Allograft amnioexcel plus 17mm disk 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.
$73.99 with Superior Health Plan vs $1,057.00 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 | STARHealth | $73.99 | — |
| Superior Health Plan | STARPLUS | $73.99 | — |
| Superior Health Plan | STARKids | $73.99 | — |
| Superior Health Plan | CHIP | $73.99 | — |
| Superior Health Plan | MCDSTAR | $73.99 | — |
| Humana | Tricare | $99.11 | — |
| TriWest Health Alliance | TRCR | $102.18 | — |
| Cigna | IFP | $142.69 | — |
| Cigna | QHP | $147.98 | — |
| Aetna | QHPHIX | $172.29 | — |
| United | OptionsPPO | $183.92 | — |
| United | SmallGroup | $209.78 | — |
| United | NarrowNetworkIndivExchange | $209.78 | — |
| United | AllPayerAppendix | $209.78 | — |
| Aetna | NewBusiness | $251.57 | — |
| BCBS | BlueAdvantageHMO | $261.08 | — |
| BCBS | MyBlueHealth | $261.08 | — |
| Aetna | COMM | $270.59 | — |
| Aetna | Meritain | $270.59 | — |
| BCBS | BluePremier | $308.64 | — |
| LifeCare Hospitals | MGMCR | $317.10 | — |
| LifeCare Hospitals | MGMCD | $317.10 | — |
| Aetna | OON | $317.10 | — |
| BCBS | BlueEssentials | $337.18 | — |
| BCBS | BlueEssentialsAccess | $337.18 | — |
| BCBS | EPOSOA | $354.10 | — |
| Healthcare Highways | CityofPlano | $357.27 | — |
| BCBS | PPO | $369.95 | — |
| Prominence Health Plan | HIX | $422.80 | — |
| BCBS | Traditional | $469.31 | — |
| City of McKinney | COMM | $475.65 | — |
| National ChoiceCare | WCOMP | $528.50 | — |
| Aetna | ASA | $557.04 | — |
| Aetna | WCOMP | $581.35 | — |
| PC Texas Partners | WCOMP | $581.35 | — |
| Rockport Health Group | WORKERSCOMP | $581.35 | — |
| Physicians Coop of TX | MGMCR | $581.35 | — |
| Cigna | LocalPlus | $609.46 | — |
| Cigna | NewBusiness | $610.06 | — |
| Averde Health, Inc | PPO | $613.06 | — |
| Aetna Coventry First Health | EXCLUSIVE | $639.49 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $639.49 | — |
| Cigna | OpenAccessPlus | $680.87 | — |
| Cigna | HMO | $680.87 | — |
| Cigna | NetworkBenefit | $680.87 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $687.05 | — |
| Coastal Comp Health Networks | WCOMP | $739.90 | — |
| Mega Life | MGMCRPPO | $739.90 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $792.75 | — |
| HealthSmart Preferred Care | PPO | $792.75 | — |
| USA Managed Care | COMM | $845.60 | — |
| USC Health Services | COMM | $845.60 | — |
| Cigna | AllOther | $861.36 | — |
| Galaxy Health Network | PPO | $898.45 | — |
| National Healthcare Solutions | COMM | $1,057.00 | — |
| Unicare | MCD | $1,057.00 | — |
| Independent Medical Systems | COMM | $1,057.00 | — |
Visitor-reported prices
Comments
Allograft amnioexcel plus 17mm disk at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Frisco | Frisco | $507.30 | not published |
| Texas Health Presbyterian Hospital Allen | Allen | $507.30 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $507.30 | not published |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $507.30 | not published |
| Texas Health Arlington Memorial Hospital | Arlington | $507.30 | not published |
| Texas Health Presbyterian Hospital Denton | Denton | $507.30 | not published |
| Texas Health Presbyterian Hospital Plano | Plano | $507.30 | not published |
| Texas Health Hospital Rockwall | Rockwall | $507.30 | not published |