X-ray exam of jaw joint 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.
$34.75 with United vs $560.38 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 |
|---|---|---|---|
| United | STARPLUS | $34.75 | — |
| Amerigroup | MGMCD | $34.75 | — |
| United | CHIP | $34.75 | — |
| Amerigroup | CHIP | $34.75 | — |
| United | STARPerinate | $34.75 | — |
| United | STAR | $34.75 | — |
| United | STARKids | $34.75 | — |
| Cigna Healthspring | MGMCD | $36.49 | — |
| Aetna Better Health | MCD | $37.53 | — |
| Aetna Better Health | CHIP | $37.53 | — |
| Parkland Community Health Plan | MCD | $38.23 | — |
| Molina | CHIP | $38.23 | — |
| Molina | STAR+PLUS | $38.23 | — |
| Molina | STARKIDS | $38.23 | — |
| Molina | MCDSTAR | $38.23 | — |
| Superior Health Plan | CHIP | $39.23 | — |
| Superior Health Plan | STARPLUS | $39.23 | — |
| Superior Health Plan | MCDSTAR | $39.23 | — |
| Superior Health Plan | STARHealth | $39.23 | — |
| Superior Health Plan | STARKids | $39.23 | — |
| Humana | MGMCD | $43.44 | — |
| Aetna | QHPHIX | $43.70 | — |
| Aetna | NewBusiness | $59.92 | — |
| Aetna | COMM | $64.18 | — |
| Aetna | Meritain | $64.18 | — |
| Aetna | OON | $75.28 | — |
| Cigna | IFP | $75.65 | — |
| Cigna | QHP | $78.45 | — |
| United | NarrowNetworkIndivExchange | $83.86 | — |
| United | SmallGroup | $83.86 | — |
| Humana | COMM | $85.25 | — |
| BCBS | BluePremier | $94.97 | — |
| United | OptionsPPO | $97.51 | — |
| Cigna | LocalPlus | $104.46 | — |
| BCBS | MyBlueHealth | $104.55 | — |
| BCBS | BlueAdvantageHMO | $104.55 | — |
| Cigna | NewBusiness | $104.56 | — |
| Cigna | HMO | $116.73 | — |
| Cigna | OpenAccessPlus | $116.73 | — |
| Cigna | NetworkBenefit | $116.73 | — |
| Healthcare Highways | NarrowNetwork | $137.29 | — |
| Evry Health | COMM | $144.58 | — |
| Cigna | AllOther | $147.64 | — |
| LifeCare Hospitals | MGMCD | $168.11 | — |
| LifeCare Hospitals | MGMCR | $168.11 | — |
| United | AllPayerAppendix | $182.03 | — |
| Healthcare Highways | CityofPlano | $189.41 | — |
| Prominence Health Plan | HIX | $224.15 | — |
| Curative Administrators | COMM | $224.15 | — |
| BCBS | Traditional | $248.81 | — |
| Fidelis SecureCare | MGMCR | $252.17 | — |
| City of McKinney | COMM | $252.17 | — |
| National ChoiceCare | WCOMP | $280.19 | — |
| Aetna | ASA | $295.32 | — |
| Aetna | WCOMP | $308.21 | — |
| Rockport Health Group | WORKERSCOMP | $308.21 | — |
| Physicians Coop of TX | MGMCR | $308.21 | — |
| PC Texas Partners | WCOMP | $308.21 | — |
| BCBS | BlueEssentialsAccess | $310.46 | — |
| BCBS | BlueEssentials | $310.46 | — |
| Averde Health, Inc | PPO | $325.02 | — |
| BCBS | EPOSOA | $325.62 | — |
| Aetna Coventry First Health | EXCLUSIVE | $339.03 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $339.03 | — |
| BCBS | PPO | $340.79 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $364.25 | — |
| Multiplan PHCS | PrimaryNetwork | $392.27 | — |
| Mega Life | MGMCRPPO | $392.27 | — |
| Coastal Comp Health Networks | WCOMP | $392.27 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $420.29 | — |
| HealthSmart Preferred Care | PPO | $420.29 | — |
| USC Health Services | COMM | $448.30 | — |
| USA Managed Care | COMM | $448.30 | — |
| Galaxy Health Network | PPO | $476.32 | — |
| Unicare | MCD | $560.38 | — |
| National Healthcare Solutions | COMM | $560.38 | — |
| Independent Medical Systems | COMM | $560.38 | — |
Visitor-reported prices
Comments
X-ray exam of jaw joint at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $115.69 | $34.75 – $225.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $115.69 | $34.75 – $144.62 |
| Texas Health Hospital Frisco | Frisco | not published | $34.75 – $37.53 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $115.69 | $34.75 – $225.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $251.32 | $51.73 – $376.98 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $256.34 | $34.75 – $320.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $251.32 | $37.18 – $376.98 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $251.32 | $34.75 – $376.98 |