 | — |
| National ChoiceCare | WCOMP | $4.50 | — |
| WellMed | MGMCR | $4.54 | — |
| TriWest Veterans | FEDERAL | $4.56 | — |
| Devoted Health | PPO | $4.56 | — |
| Triwest Veterans | FED | $4.56 | — |
| Humana | MGMCR | $4.56 | — |
| Devoted Health | MME | $4.56 | — |
| Devoted Health | MCR | $4.56 | — |
| Devoted Health | POS | $4.56 | — |
| Devoted Health | HMO | $4.56 | — |
| Devoted Health | SNP | $4.56 | — |
| Mutual of Omaha | MGMCR | $4.56 | — |
| TriWest Health Alliance | TRCR | $4.56 | — |
| Amerigroup | DualEligible | $4.56 | — |
| United | MGMCR | $4.58 | — |
| Aetna | MCR | $4.60 | — |
| Care N Care | MGMCR | $4.61 | — |
| Cigna Healthspring | MGMCR | $4.65 | — |
| Integranet | MGMCR | $4.70 | — |
| WellCare | MGMCR | $4.70 | — |
| Aetna | ASA | $4.74 | — |
| ProCare Advantge | MCR | $4.79 | — |
| Superior Health Plan | MGMCRHMO | $4.79 | — |
| Superior Health Plan | MGMCRPPO | $4.79 | — |
| Superior Health Plan | MGMCRDualEligible | $4.79 | — |
| Superior Health Plan | MGMCRPFFS | $4.79 | — |
| Superior Health Plan | MGMCRPOS | $4.79 | — |
| Superior Health Plan | MGMCRSNP | $4.79 | — |
| American Health Plan of Texas, Inc. | MGMCR | $4.79 | — |
| Provider Partners Health Plan | MCR | $4.83 | — |
| Texas Independent Health Plan | MGMCR | $4.83 | — |
| Aetna | WCOMP | $4.95 | — |
| PC Texas Partners | WCOMP | $4.95 | — |
| Rockport Health Group | WORKERSCOMP | $4.95 | — |
| Physicians Coop of TX | MGMCR | $4.95 | — |
| Molina | MMP | $4.97 | — |
| Molina | MME | $4.97 | — |
| Molina | MCR | $4.97 | — |
| BCBS | BlueEssentialsAccess | $5.02 | — |
| BCBS | BlueEssentials | $5.02 | — |
| Imperial Insurance Company | MCR | $5.02 | — |
| Averde Health, Inc | PPO | $5.22 | — |
| BCBS | EPOSOA | $5.28 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $5.45 | — |
| Aetna Coventry First Health | EXCLUSIVE | $5.45 | — |
| Universal Healthcare Group | MCR | $5.47 | — |
| BCBS | PPO | $5.51 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $5.85 | — |
| Verda Health Plan | MGMCR | $5.93 | — |
| Mega Life | MGMCRPPO | $6.30 | — |
| HealthSmart Preferred Care | PPO | $6.75 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $6.75 | — |
| Bravo Health | MCRSNP | $6.84 | — |
| Bravo Health | MCRPFFS | $6.84 | — |
| Bravo Health | MCRHMO | $6.84 | — |
| Bravo Health | MCRPOS | $6.84 | — |
| Bravo Health | MCRPPO | $6.84 | — |
| USA Managed Care | COMM | $7.20 | — |
| USC Health Services | COMM | $7.20 | — |
| Galaxy Health Network | PPO | $7.65 | — |
| Superior | ValueHMO | $8.16 | — |
| USA Managed Care | WORKERSCOMP | $8.66 | — |
| Independent Medical Systems | COMM | $9.00 | — |
| National Healthcare Solutions | COMM | $9.00 | — |
| Unicare | MCD | $9.00 | — |
| Corvel Corporation | WORKERSCOMP | $9.03 | — |
| Superior | EPO | $10.21 | — |
| Superior | HMO | $10.21 | — |
| Molina Healthcare | HIX | $11.95 | — |
| Humana | COMM | $25.82 | — |
Visitor-reported prices
Comments
Solid skin barrier at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Frisco | Frisco | $2.84 | not published |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $14.00 | $4.47 – $9.80 |
| HCA HOUSTON MEDICAL CENTER | Houston | $20.00 | $4.47 – $9.80 |
| St. Luke's Health Memorial Lufkin | Lufkin | $0.15 | $0.25 – $1.00 |
| HCA HOUSTON SOUTHEAST | PASADENA | $22.00 | $4.47 – $9.80 |
| Texas Health Presbyterian Hospital Allen | Allen | $2.84 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $2.84 | not published |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $2.84 | not published |