Expose endoprosth brachial 34834 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.
$187.86 with BCBS vs $40,314.12 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 |
|---|---|---|---|
| BCBS | BluePremier | $187.86 | — |
| BCBS | BlueEssentials | $1,733.97 | — |
| BCBS | BlueEssentialsAccess | $1,733.97 | — |
| BCBS | EPOSOA | $1,820.47 | — |
| BCBS | MyBlueHealth | $1,869.12 | — |
| BCBS | BlueAdvantageHMO | $1,869.12 | — |
| BCBS | PPO | $1,905.62 | — |
| Fidelis SecureCare | MGMCR | $1,995.00 | — |
| Healthcare Highways | NarrowNetwork | $2,069.00 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| Superior Health Plan | CHIP | $2,821.99 | — |
| Superior Health Plan | STARKids | $2,821.99 | — |
| Superior Health Plan | STARPLUS | $2,821.99 | — |
| Superior Health Plan | MCDSTAR | $2,821.99 | — |
| Superior Health Plan | STARHealth | $2,821.99 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Aetna | Meritain | $3,682.00 | — |
| Aetna | COMM | $3,682.00 | — |
| Aetna | OON | $4,332.00 | — |
| Cigna | IFP | $5,442.41 | — |
| Cigna | QHP | $5,643.98 | — |
| Oscar | HIX | $6,587.00 | — |
| United | OptionsPPO | $7,014.66 | — |
| Humana | COMM | $7,113.00 | — |
| Imperial Insurance Company | MCR | $7,659.68 | — |
| United | SmallGroup | $7,977.00 | — |
| United | NarrowNetworkIndivExchange | $9,360.00 | — |
| United | AllPayerAppendix | $10,868.00 | — |
| Curative Administrators | COMM | $12,018.00 | — |
| LifeCare Hospitals | MGMCR | $12,094.24 | — |
| LifeCare Hospitals | MGMCD | $12,094.24 | — |
| Healthcare Highways | CityofPlano | $13,626.17 | — |
| Prominence Health Plan | HIX | $16,125.65 | — |
| Evry Health | COMM | $16,144.00 | — |
| BCBS | Traditional | $17,899.47 | — |
| City of McKinney | COMM | $18,141.35 | — |
| National ChoiceCare | WCOMP | $20,157.06 | — |
| Aetna | ASA | $21,245.54 | — |
| Cigna | LocalPlus | $21,804.00 | — |
| Cigna | NewBusiness | $21,826.00 | — |
| Aetna | WCOMP | $22,172.77 | — |
| Physicians Coop of TX | MGMCR | $22,172.77 | — |
| Rockport Health Group | WORKERSCOMP | $22,172.77 | — |
| PC Texas Partners | WCOMP | $22,172.77 | — |
| Averde Health, Inc | PPO | $23,382.19 | — |
| Cigna | HMO | $24,362.00 | — |
| Cigna | NetworkBenefit | $24,362.00 | — |
| Cigna | OpenAccessPlus | $24,362.00 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $24,390.04 | — |
| Aetna Coventry First Health | EXCLUSIVE | $24,390.04 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $26,204.18 | — |
| Coastal Comp Health Networks | WCOMP | $28,219.88 | — |
| Mega Life | MGMCRPPO | $28,219.88 | — |
| Multiplan PHCS | PrimaryNetwork | $28,219.88 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $30,235.59 | — |
| HealthSmart Preferred Care | PPO | $30,235.59 | — |
| Cigna | AllOther | $30,818.00 | — |
| USA Managed Care | COMM | $32,251.30 | — |
| USC Health Services | COMM | $32,251.30 | — |
| Galaxy Health Network | PPO | $34,267.00 | — |
| National Healthcare Solutions | COMM | $40,314.12 | — |
| Unicare | MCD | $40,314.12 | — |
| Independent Medical Systems | COMM | $40,314.12 | — |
| WellMed | MGMCR | not published by hospital | — |
Visitor-reported prices
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Expose endoprosth brachial 34834 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $215.40 | $57.44 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $215.40 | $100.52 – $7,038.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $215.40 | $61.03 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $8,738.33 | $212.19 – $13,107.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $9,612.17 | $212.19 – $12,015.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $8,738.33 | $259.49 – $13,107.50 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $8,738.33 | $2,234.00 – $13,107.50 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $9,612.17 | $212.19 – $14,418.25 |