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Short Term Acute Care HospitalProprietary

Medical City Frisco

HCA Healthcare · Frisco, TX

5500 Frisco Square Blvd, Frisco, TX 75034None

3 of 5

CMS star rating

611

Beds

34,521

Inpatient discharges a year

$1B

Net patient revenue a year

1

In-network payers

About this hospital

Medical City Frisco is a 611-bed proprietary hospital in Frisco, TX, affiliated with HCA Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 1 in-network payers and 572 disclosed rate categories.

  • Disproportionate share hospital
  • Helipad
CCN
450651
NPI
1801162250
Health system
HCA Healthcare
Teaching
Teaching hospital
County
Collin County
Metro area
Dallas-Fort Worth-Arlington, TX MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
1975
Last CMS survey
2026

Prices for common services

The 24 services Medical City Frisco most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$6,792 - $13,850

from 4 insurers · median $11,244

Cigna$10,982
Insurer A*$6,792
Insurer B*$11,506
Insurer C*$13,850

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$12,897 - $19,141

from 4 insurers · median $16,846

Cigna$16,406
Insurer A*$12,897
Insurer B*$17,286
Insurer C*$19,141

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$37,440 - $48,395

from 4 insurers · median $44,270

Aetna$48,395
Insurer A*$37,440
Insurer B*$42,842
Insurer C*$45,698
Medicare $11,313Nearby hospitals $43,716In line with nearby hospitals

116 Medicare discharges for this DRG in CMS hospital data

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$20,189 - $53,427

from 4 insurers · median $45,584

Aetna$20,189
Insurer A*$45,139
Insurer B*$46,028
Insurer C*$53,427
Medicare $24,858Nearby hospitals $65,40230% below nearby hospitals

73 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at Medical City Frisco

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
388%
88
Insurer B*14
297%
83
Insurer C*23
231%
710
Insurer D*23
200%
513

How we chose these services: 8 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Medical City Frisco, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)

More about this hospital

  • Quality

    3 of 5 stars

    • 141 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.09%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 1,287 affiliated clinicians
    See doctors and services
  • Finances

    $1B net patient revenue

    • Operating margin on patient care 39.1%
    • $75.3M unreimbursed and uncompensated care
    • $411.5M net income
    See finances
  • Ownership and leadership

    Owned by Columbia North Texas Healthcare System LP

    • Private (for profit)
    • James Coogan, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Medical City Frisco in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
62-1682203Medical City Frisco a Medical City Plano Facility67Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 62 more1699726406 Columbia Medical Center Of Plano Subsidiary LP1205880275 Columbia Medical Center Of Plano Subsidiary LP1588618557 Columbia Medical Center Of Plano Subsidiary LPand 4 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

5500 Frisco Square Blvd, Frisco, TX 75034

None

Get directions

Frequently asked questions

About Medical City Frisco's rates and hospital price transparency.

How much does an MRI cost at Medical City Frisco?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Medical City Frisco range from $828 to $1,822 across 3 insurers. Blue Cross Blue Shield's rate is $1,441. The median at nearby comparable hospitals is $1,826. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Medical City Frisco?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Medical City Frisco range from $828 to $1,550 across 3 insurers. Blue Cross Blue Shield's rate is $1,550. The median at nearby comparable hospitals is $2,062. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Medical City Frisco?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Medical City Frisco range from $1,898 to $10,632 across 3 insurers. UnitedHealthcare's rate is $3,813. The median at nearby comparable hospitals is $2,850. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Medical City Frisco?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Medical City Frisco range from $6,792 to $13,850 across 4 insurers. Cigna's rate is $10,982. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Medical City Frisco?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Medical City Frisco range from $155 to $259 across 4 insurers. Cigna's rate is $259. The median at nearby comparable hospitals is $279. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Medical City Frisco?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Medical City Frisco range from $37,440 to $48,395 across 4 insurers. Aetna's rate is $48,395. The median at nearby comparable hospitals is $43,716. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Medical City Frisco's CMS star rating?

Medical City Frisco has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Medical City Frisco a teaching hospital?

Yes. CMS counts 0.03 Medicare-funded residents per bed at Medical City Frisco for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Medical City Frisco for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Medical City Frisco's base inpatient payments by an estimated 0.09% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Medical City Frisco?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (419 discharges), intracranial hemorrhage or cerebral infarction with mcc (147 discharges), heart failure and shock with mcc (124 discharges).

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
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