Telehealth original site facility fee 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.
$12.48 with Superior Health Plan vs $184.28 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 | $12.48 | — |
| Superior Health Plan | STARHealth | $12.48 | — |
| Superior Health Plan | MCDSTAR | $12.48 | — |
| Superior Health Plan | STARPLUS | $12.48 | — |
| Superior Health Plan | STARKids | $12.48 | — |
| Cigna | IFP | $24.07 | — |
| Cigna | QHP | $24.96 | — |
| Aetna | QHPHIX | $29.06 | — |
| Humana | Tricare | $30.08 | — |
| TriWest Health Alliance | TRCR | $31.01 | — |
| United | OptionsPPO | $31.02 | — |
| Imperial Insurance Company | MCR | $33.87 | — |
| Oscar | HIX | $37.08 | — |
| Aetna | NewBusiness | $42.43 | — |
| Healthcare Highways | NarrowNetwork | $43.68 | — |
| BCBS | BlueAdvantageHMO | $44.04 | — |
| BCBS | MyBlueHealth | $44.04 | — |
| Aetna | Meritain | $45.64 | — |
| Aetna | COMM | $45.64 | — |
| Evry Health | COMM | $46.00 | — |
| Cigna | NewBusiness | $47.07 | — |
| Cigna | LocalPlus | $47.07 | — |
| BCBS | BluePremier | $52.06 | — |
| Cigna | NetworkBenefit | $52.59 | — |
| Cigna | HMO | $52.59 | — |
| Cigna | OpenAccessPlus | $52.59 | — |
| Aetna | OON | $53.48 | — |
| LifeCare Hospitals | MGMCD | $53.48 | — |
| LifeCare Hospitals | MGMCR | $53.48 | — |
| BCBS | BlueEssentials | $56.87 | — |
| BCBS | BlueEssentialsAccess | $56.87 | — |
| BCBS | EPOSOA | $59.72 | — |
| Healthcare Highways | CityofPlano | $60.26 | — |
| BCBS | PPO | $62.40 | — |
| Cigna | AllOther | $66.50 | — |
| Curative Administrators | COMM | $71.31 | — |
| Prominence Health Plan | HIX | $71.31 | — |
| BCBS | Traditional | $79.16 | — |
| City of McKinney | COMM | $80.23 | — |
| Fidelis SecureCare | MGMCR | $80.23 | — |
| National ChoiceCare | WCOMP | $89.14 | — |
| Aetna | ASA | $93.95 | — |
| Aetna | WCOMP | $98.05 | — |
| Rockport Health Group | WORKERSCOMP | $98.05 | — |
| Physicians Coop of TX | MGMCR | $98.05 | — |
| PC Texas Partners | WCOMP | $98.05 | — |
| Averde Health, Inc | PPO | $103.40 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $107.86 | — |
| Aetna Coventry First Health | EXCLUSIVE | $107.86 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $115.88 | — |
| Mega Life | MGMCRPPO | $124.80 | — |
| Coastal Comp Health Networks | WCOMP | $124.80 | — |
| Multiplan PHCS | PrimaryNetwork | $124.80 | — |
| HealthSmart Preferred Care | PPO | $133.71 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $133.71 | — |
| USA Managed Care | COMM | $142.62 | — |
| USC Health Services | COMM | $142.62 | — |
| Galaxy Health Network | PPO | $151.54 | — |
| Unicare | MCD | $178.28 | — |
| National Healthcare Solutions | COMM | $178.28 | — |
| Independent Medical Systems | COMM | $178.28 | — |
| Humana | COMM | $184.28 | — |
Visitor-reported prices
Comments
Telehealth original site facility fee at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $465.99 | $12.99 – $69.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $465.99 | $22.73 – $69.01 |
| Texas Health Hospital Frisco | Frisco | not published | not published |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $465.99 | $13.80 – $69.01 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $465.99 | $12.99 – $69.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $465.99 | $12.18 – $69.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $465.99 | $8.93 – $69.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $465.99 | $8.93 – $69.01 |