Vaccine tdap >=7 years im at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$221.34
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.
$221.34
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.
$15.49 with Superior Health Plan vs $466.94 with Cigna — 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 | $15.49 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $15.49 | ↓ -93% |
| Superior Health Plan | STARPLUS | $15.49 | ↓ -93% |
| Superior Health Plan | STARKids | $15.49 | ↓ -93% |
| Superior Health Plan | STARHealth | $15.49 | ↓ -93% |
| Cigna | IFP | $24.22 | ↓ -89% |
| Cigna | QHP | $25.12 | ↓ -89% |
| Aetna | QHPHIX | $29.25 | ↓ -87% |
| United | OptionsPPO | $31.22 | ↓ -86% |
| Humana | Tricare | $37.90 | ↓ -83% |
| TriWest Health Alliance | TRCR | $39.07 | ↓ -82% |
| Aetna | NewBusiness | $42.70 | ↓ -81% |
| Aetna | Meritain | $45.93 | ↓ -79% |
| Aetna | COMM | $45.93 | ↓ -79% |
| Aetna | OON | $53.83 | ↓ -76% |
| Healthcare Highways | CityofPlano | $60.64 | ↓ -73% |
| United | NarrowNetworkIndivExchange | $65.49 | ↓ -70% |
| United | SmallGroup | $65.49 | ↓ -70% |
| United | AllPayerAppendix | $65.49 | ↓ -70% |
| LifeCare Hospitals | MGMCD | $66.40 | ↓ -70% |
| LifeCare Hospitals | MGMCR | $66.40 | ↓ -70% |
| Prominence Health Plan | HIX | $71.77 | ↓ -68% |
| Aetna | ASA | $94.55 | ↓ -57% |
| BCBS | Traditional | $98.27 | ↓ -56% |
| City of McKinney | COMM | $99.60 | ↓ -55% |
| Aetna Coventry First Health | NONEXCLUSIVE | $108.55 | ↓ -51% |
| Aetna Coventry First Health | EXCLUSIVE | $108.55 | ↓ -51% |
| National ChoiceCare | WCOMP | $110.67 | ↓ -50% |
| Physicians Coop of TX | MGMCR | $121.74 | ↓ -45% |
| Aetna | WCOMP | $121.74 | ↓ -45% |
| PC Texas Partners | WCOMP | $121.74 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $121.74 | ↓ -45% |
| Averde Health, Inc | PPO | $128.38 | ↓ -42% |
| BCBS | BluePremier | $130.81 | ↓ -41% |
| BCBS | BlueAdvantageHMO | $136.34 | ↓ -38% |
| BCBS | MyBlueHealth | $136.34 | ↓ -38% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $143.87 | ↓ -35% |
| Coastal Comp Health Networks | WCOMP | $154.94 | ↓ -30% |
| Mega Life | MGMCRPPO | $154.94 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $166.00 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $166.00 | ↓ -25% |
| USA Managed Care | COMM | $177.07 | ↓ -20% |
| USC Health Services | COMM | $177.07 | ↓ -20% |
| Independent Medical Systems | COMM | $179.42 | ↓ -19% |
| National Healthcare Solutions | COMM | $179.42 | ↓ -19% |
| Galaxy Health Network | PPO | $188.14 | ↓ -15% |
| BCBS | BlueEssentialsAccess | $199.58 | ↓ -10% |
| BCBS | BlueEssentials | $199.58 | ↓ -10% |
| BCBS | EPOSOA | $209.46 | ↓ -5% |
| BCBS | PPO | $219.34 | ↓ -1% |
| Humana | COMM | $221.05 | ↓ -0% |
| Unicare | MCD | $221.34 | ↑ +0% |
| Cigna | LocalPlus | $330.38 | ↑ +49% |
| Cigna | NewBusiness | $330.71 | ↑ +49% |
| Cigna | NetworkBenefit | $369.10 | ↑ +67% |
| Cigna | HMO | $369.10 | ↑ +67% |
| Cigna | OpenAccessPlus | $369.10 | ↑ +67% |
| Cigna | AllOther | $466.94 | ↑ +111% |
Visitor-reported prices
Comments
Vaccine tdap >=7 years im at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $167.69 | $43.43 – $235.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $167.69 | $77.52 – $235.32 |
| Texas Health Hospital Frisco | Frisco | $106.66 | $51.57 – $51.57 |
| Adventhealth Rollins Brook | Lampasas | $395.35 | $152.15 – $152.15 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $167.69 | $43.43 – $235.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $167.69 | $34.19 – $249.16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $167.69 | $33.22 – $207.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $167.69 | $43.43 – $249.16 |