X-ray exam of mastoids at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$541.07
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.
$541.07
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.
$37.87 with Superior Health Plan vs $541.07 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 | CHIP | $37.87 | ↓ -93% |
| Superior Health Plan | STARHealth | $37.87 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $37.87 | ↓ -93% |
| Superior Health Plan | STARPLUS | $37.87 | ↓ -93% |
| Superior Health Plan | STARKids | $37.87 | ↓ -93% |
| United | STARPerinate | $38.43 | ↓ -93% |
| United | CHIP | $38.43 | ↓ -93% |
| Amerigroup | MGMCD | $38.43 | ↓ -93% |
| United | STAR | $38.43 | ↓ -93% |
| United | STARKids | $38.43 | ↓ -93% |
| United | STARPLUS | $38.43 | ↓ -93% |
| Amerigroup | CHIP | $38.43 | ↓ -93% |
| Cigna Healthspring | MGMCD | $40.35 | ↓ -93% |
| Aetna Better Health | MCD | $41.50 | ↓ -92% |
| Aetna Better Health | CHIP | $41.50 | ↓ -92% |
| Molina | STARKIDS | $42.27 | ↓ -92% |
| Molina | MCDSTAR | $42.27 | ↓ -92% |
| Molina | CHIP | $42.27 | ↓ -92% |
| Molina | STAR+PLUS | $42.27 | ↓ -92% |
| Parkland Community Health Plan | MCD | $42.27 | ↓ -92% |
| Humana | MGMCD | $48.04 | ↓ -91% |
| Aetna | QHPHIX | $50.46 | ↓ -91% |
| Aetna | NewBusiness | $69.18 | ↓ -87% |
| Cigna | IFP | $73.04 | ↓ -87% |
| Aetna | COMM | $74.11 | ↓ -86% |
| Aetna | Meritain | $74.11 | ↓ -86% |
| Cigna | QHP | $75.75 | ↓ -86% |
| Aetna | OON | $86.92 | ↓ -84% |
| United | OptionsPPO | $94.15 | ↓ -83% |
| Humana | COMM | $96.63 | ↓ -82% |
| Cigna | LocalPlus | $120.55 | ↓ -78% |
| Cigna | NewBusiness | $120.67 | ↓ -78% |
| Healthcare Highways | NarrowNetwork | $132.56 | ↓ -76% |
| BCBS | BluePremier | $133.38 | ↓ -75% |
| Cigna | NetworkBenefit | $134.72 | ↓ -75% |
| Cigna | HMO | $134.72 | ↓ -75% |
| Cigna | OpenAccessPlus | $134.72 | ↓ -75% |
| Evry Health | COMM | $139.60 | ↓ -74% |
| BCBS | MyBlueHealth | $146.82 | ↓ -73% |
| BCBS | BlueAdvantageHMO | $146.82 | ↓ -73% |
| United | NarrowNetworkIndivExchange | $154.52 | ↓ -71% |
| United | SmallGroup | $154.52 | ↓ -71% |
| LifeCare Hospitals | MGMCR | $162.32 | ↓ -70% |
| LifeCare Hospitals | MGMCD | $162.32 | ↓ -70% |
| Cigna | AllOther | $170.40 | ↓ -69% |
| Healthcare Highways | CityofPlano | $182.88 | ↓ -66% |
| Prominence Health Plan | HIX | $216.43 | ↓ -60% |
| Curative Administrators | COMM | $216.43 | ↓ -60% |
| BCBS | Traditional | $240.24 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $243.48 | ↓ -55% |
| City of McKinney | COMM | $243.48 | ↓ -55% |
| United | AllPayerAppendix | $245.18 | ↓ -55% |
| National ChoiceCare | WCOMP | $270.54 | ↓ -50% |
| Aetna | ASA | $285.14 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $297.59 | ↓ -45% |
| Aetna | WCOMP | $297.59 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $297.59 | ↓ -45% |
| PC Texas Partners | WCOMP | $297.59 | ↓ -45% |
| Averde Health, Inc | PPO | $313.82 | ↓ -42% |
| Aetna Coventry First Health | NONEXCLUSIVE | $327.35 | ↓ -39% |
| Aetna Coventry First Health | EXCLUSIVE | $327.35 | ↓ -39% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $351.70 | ↓ -35% |
| Multiplan PHCS | PrimaryNetwork | $378.75 | ↓ -30% |
| Mega Life | MGMCRPPO | $378.75 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $378.75 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $405.80 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $405.80 | ↓ -25% |
| USA Managed Care | COMM | $432.86 | ↓ -20% |
| USC Health Services | COMM | $432.86 | ↓ -20% |
| BCBS | BlueEssentials | $435.99 | ↓ -19% |
| BCBS | BlueEssentialsAccess | $435.99 | ↓ -19% |
| BCBS | EPOSOA | $457.29 | ↓ -15% |
| Galaxy Health Network | PPO | $459.91 | ↓ -15% |
| BCBS | PPO | $478.58 | ↓ -12% |
| Unicare | MCD | $541.07 | ↑ +0% |
| National Healthcare Solutions | COMM | $541.07 | ↑ +0% |
| Independent Medical Systems | COMM | $541.07 | ↑ +0% |
Visitor-reported prices
Comments
X-ray exam of mastoids at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $193.41 | $38.43 – $272.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $193.41 | $38.43 – $241.76 |
| Texas Health Hospital Frisco | Frisco | not published | $38.43 – $41.50 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $193.41 | $38.43 – $272.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $279.82 | $57.60 – $419.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $293.81 | $38.43 – $367.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $279.82 | $41.12 – $419.72 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $279.82 | $38.43 – $419.72 |