Eeg monitor/record/awake/drowsy 95816 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$379.31 with Superior Health Plan vs $5,418.65 with Independent Medical Systems — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $379.31 | — |
| Superior Health Plan | STARHealth | $379.31 | — |
| Superior Health Plan | MCDSTAR | $379.31 | — |
| Superior Health Plan | STARPLUS | $379.31 | — |
| Superior Health Plan | STARKids | $379.31 | — |
| Cigna | IFP | $731.52 | — |
| BCBS | BluePremier | $733.16 | — |
| Cigna | QHP | $758.61 | — |
| BCBS | MyBlueHealth | $854.32 | — |
| BCBS | BlueAdvantageHMO | $854.32 | — |
| Aetna | QHPHIX | $883.24 | — |
| United | OptionsPPO | $942.85 | — |
| Oscar | HIX | $1,127.08 | — |
| Aetna | NewBusiness | $1,289.64 | — |
| Healthcare Highways | NarrowNetwork | $1,327.57 | — |
| Aetna | COMM | $1,387.17 | — |
| Aetna | Meritain | $1,387.17 | — |
| Evry Health | COMM | $1,398.01 | — |
| Cigna | LocalPlus | $1,430.52 | — |
| Cigna | NewBusiness | $1,430.52 | — |
| BCBS | BlueEssentialsAccess | $1,512.91 | — |
| BCBS | BlueEssentials | $1,512.91 | — |
| BCBS | EPOSOA | $1,587.47 | — |
| Cigna | NetworkBenefit | $1,598.50 | — |
| Cigna | HMO | $1,598.50 | — |
| Cigna | OpenAccessPlus | $1,598.50 | — |
| LifeCare Hospitals | MGMCD | $1,625.60 | — |
| Aetna | OON | $1,625.60 | — |
| LifeCare Hospitals | MGMCR | $1,625.60 | — |
| BCBS | PPO | $1,662.03 | — |
| Healthcare Highways | CityofPlano | $1,831.50 | — |
| Cigna | AllOther | $2,021.16 | — |
| Humana | COMM | $2,095.68 | — |
| Prominence Health Plan | HIX | $2,167.46 | — |
| Curative Administrators | COMM | $2,167.46 | — |
| BCBS | Traditional | $2,405.88 | — |
| Fidelis SecureCare | MGMCR | $2,438.39 | — |
| City of McKinney | COMM | $2,438.39 | — |
| National ChoiceCare | WCOMP | $2,709.32 | — |
| Aetna | ASA | $2,855.63 | — |
| Aetna | WCOMP | $2,980.26 | — |
| PC Texas Partners | WCOMP | $2,980.26 | — |
| Physicians Coop of TX | MGMCR | $2,980.26 | — |
| Rockport Health Group | WORKERSCOMP | $2,980.26 | — |
| Averde Health, Inc | PPO | $3,142.82 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $3,278.28 | — |
| Aetna Coventry First Health | EXCLUSIVE | $3,278.28 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $3,522.12 | — |
| Mega Life | MGMCRPPO | $3,793.05 | — |
| Coastal Comp Health Networks | WCOMP | $3,793.05 | — |
| Multiplan PHCS | PrimaryNetwork | $3,793.05 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $4,063.99 | — |
| HealthSmart Preferred Care | PPO | $4,063.99 | — |
| USA Managed Care | COMM | $4,334.92 | — |
| USC Health Services | COMM | $4,334.92 | — |
| Galaxy Health Network | PPO | $4,605.85 | — |
| Unicare | MCD | $5,418.65 | — |
| National Healthcare Solutions | COMM | $5,418.65 | — |
| Independent Medical Systems | COMM | $5,418.65 | — |
Visitor-reported prices
Comments
Eeg monitor/record/awake/drowsy 95816 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,027.88 | $206.06 – $1,284.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $1,027.88 | $206.06 – $1,284.85 |
| Texas Health Hospital Frisco | Frisco | $914.10 | $378.07 – $378.07 |
| Adventhealth Rollins Brook | Lampasas | $1,158.35 | $1,196.04 – $1,196.04 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,027.88 | $206.06 – $1,284.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $917.44 | $188.84 – $1,376.16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $977.98 | $195.60 – $1,222.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $917.44 | $206.06 – $1,376.16 |