Emg 2 ext w-w/o paraspinal area 95861 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.
$191.45 with Superior Health Plan vs $2,734.94 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $191.45 | — |
| Superior Health Plan | STARHealth | $191.45 | — |
| Superior Health Plan | MCDSTAR | $191.45 | — |
| Superior Health Plan | STARPLUS | $191.45 | — |
| Superior Health Plan | STARKids | $191.45 | — |
| BCBS | BluePremier | $257.31 | — |
| BCBS | MyBlueHealth | $299.83 | — |
| BCBS | BlueAdvantageHMO | $299.83 | — |
| Cigna | IFP | $362.32 | — |
| Cigna | QHP | $375.73 | — |
| Aetna | QHPHIX | $437.46 | — |
| United | OptionsPPO | $466.98 | — |
| BCBS | BlueEssentialsAccess | $530.98 | — |
| BCBS | BlueEssentials | $530.98 | — |
| BCBS | EPOSOA | $557.14 | — |
| Oscar | HIX | $558.23 | — |
| BCBS | PPO | $583.31 | — |
| Humana | COMM | $627.67 | — |
| Aetna | NewBusiness | $638.75 | — |
| Healthcare Highways | NarrowNetwork | $657.54 | — |
| Aetna | Meritain | $687.06 | — |
| Aetna | COMM | $687.06 | — |
| Evry Health | COMM | $692.43 | — |
| Cigna | LocalPlus | $708.53 | — |
| Cigna | NewBusiness | $708.53 | — |
| Cigna | OpenAccessPlus | $791.73 | — |
| Cigna | NetworkBenefit | $791.73 | — |
| Cigna | HMO | $791.73 | — |
| Aetna | OON | $805.15 | — |
| LifeCare Hospitals | MGMCD | $820.48 | — |
| LifeCare Hospitals | MGMCR | $820.48 | — |
| Healthcare Highways | CityofPlano | $907.13 | — |
| Cigna | AllOther | $1,001.06 | — |
| Prominence Health Plan | HIX | $1,073.53 | — |
| Curative Administrators | COMM | $1,073.53 | — |
| BCBS | Traditional | $1,214.31 | — |
| City of McKinney | COMM | $1,230.72 | — |
| Fidelis SecureCare | MGMCR | $1,230.72 | — |
| National ChoiceCare | WCOMP | $1,367.47 | — |
| Aetna | ASA | $1,414.37 | — |
| Rockport Health Group | WORKERSCOMP | $1,504.22 | — |
| Physicians Coop of TX | MGMCR | $1,504.22 | — |
| PC Texas Partners | WCOMP | $1,504.22 | — |
| Aetna | WCOMP | $1,504.22 | — |
| Averde Health, Inc | PPO | $1,586.27 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $1,623.71 | — |
| Aetna Coventry First Health | EXCLUSIVE | $1,623.71 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $1,777.71 | — |
| Multiplan PHCS | PrimaryNetwork | $1,878.67 | — |
| Mega Life | MGMCRPPO | $1,914.46 | — |
| Coastal Comp Health Networks | WCOMP | $1,914.46 | — |
| HealthSmart Preferred Care | PPO | $2,051.20 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $2,051.20 | — |
| USA Managed Care | COMM | $2,187.95 | — |
| USC Health Services | COMM | $2,187.95 | — |
| Galaxy Health Network | PPO | $2,324.70 | — |
| Independent Medical Systems | COMM | $2,683.82 | — |
| National Healthcare Solutions | COMM | $2,683.82 | — |
| Unicare | MCD | $2,734.94 | — |
Visitor-reported prices
Comments
Emg 2 ext w-w/o paraspinal area 95861 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $651.34 | $126.97 – $814.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $651.34 | $126.97 – $814.17 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $651.34 | $126.97 – $814.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $649.80 | $133.75 – $974.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $497.74 | $99.55 – $622.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $649.80 | $126.97 – $974.70 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $649.80 | $316.45 – $974.70 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $497.74 | $126.97 – $746.60 |