Bivalirudin at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$922.39
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.
$922.39
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.
$0.15 with Humana vs $922.39 with Unicare — 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 |
|---|---|---|---|
| Humana | Tricare | $0.15 | ↓ -100% |
| TriWest Health Alliance | TRCR | $0.15 | ↓ -100% |
| United | SmallGroup | $0.26 | ↓ -100% |
| United | AllPayerAppendix | $0.26 | ↓ -100% |
| United | NarrowNetworkIndivExchange | $0.26 | ↓ -100% |
| Cigna | LocalPlus | $1.03 | ↓ -100% |
| Cigna | NewBusiness | $1.03 | ↓ -100% |
| Cigna | OpenAccessPlus | $1.15 | ↓ -100% |
| Cigna | HMO | $1.15 | ↓ -100% |
| Cigna | NetworkBenefit | $1.15 | ↓ -100% |
| Cigna | AllOther | $1.45 | ↓ -100% |
| BCBS | BluePremier | $4.57 | ↓ -100% |
| BCBS | BlueAdvantageHMO | $4.76 | ↓ -99% |
| BCBS | MyBlueHealth | $4.76 | ↓ -99% |
| Humana | COMM | $6.94 | ↓ -99% |
| BCBS | BlueEssentialsAccess | $6.97 | ↓ -99% |
| BCBS | BlueEssentials | $6.97 | ↓ -99% |
| BCBS | EPOSOA | $7.31 | ↓ -99% |
| BCBS | PPO | $7.66 | ↓ -99% |
| Superior Health Plan | STARPLUS | $64.57 | ↓ -93% |
| Superior Health Plan | CHIP | $64.57 | ↓ -93% |
| Superior Health Plan | STARKids | $64.57 | ↓ -93% |
| Superior Health Plan | STARHealth | $64.57 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $64.57 | ↓ -93% |
| Cigna | IFP | $85.70 | ↓ -91% |
| Cigna | QHP | $88.87 | ↓ -90% |
| Aetna | QHPHIX | $103.48 | ↓ -89% |
| United | OptionsPPO | $110.46 | ↓ -88% |
| Aetna | NewBusiness | $151.09 | ↓ -84% |
| Aetna | COMM | $162.51 | ↓ -82% |
| Aetna | Meritain | $162.51 | ↓ -82% |
| Aetna | OON | $190.45 | ↓ -79% |
| Healthcare Highways | CityofPlano | $214.57 | ↓ -77% |
| Prominence Health Plan | HIX | $253.93 | ↓ -72% |
| LifeCare Hospitals | MGMCD | $276.72 | ↓ -70% |
| LifeCare Hospitals | MGMCR | $276.72 | ↓ -70% |
| Aetna | ASA | $334.55 | ↓ -64% |
| Aetna Coventry First Health | EXCLUSIVE | $384.07 | ↓ -58% |
| Aetna Coventry First Health | NONEXCLUSIVE | $384.07 | ↓ -58% |
| BCBS | Traditional | $409.54 | ↓ -56% |
| City of McKinney | COMM | $415.08 | ↓ -55% |
| National ChoiceCare | WCOMP | $461.19 | ↓ -50% |
| PC Texas Partners | WCOMP | $507.31 | ↓ -45% |
| Aetna | WCOMP | $507.31 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $507.31 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $507.31 | ↓ -45% |
| Averde Health, Inc | PPO | $534.99 | ↓ -42% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $599.55 | ↓ -35% |
| Independent Medical Systems | COMM | $634.82 | ↓ -31% |
| National Healthcare Solutions | COMM | $634.82 | ↓ -31% |
| Mega Life | MGMCRPPO | $645.67 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $645.67 | ↓ -30% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $691.79 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $691.79 | ↓ -25% |
| USA Managed Care | COMM | $737.91 | ↓ -20% |
| USC Health Services | COMM | $737.91 | ↓ -20% |
| Galaxy Health Network | PPO | $784.03 | ↓ -15% |
| Unicare | MCD | $922.39 | ↑ +0% |
Visitor-reported prices
Comments
Bivalirudin at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,771.80 | $0.14 – $2,510.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $1,771.80 | $0.24 – $2,510.05 |
| Texas Health Hospital Frisco | Frisco | $1,876.50 | $1.80 – $1.80 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,771.80 | $0.14 – $2,510.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,771.80 | $0.14 – $2,657.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,771.80 | $0.14 – $2,214.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,771.80 | $0.14 – $2,657.70 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,771.80 | $0.14 – $2,657.70 |