Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm 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.
$132.28 with Humana vs $2,392.00 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 |
|---|---|---|---|
| Humana | Tricare | $132.28 | — |
| TriWest Health Alliance | TRCR | $136.37 | — |
| Superior Health Plan | CHIP | $167.44 | — |
| Superior Health Plan | MCDSTAR | $167.44 | — |
| Superior Health Plan | STARPLUS | $167.44 | — |
| Superior Health Plan | STARKids | $167.44 | — |
| Superior Health Plan | STARHealth | $167.44 | — |
| United | NarrowNetworkIndivExchange | $209.78 | — |
| United | AllPayerAppendix | $209.78 | — |
| United | SmallGroup | $209.78 | — |
| Cigna | IFP | $322.92 | — |
| Cigna | QHP | $334.88 | — |
| Aetna | QHPHIX | $389.90 | — |
| United | OptionsPPO | $416.21 | — |
| Aetna | NewBusiness | $569.30 | — |
| BCBS | MyBlueHealth | $590.82 | — |
| BCBS | BlueAdvantageHMO | $590.82 | — |
| Aetna | COMM | $612.35 | — |
| Aetna | Meritain | $612.35 | — |
| BCBS | BluePremier | $698.46 | — |
| Aetna | OON | $717.60 | — |
| LifeCare Hospitals | MGMCR | $717.60 | — |
| LifeCare Hospitals | MGMCD | $717.60 | — |
| BCBS | BlueEssentials | $763.05 | — |
| BCBS | BlueEssentialsAccess | $763.05 | — |
| BCBS | EPOSOA | $801.32 | — |
| Healthcare Highways | CityofPlano | $808.50 | — |
| Cigna | LocalPlus | $824.03 | — |
| Cigna | NewBusiness | $824.84 | — |
| BCBS | PPO | $837.20 | — |
| Cigna | OpenAccessPlus | $920.58 | — |
| Cigna | NetworkBenefit | $920.58 | — |
| Cigna | HMO | $920.58 | — |
| Humana | COMM | $942.79 | — |
| Prominence Health Plan | HIX | $956.80 | — |
| BCBS | Traditional | $1,062.05 | — |
| City of McKinney | COMM | $1,076.40 | — |
| Cigna | AllOther | $1,164.61 | — |
| National ChoiceCare | WCOMP | $1,196.00 | — |
| Aetna | ASA | $1,260.58 | — |
| Physicians Coop of TX | MGMCR | $1,315.60 | — |
| Aetna | WCOMP | $1,315.60 | — |
| Rockport Health Group | WORKERSCOMP | $1,315.60 | — |
| PC Texas Partners | WCOMP | $1,315.60 | — |
| Averde Health, Inc | PPO | $1,387.36 | — |
| Aetna Coventry First Health | EXCLUSIVE | $1,447.16 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $1,447.16 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $1,554.80 | — |
| Mega Life | MGMCRPPO | $1,674.40 | — |
| Coastal Comp Health Networks | WCOMP | $1,674.40 | — |
| HealthSmart Preferred Care | PPO | $1,794.00 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,794.00 | — |
| USC Health Services | COMM | $1,913.60 | — |
| USA Managed Care | COMM | $1,913.60 | — |
| Galaxy Health Network | PPO | $2,033.20 | — |
| National Healthcare Solutions | COMM | $2,392.00 | — |
| Unicare | MCD | $2,392.00 | — |
| Independent Medical Systems | COMM | $2,392.00 | — |
Visitor-reported prices
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Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $765.06 | $50.08 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $765.06 | $87.64 – $268.77 |
| Texas Health Hospital Frisco | Frisco | $1,132.47 | not published |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $765.06 | $53.21 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $765.06 | $38.66 – $281.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $765.06 | $37.56 – $234.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $765.06 | $60.28 – $281.70 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $765.06 | $97.03 – $281.70 |