Electrophysiology evaluation at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$27,221.12
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.
$27,221.12
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.
$3,674.85 with Cigna vs $43,890.00 with Curative Administrators — 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 |
|---|---|---|---|
| Cigna | IFP | $3,674.85 | ↓ -87% |
| Cigna | QHP | $3,810.96 | ↓ -86% |
| Aetna | QHPHIX | $4,437.04 | ↓ -84% |
| United | OptionsPPO | $4,736.47 | ↓ -83% |
| Superior Health Plan | CHIP | $5,591.00 | ↓ -79% |
| Superior Health Plan | STARKids | $5,591.00 | ↓ -79% |
| Superior Health Plan | STARPLUS | $5,591.00 | ↓ -79% |
| Superior Health Plan | MCDSTAR | $5,591.00 | ↓ -79% |
| Superior Health Plan | STARHealth | $5,591.00 | ↓ -79% |
| Aetna | NewBusiness | $6,478.63 | ↓ -76% |
| BCBS | MyBlueHealth | $6,723.62 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $6,723.62 | ↓ -75% |
| Aetna | COMM | $6,968.61 | ↓ -74% |
| Aetna | Meritain | $6,968.61 | ↓ -74% |
| Cigna | NewBusiness | $7,186.38 | ↓ -74% |
| Cigna | LocalPlus | $7,186.38 | ↓ -74% |
| Cigna | HMO | $8,030.23 | ↓ -71% |
| Cigna | NetworkBenefit | $8,030.23 | ↓ -71% |
| Cigna | OpenAccessPlus | $8,030.23 | ↓ -71% |
| LifeCare Hospitals | MGMCR | $8,166.34 | ↓ -70% |
| Aetna | OON | $8,166.34 | ↓ -70% |
| LifeCare Hospitals | MGMCD | $8,166.34 | ↓ -70% |
| Fidelis SecureCare | MGMCR | $8,300.00 | ↓ -70% |
| BCBS | BlueEssentials | $8,683.54 | ↓ -68% |
| BCBS | BlueEssentialsAccess | $8,683.54 | ↓ -68% |
| BCBS | EPOSOA | $9,119.08 | ↓ -66% |
| Healthcare Highways | CityofPlano | $9,200.74 | ↓ -66% |
| BCBS | PPO | $9,527.39 | ↓ -65% |
| Cigna | AllOther | $10,153.48 | ↓ -63% |
| Prominence Health Plan | HIX | $10,888.45 | ↓ -60% |
| BCBS | Traditional | $12,086.18 | ↓ -56% |
| City of McKinney | COMM | $12,249.50 | ↓ -55% |
| National ChoiceCare | WCOMP | $13,610.56 | ↓ -50% |
| Aetna | ASA | $14,345.53 | ↓ -47% |
| Aetna | WCOMP | $14,971.62 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $14,971.62 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $14,971.62 | ↓ -45% |
| PC Texas Partners | WCOMP | $14,971.62 | ↓ -45% |
| BCBS | BluePremier | $15,008.56 | ↓ -45% |
| Averde Health, Inc | PPO | $15,788.25 | ↓ -42% |
| Aetna Coventry First Health | NONEXCLUSIVE | $16,468.78 | ↓ -39% |
| Aetna Coventry First Health | EXCLUSIVE | $16,468.78 | ↓ -39% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $17,693.73 | ↓ -35% |
| Multiplan PHCS | PrimaryNetwork | $19,054.78 | ↓ -30% |
| Mega Life | MGMCRPPO | $19,054.78 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $19,054.78 | ↓ -30% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $20,415.84 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $20,415.84 | ↓ -25% |
| USC Health Services | COMM | $21,776.90 | ↓ -20% |
| USA Managed Care | COMM | $21,776.90 | ↓ -20% |
| Galaxy Health Network | PPO | $23,137.95 | ↓ -15% |
| United | SmallGroup | $24,000.00 | ↓ -12% |
| United | NarrowNetworkIndivExchange | $25,253.00 | ↓ -7% |
| Healthcare Highways | NarrowNetwork | $26,766.00 | ↓ -2% |
| Unicare | MCD | $27,221.12 | ↑ +0% |
| Independent Medical Systems | COMM | $27,221.12 | ↑ +0% |
| National Healthcare Solutions | COMM | $27,221.12 | ↑ +0% |
| Humana | COMM | $27,514.00 | ↑ +1% |
| Oscar | HIX | $29,429.00 | ↑ +8% |
| Evry Health | COMM | $29,597.00 | ↑ +9% |
| United | AllPayerAppendix | $33,939.00 | ↑ +25% |
| Curative Administrators | COMM | $43,890.00 | ↑ +61% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $13,879.96 | $3,701.32 – $18,500.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $13,879.96 | $6,477.31 – $17,349.94 |
| Texas Health Hospital Frisco | Frisco | $6,281.55 | $7,162.91 – $7,162.91 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $13,879.96 | $3,932.65 – $18,500.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $14,581.73 | $3,001.41 – $21,872.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $14,029.39 | $2,805.88 – $18,500.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $14,581.73 | $4,680.73 – $21,872.59 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $14,581.73 | $7,533.89 – $21,872.59 |