X-ray exam of perineum at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$1,070.22
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.
$1,070.22
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.
$74.92 with Superior Health Plan vs $1,070.22 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 | $74.92 | ↓ -93% |
| Superior Health Plan | STARHealth | $74.92 | ↓ -93% |
| Superior Health Plan | STARKids | $74.92 | ↓ -93% |
| Superior Health Plan | CHIP | $74.92 | ↓ -93% |
| Superior Health Plan | STARPLUS | $74.92 | ↓ -93% |
| Cigna | IFP | $144.48 | ↓ -86% |
| Cigna | QHP | $149.83 | ↓ -86% |
| United | NarrowNetworkIndivExchange | $154.52 | ↓ -86% |
| United | SmallGroup | $154.52 | ↓ -86% |
| United | OptionsPPO | $186.22 | ↓ -83% |
| Cigna | LocalPlus | $209.96 | ↓ -80% |
| Cigna | NewBusiness | $210.16 | ↓ -80% |
| Amerigroup | CHIP | $233.47 | ↓ -78% |
| Amerigroup | MGMCD | $233.47 | ↓ -78% |
| United | CHIP | $233.47 | ↓ -78% |
| United | STARKids | $233.47 | ↓ -78% |
| United | STAR | $233.47 | ↓ -78% |
| United | STARPerinate | $233.47 | ↓ -78% |
| United | STARPLUS | $233.47 | ↓ -78% |
| Cigna | OpenAccessPlus | $234.63 | ↓ -78% |
| Cigna | NetworkBenefit | $234.63 | ↓ -78% |
| Cigna | HMO | $234.63 | ↓ -78% |
| Cigna Healthspring | MGMCD | $245.14 | ↓ -77% |
| Aetna Better Health | MCD | $252.15 | ↓ -76% |
| Aetna Better Health | CHIP | $252.15 | ↓ -76% |
| Molina | CHIP | $256.82 | ↓ -76% |
| Parkland Community Health Plan | MCD | $256.82 | ↓ -76% |
| Molina | STARKIDS | $256.82 | ↓ -76% |
| Molina | MCDSTAR | $256.82 | ↓ -76% |
| Molina | STAR+PLUS | $256.82 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $262.20 | ↓ -76% |
| Humana | COMM | $269.57 | ↓ -75% |
| BCBS | BluePremier | $274.47 | ↓ -74% |
| Evry Health | COMM | $276.12 | ↓ -74% |
| Humana | MGMCD | $291.84 | ↓ -73% |
| Cigna | AllOther | $296.76 | ↓ -72% |
| BCBS | BlueAdvantageHMO | $302.15 | ↓ -72% |
| BCBS | MyBlueHealth | $302.15 | ↓ -72% |
| LifeCare Hospitals | MGMCR | $321.07 | ↓ -70% |
| LifeCare Hospitals | MGMCD | $321.07 | ↓ -70% |
| Healthcare Highways | CityofPlano | $361.73 | ↓ -66% |
| Aetna | QHPHIX | $382.39 | ↓ -64% |
| Curative Administrators | COMM | $428.09 | ↓ -60% |
| Prominence Health Plan | HIX | $428.09 | ↓ -60% |
| BCBS | Traditional | $475.18 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $481.60 | ↓ -55% |
| City of McKinney | COMM | $481.60 | ↓ -55% |
| United | AllPayerAppendix | $517.79 | ↓ -52% |
| Aetna | NewBusiness | $524.29 | ↓ -51% |
| National ChoiceCare | WCOMP | $535.11 | ↓ -50% |
| Aetna | COMM | $561.63 | ↓ -48% |
| Aetna | Meritain | $561.63 | ↓ -48% |
| Aetna | ASA | $564.01 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $588.62 | ↓ -45% |
| PC Texas Partners | WCOMP | $588.62 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $588.62 | ↓ -45% |
| Aetna | WCOMP | $588.62 | ↓ -45% |
| Averde Health, Inc | PPO | $620.73 | ↓ -42% |
| Aetna Coventry First Health | NONEXCLUSIVE | $647.48 | ↓ -40% |
| Aetna Coventry First Health | EXCLUSIVE | $647.48 | ↓ -40% |
| Aetna | OON | $658.72 | ↓ -38% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $695.64 | ↓ -35% |
| Multiplan PHCS | PrimaryNetwork | $749.15 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $749.15 | ↓ -30% |
| Mega Life | MGMCRPPO | $749.15 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $802.66 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $802.66 | ↓ -25% |
| USA Managed Care | COMM | $856.18 | ↓ -20% |
| USC Health Services | COMM | $856.18 | ↓ -20% |
| BCBS | BlueEssentialsAccess | $897.23 | ↓ -16% |
| BCBS | BlueEssentials | $897.23 | ↓ -16% |
| Galaxy Health Network | PPO | $909.69 | ↓ -15% |
| BCBS | EPOSOA | $941.05 | ↓ -12% |
| BCBS | PPO | $984.88 | ↓ -8% |
| Unicare | MCD | $1,070.22 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,070.22 | ↑ +0% |
| Independent Medical Systems | COMM | $1,070.22 | ↑ +0% |
Visitor-reported prices
Comments
X-ray exam of perineum at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Frisco | Frisco | not published | $233.47 – $252.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $603.14 | $124.15 – $904.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $633.30 | $227.71 – $791.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $603.14 | $227.71 – $904.72 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $603.14 | $233.47 – $904.72 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $633.30 | $227.71 – $949.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $603.14 | $227.71 – $753.93 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $603.14 | $227.71 – $904.72 |