Unlisted neurological dx px at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$5,418.65
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.
$5,418.65
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.
$379.31 with Superior Health Plan vs $5,418.65 with Independent Medical Systems — 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 | MCDSTAR | $379.31 | ↓ -93% |
| Superior Health Plan | STARHealth | $379.31 | ↓ -93% |
| Superior Health Plan | CHIP | $379.31 | ↓ -93% |
| Superior Health Plan | STARKids | $379.31 | ↓ -93% |
| Superior Health Plan | STARPLUS | $379.31 | ↓ -93% |
| BCBS | MyBlueHealth | $380.46 | ↓ -93% |
| BCBS | BlueAdvantageHMO | $380.46 | ↓ -93% |
| BCBS | BlueEssentials | $673.76 | ↓ -88% |
| BCBS | BlueEssentialsAccess | $673.76 | ↓ -88% |
| BCBS | EPOSOA | $706.97 | ↓ -87% |
| Cigna | IFP | $731.52 | ↓ -86% |
| BCBS | PPO | $740.17 | ↓ -86% |
| Cigna | QHP | $758.61 | ↓ -86% |
| United | OptionsPPO | $915.75 | ↓ -83% |
| Aetna | NewBusiness | $1,062.06 | ↓ -80% |
| Oscar | HIX | $1,127.08 | ↓ -79% |
| Aetna | Meritain | $1,132.50 | ↓ -79% |
| Aetna | COMM | $1,132.50 | ↓ -79% |
| Healthcare Highways | NarrowNetwork | $1,327.57 | ↓ -75% |
| Aetna | OON | $1,338.41 | ↓ -75% |
| Evry Health | COMM | $1,398.01 | ↓ -74% |
| Cigna | NewBusiness | $1,430.52 | ↓ -74% |
| Cigna | LocalPlus | $1,430.52 | ↓ -74% |
| Cigna | OpenAccessPlus | $1,598.50 | ↓ -71% |
| Cigna | NetworkBenefit | $1,598.50 | ↓ -71% |
| Cigna | HMO | $1,598.50 | ↓ -71% |
| LifeCare Hospitals | MGMCD | $1,625.60 | ↓ -70% |
| LifeCare Hospitals | MGMCR | $1,625.60 | ↓ -70% |
| Healthcare Highways | CityofPlano | $1,831.50 | ↓ -66% |
| Cigna | AllOther | $2,021.16 | ↓ -63% |
| Prominence Health Plan | HIX | $2,167.46 | ↓ -60% |
| Curative Administrators | COMM | $2,167.46 | ↓ -60% |
| BCBS | Traditional | $2,243.32 | ↓ -59% |
| Fidelis SecureCare | MGMCR | $2,438.39 | ↓ -55% |
| United | GlobalBenefitPlan | $2,438.39 | ↓ -55% |
| City of McKinney | COMM | $2,438.39 | ↓ -55% |
| National ChoiceCare | WCOMP | $2,709.32 | ↓ -50% |
| Aetna | ASA | $2,736.42 | ↓ -49% |
| Aetna | WCOMP | $2,980.26 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $2,980.26 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $2,980.26 | ↓ -45% |
| PC Texas Partners | WCOMP | $2,980.26 | ↓ -45% |
| Averde Health, Inc | PPO | $3,142.82 | ↓ -42% |
| Aetna Coventry First Health | NONEXCLUSIVE | $3,186.17 | ↓ -41% |
| Aetna Coventry First Health | EXCLUSIVE | $3,186.17 | ↓ -41% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $3,522.12 | ↓ -35% |
| Coastal Comp Health Networks | WCOMP | $3,793.05 | ↓ -30% |
| Mega Life | MGMCRPPO | $3,793.05 | ↓ -30% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $4,063.99 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $4,063.99 | ↓ -25% |
| Multiplan | PHCSPrimaryNetwork | $4,063.99 | ↓ -25% |
| USA Managed Care | COMM | $4,334.92 | ↓ -20% |
| USC Health Services | COMM | $4,334.92 | ↓ -20% |
| Multiplan | ComplementaryNetwork | $4,605.85 | ↓ -15% |
| Unicare | MCD | $5,418.65 | ↑ +0% |
| National Healthcare Solutions | COMM | $5,418.65 | ↑ +0% |
| Independent Medical Systems | COMM | $5,418.65 | ↑ +0% |
Visitor-reported prices
Comments
Unlisted neurological dx px at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $243.15 | $202.96 – $202.96 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $295.02 | $125.36 – $574.15 |
| Dell Children's Medical Center (Ascension Seton) | Austin | $573.65 | $125.36 – $574.15 |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH | $531.64 | $380.46 – $380.46 |
| Adventhealth Rollins Brook | Lampasas | not published | $532.65 – $532.65 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $323.74 – $323.74 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $323.74 – $323.74 |
| Covenant Children's Hospital | Lubbock | not published | $471.77 – $471.77 |