Support clav 29.6-40.5in med 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.
$4.90 with Superior Health Plan vs $412.91 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 | CHIP | $4.90 | — |
| Superior Health Plan | STARHealth | $4.90 | — |
| Superior Health Plan | MCDSTAR | $4.90 | — |
| Superior Health Plan | STARPLUS | $4.90 | — |
| Superior Health Plan | STARKids | $4.90 | — |
| Cigna | IFP | $9.45 | — |
| Cigna | QHP | $9.80 | — |
| United | OptionsPPO | $12.18 | — |
| BCBS | MyBlueHealth | $17.29 | — |
| BCBS | BlueAdvantageHMO | $17.29 | — |
| Cigna | NewBusiness | $18.48 | — |
| Cigna | LocalPlus | $18.48 | — |
| Cigna | HMO | $20.65 | — |
| Cigna | OpenAccessPlus | $20.65 | — |
| Cigna | NetworkBenefit | $20.65 | — |
| LifeCare Hospitals | MGMCR | $21.00 | — |
| LifeCare Hospitals | MGMCD | $21.00 | — |
| BCBS | BlueEssentials | $22.33 | — |
| BCBS | BlueEssentialsAccess | $22.33 | — |
| BCBS | EPOSOA | $23.45 | — |
| Healthcare Highways | CityofPlano | $23.66 | — |
| BCBS | PPO | $24.50 | — |
| Cigna | AllOther | $26.11 | — |
| Prominence Health Plan | HIX | $28.00 | — |
| BCBS | Traditional | $31.08 | — |
| City of McKinney | COMM | $31.50 | — |
| National ChoiceCare | WCOMP | $35.00 | — |
| Aetna | ASA | $36.89 | — |
| Aetna | WCOMP | $38.50 | — |
| PC Texas Partners | WCOMP | $38.50 | — |
| Rockport Health Group | WORKERSCOMP | $38.50 | — |
| Physicians Coop of TX | MGMCR | $38.50 | — |
| Averde Health, Inc | PPO | $40.60 | — |
| Aetna Coventry First Health | EXCLUSIVE | $42.35 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $42.35 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $45.50 | — |
| Mega Life | MGMCRPPO | $49.00 | — |
| HealthSmart Preferred Care | PPO | $52.50 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $52.50 | — |
| USC Health Services | COMM | $56.00 | — |
| USA Managed Care | COMM | $56.00 | — |
| Galaxy Health Network | PPO | $59.50 | — |
| National Healthcare Solutions | COMM | $70.00 | — |
| Independent Medical Systems | COMM | $70.00 | — |
| Unicare | MCD | $70.00 | — |
| Humana | Tricare | $70.89 | — |
| BCBS | MGMCRHMO | $71.65 | — |
| BCBS | MCRPPO | $71.65 | — |
| WellMed | MGMCR | $72.71 | — |
| Devoted Health | PPO | $73.08 | — |
| Devoted Health | SNP | $73.08 | — |
| Devoted Health | HMO | $73.08 | — |
| Devoted Health | POS | $73.08 | — |
| Devoted Health | MCR | $73.08 | — |
| Devoted Health | MME | $73.08 | — |
| Humana | MGMCR | $73.08 | — |
| Amerigroup | DualEligible | $73.08 | — |
| Mutual of Omaha | MGMCR | $73.08 | — |
| TriWest Health Alliance | TRCR | $73.08 | — |
| TriWest Veterans | FEDERAL | $73.08 | — |
| Triwest Veterans | FED | $73.08 | — |
| United | MGMCR | $73.45 | — |
| Aetna | MCR | $73.70 | — |
| Care N Care | MGMCR | $73.81 | — |
| Cigna Healthspring | MGMCR | $74.54 | — |
| Integranet | MGMCR | $75.27 | — |
| WellCare | MGMCR | $75.27 | — |
| ProCare Advantge | MCR | $76.73 | — |
| Superior Health Plan | MGMCRHMO | $76.73 | — |
| Superior Health Plan | MGMCRPPO | $76.73 | — |
| Superior Health Plan | MGMCRSNP | $76.73 | — |
| Superior Health Plan | MGMCRPOS | $76.73 | — |
| Superior Health Plan | MGMCRPFFS | $76.73 | — |
| Superior Health Plan | MGMCRDualEligible | $76.73 | — |
| American Health Plan of Texas, Inc. | MGMCR | $76.73 | — |
| Texas Independent Health Plan | MGMCR | $77.46 | — |
| Provider Partners Health Plan | MCR | $77.46 | — |
| Molina | MMP | $79.66 | — |
| Molina | MME | $79.66 | — |
| Molina | MCR | $79.66 | — |
| Imperial Insurance Company | MCR | $80.39 | — |
| Universal Healthcare Group | MCR | $87.70 | — |
| Verda Health Plan | MGMCR | $95.00 | — |
| Bravo Health | MCRSNP | $109.62 | — |
| Bravo Health | MCRHMO | $109.62 | — |
| Bravo Health | MCRPOS | $109.62 | — |
| Bravo Health | MCRPPO | $109.62 | — |
| Bravo Health | MCRPFFS | $109.62 | — |
| Superior | ValueHMO | $130.81 | — |
| USA Managed Care | WORKERSCOMP | $138.85 | — |
| Corvel Corporation | WORKERSCOMP | $144.70 | — |
| Superior | HMO | $163.70 | — |
| Superior | EPO | $163.70 | — |
| Molina Healthcare | HIX | $191.47 | — |
| Humana | COMM | $412.91 | — |
Visitor-reported prices
Comments
Support clav 29.6-40.5in med at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $175.89 | $39.36 – $196.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $175.89 | $68.88 – $196.80 |
| Texas Health Hospital Frisco | Frisco | $124.85 | not published |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $175.89 | $41.82 – $196.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $175.89 | $7.97 – $58.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $175.89 | $7.74 – $51.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $175.89 | $12.43 – $58.09 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $175.89 | $20.01 – $58.09 |