Ins icd gen exist sgl lead at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$31,428.28
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.
$31,428.28
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.
$2,369.00 with Superior Health Plan vs $109,000.00 with United — 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 | $2,369.00 | ↓ -92% |
| Superior Health Plan | STARHealth | $2,369.00 | ↓ -92% |
| Superior Health Plan | MCDSTAR | $2,369.00 | ↓ -92% |
| Superior Health Plan | STARPLUS | $2,369.00 | ↓ -92% |
| Superior Health Plan | STARKids | $2,369.00 | ↓ -92% |
| Aetna | QHPHIX | $2,513.00 | ↓ -92% |
| Aetna | NewBusiness | $3,445.00 | ↓ -89% |
| Aetna | Meritain | $3,682.00 | ↓ -88% |
| Aetna | COMM | $3,682.00 | ↓ -88% |
| Cigna | IFP | $3,788.23 | ↓ -88% |
| Cigna | QHP | $3,928.53 | ↓ -88% |
| Fidelis SecureCare | MGMCR | $4,250.00 | ↓ -86% |
| Aetna | OON | $4,332.00 | ↓ -86% |
| United | OptionsPPO | $4,882.61 | ↓ -84% |
| Humana | COMM | $7,113.00 | ↓ -77% |
| Oscar | HIX | $7,883.00 | ↓ -75% |
| BCBS | BluePremier | $8,193.80 | ↓ -74% |
| LifeCare Hospitals | MGMCD | $8,418.29 | ↓ -73% |
| LifeCare Hospitals | MGMCR | $8,418.29 | ↓ -73% |
| Healthcare Highways | CityofPlano | $9,484.60 | ↓ -70% |
| Evry Health | COMM | $10,714.00 | ↓ -66% |
| Prominence Health Plan | HIX | $11,224.38 | ↓ -64% |
| BCBS | Traditional | $12,459.07 | ↓ -60% |
| City of McKinney | COMM | $12,627.43 | ↓ -60% |
| National ChoiceCare | WCOMP | $14,030.48 | ↓ -55% |
| Healthcare Highways | NarrowNetwork | $14,600.00 | ↓ -54% |
| Aetna | ASA | $14,788.13 | ↓ -53% |
| PC Texas Partners | WCOMP | $15,433.53 | ↓ -51% |
| Aetna | WCOMP | $15,433.53 | ↓ -51% |
| Rockport Health Group | WORKERSCOMP | $15,433.53 | ↓ -51% |
| Physicians Coop of TX | MGMCR | $15,433.53 | ↓ -51% |
| Averde Health, Inc | PPO | $16,275.36 | ↓ -48% |
| United | STARKids | $16,654.19 | ↓ -47% |
| United | CHIP | $16,654.19 | ↓ -47% |
| United | STAR | $16,654.19 | ↓ -47% |
| United | STARPLUS | $16,654.19 | ↓ -47% |
| United | STARPerinate | $16,654.19 | ↓ -47% |
| Aetna Coventry First Health | EXCLUSIVE | $16,976.88 | ↓ -46% |
| Aetna Coventry First Health | NONEXCLUSIVE | $16,976.88 | ↓ -46% |
| Amerigroup | MGMCD | $17,486.90 | ↓ -44% |
| Amerigroup | CHIP | $17,486.90 | ↓ -44% |
| Cigna Healthspring | MGMCD | $17,486.90 | ↓ -44% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $18,239.62 | ↓ -42% |
| Parkland Community Health Plan | MCD | $18,319.61 | ↓ -42% |
| Molina | CHIP | $18,319.61 | ↓ -42% |
| Molina | STAR+PLUS | $18,319.61 | ↓ -42% |
| Molina | STARKIDS | $18,319.61 | ↓ -42% |
| Molina | MCDSTAR | $18,319.61 | ↓ -42% |
| Coastal Comp Health Networks | WCOMP | $19,642.67 | ↓ -38% |
| Multiplan PHCS | PrimaryNetwork | $19,642.67 | ↓ -38% |
| Mega Life | MGMCRPPO | $19,642.67 | ↓ -38% |
| Aetna Better Health | CHIP | $19,985.03 | ↓ -36% |
| Aetna Better Health | MCD | $19,985.03 | ↓ -36% |
| Humana | MGMCD | $20,817.74 | ↓ -34% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $21,045.72 | ↓ -33% |
| HealthSmart Preferred Care | PPO | $21,045.72 | ↓ -33% |
| Cigna | LocalPlus | $21,804.00 | ↓ -31% |
| Cigna | NewBusiness | $21,826.00 | ↓ -31% |
| USA Managed Care | COMM | $22,448.77 | ↓ -29% |
| USC Health Services | COMM | $22,448.77 | ↓ -29% |
| WellMed | MGMCR | $22,456.66 | ↓ -29% |
| Galaxy Health Network | PPO | $23,851.82 | ↓ -24% |
| Curative Administrators | COMM | $24,035.00 | ↓ -24% |
| Cigna | NetworkBenefit | $24,362.00 | ↓ -22% |
| Cigna | HMO | $24,362.00 | ↓ -22% |
| Cigna | OpenAccessPlus | $24,362.00 | ↓ -22% |
| Unicare | MCD | $28,060.96 | ↓ -11% |
| National Healthcare Solutions | COMM | $28,060.96 | ↓ -11% |
| Independent Medical Systems | COMM | $28,060.96 | ↓ -11% |
| Cigna | AllOther | $30,818.00 | ↓ -2% |
| BCBS | BlueAdvantageHMO | $45,880.04 | ↑ +46% |
| BCBS | MyBlueHealth | $45,880.04 | ↑ +46% |
| BCBS | BlueEssentialsAccess | $54,283.81 | ↑ +73% |
| BCBS | BlueEssentials | $54,283.81 | ↑ +73% |
| BCBS | EPOSOA | $57,009.35 | ↑ +81% |
| BCBS | PPO | $59,734.90 | ↑ +90% |
| United | NarrowNetworkIndivExchange | $62,381.00 | ↑ +98% |
| United | SmallGroup | $77,953.00 | ↑ +148% |
| United | AllPayerAppendix | $109,000.00 | ↑ +247% |
Visitor-reported prices
Comments
Ins icd gen exist sgl lead at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $31,662.03 | $16,654.19 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $31,662.03 | $16,654.19 – $48,041.62 |
| Texas Health Hospital Frisco | Frisco | not published | $16,654.19 – $17,986.53 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $31,662.03 | $6,299.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $26,532.62 | $5,461.30 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $27,661.55 | $15,811.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $26,532.62 | $15,811.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $26,532.62 | $13,462.00 – $58,392.49 |