Inj proc myelogram lumbar at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$6,384.96
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.
$6,384.96
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.
$399.06 with Superior Health Plan vs $6,384.96 with National Healthcare Solutions — 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 | $399.06 | ↓ -94% |
| Superior Health Plan | STARHealth | $399.06 | ↓ -94% |
| Superior Health Plan | MCDSTAR | $399.06 | ↓ -94% |
| Superior Health Plan | STARPLUS | $399.06 | ↓ -94% |
| Superior Health Plan | STARKids | $399.06 | ↓ -94% |
| Humana | COMM | $695.70 | ↓ -89% |
| Cigna | IFP | $769.62 | ↓ -88% |
| Cigna | QHP | $798.12 | ↓ -88% |
| United | OptionsPPO | $991.95 | ↓ -84% |
| Imperial Insurance Company | MCR | $1,213.14 | ↓ -81% |
| United | NarrowNetworkIndivExchange | $1,259.00 | ↓ -80% |
| BCBS | BlueAdvantageHMO | $1,408.11 | ↓ -78% |
| BCBS | MyBlueHealth | $1,408.11 | ↓ -78% |
| United | SmallGroup | $1,454.00 | ↓ -77% |
| Cigna | NewBusiness | $1,505.03 | ↓ -76% |
| Cigna | LocalPlus | $1,505.03 | ↓ -76% |
| BCBS | BluePremier | $1,664.65 | ↓ -74% |
| Curative Administrators | COMM | $1,672.00 | ↓ -74% |
| Cigna | NetworkBenefit | $1,681.75 | ↓ -74% |
| Cigna | HMO | $1,681.75 | ↓ -74% |
| Cigna | OpenAccessPlus | $1,681.75 | ↓ -74% |
| BCBS | BlueEssentials | $1,818.57 | ↓ -72% |
| BCBS | BlueEssentialsAccess | $1,818.57 | ↓ -72% |
| BCBS | EPOSOA | $1,909.79 | ↓ -70% |
| Healthcare Highways | CityofPlano | $1,926.89 | ↓ -70% |
| Fidelis SecureCare | MGMCR | $1,995.00 | ↓ -69% |
| BCBS | PPO | $1,995.30 | ↓ -69% |
| Healthcare Highways | NarrowNetwork | $2,069.00 | ↓ -68% |
| Cigna | AllOther | $2,126.42 | ↓ -67% |
| United | AllPayerAppendix | $2,174.00 | ↓ -66% |
| Evry Health | COMM | $2,287.00 | ↓ -64% |
| Aetna | QHPHIX | $2,513.00 | ↓ -61% |
| BCBS | Traditional | $2,531.18 | ↓ -60% |
| Prominence Health Plan | HIX | $2,553.98 | ↓ -60% |
| Oscar | HIX | $2,636.00 | ↓ -59% |
| Aetna | ASA | $3,004.35 | ↓ -53% |
| Aetna | NewBusiness | $3,445.00 | ↓ -46% |
| Aetna Coventry First Health | NONEXCLUSIVE | $3,449.02 | ↓ -46% |
| Aetna Coventry First Health | EXCLUSIVE | $3,449.02 | ↓ -46% |
| Aetna | Meritain | $3,682.00 | ↓ -42% |
| Aetna | COMM | $3,682.00 | ↓ -42% |
| Multiplan PHCS | PrimaryNetwork | $3,990.60 | ↓ -38% |
| Aetna | OON | $4,332.00 | ↓ -32% |
| Independent Medical Systems | COMM | $6,384.96 | ↑ +0% |
| National Healthcare Solutions | COMM | $6,384.96 | ↑ +0% |
| WellMed | MGMCR | not published by hospital | — |
Visitor-reported prices
Comments
Inj proc myelogram lumbar at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,267.73 | $338.06 – $1,795.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $1,267.73 | $591.61 – $1,795.96 |
| Texas Health Hospital Frisco | Frisco | $651.90 | not published |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,267.73 | $359.19 – $1,795.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $266.48 | $54.85 – $399.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $317.24 | $63.45 – $396.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $266.48 | $85.00 – $399.72 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $266.48 | $137.68 – $399.72 |