Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,995.00 with Fidelis SecureCare vs $109,000.00 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Fidelis SecureCare | MGMCR | $1,995.00 | — |
| Superior Health Plan | STARHealth | $2,369.00 | — |
| Superior Health Plan | MCDSTAR | $2,369.00 | — |
| Superior Health Plan | STARPLUS | $2,369.00 | — |
| Superior Health Plan | CHIP | $2,369.00 | — |
| Superior Health Plan | STARKids | $2,369.00 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Aetna | Meritain | $3,682.00 | — |
| Aetna | COMM | $3,682.00 | — |
| Aetna | OON | $4,332.00 | — |
| Cigna | IFP | $6,512.79 | — |
| Cigna | QHP | $6,754.00 | — |
| Humana | COMM | $7,113.00 | — |
| Oscar | HIX | $7,883.00 | — |
| United | OptionsPPO | $8,394.26 | — |
| Evry Health | COMM | $10,714.00 | — |
| BCBS | BluePremier | $14,086.92 | — |
| LifeCare Hospitals | MGMCD | $14,472.86 | — |
| LifeCare Hospitals | MGMCR | $14,472.86 | — |
| Healthcare Highways | NarrowNetwork | $14,600.00 | — |
| Healthcare Highways | CityofPlano | $16,306.09 | — |
| Prominence Health Plan | HIX | $19,297.15 | — |
| BCBS | Traditional | $21,419.84 | — |
| City of McKinney | COMM | $21,709.30 | — |
| Cigna | LocalPlus | $21,804.00 | — |
| Cigna | NewBusiness | $21,826.00 | — |
| United | STARPLUS | $21,852.74 | — |
| United | STARKids | $21,852.74 | — |
| United | STARPerinate | $21,852.74 | — |
| United | STAR | $21,852.74 | — |
| United | CHIP | $21,852.74 | — |
| Cigna Healthspring | MGMCD | $22,945.38 | — |
| Amerigroup | CHIP | $22,945.38 | — |
| Amerigroup | MGMCD | $22,945.38 | — |
| Curative Administrators | COMM | $24,035.00 | — |
| Molina | MCDSTAR | $24,038.01 | — |
| Molina | STAR+PLUS | $24,038.01 | — |
| Molina | CHIP | $24,038.01 | — |
| Parkland Community Health Plan | MCD | $24,038.01 | — |
| Molina | STARKIDS | $24,038.01 | — |
| National ChoiceCare | WCOMP | $24,121.44 | — |
| Cigna | NetworkBenefit | $24,362.00 | — |
| Cigna | OpenAccessPlus | $24,362.00 | — |
| Cigna | HMO | $24,362.00 | — |
| Aetna | ASA | $25,424.00 | — |
| Aetna Better Health | CHIP | $26,223.29 | — |
| Aetna Better Health | MCD | $26,223.29 | — |
| Aetna | WCOMP | $26,533.58 | — |
| Physicians Coop of TX | MGMCR | $26,533.58 | — |
| Rockport Health Group | WORKERSCOMP | $26,533.58 | — |
| PC Texas Partners | WCOMP | $26,533.58 | — |
| Humana | MGMCD | $27,315.93 | — |
| Averde Health, Inc | PPO | $27,980.87 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $29,186.94 | — |
| Aetna Coventry First Health | EXCLUSIVE | $29,186.94 | — |
| Cigna | AllOther | $30,818.00 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $31,357.87 | — |
| WellMed | MGMCR | $31,689.56 | — |
| Coastal Comp Health Networks | WCOMP | $33,770.02 | — |
| Multiplan PHCS | PrimaryNetwork | $33,770.02 | — |
| Mega Life | MGMCRPPO | $33,770.02 | — |
| HealthSmart Preferred Care | PPO | $36,182.16 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $36,182.16 | — |
| USA Managed Care | COMM | $38,594.30 | — |
| USC Health Services | COMM | $38,594.30 | — |
| Galaxy Health Network | PPO | $41,006.45 | — |
| National Healthcare Solutions | COMM | $48,242.88 | — |
| Independent Medical Systems | COMM | $48,242.88 | — |
| Unicare | MCD | $48,242.88 | — |
| United | NarrowNetworkIndivExchange | $62,381.00 | — |
| BCBS | MyBlueHealth | $65,210.93 | — |
| BCBS | BlueAdvantageHMO | $65,210.93 | — |
| BCBS | BlueEssentials | $77,155.51 | — |
| BCBS | BlueEssentialsAccess | $77,155.51 | — |
| United | SmallGroup | $77,953.00 | — |
| BCBS | EPOSOA | $81,029.43 | — |
| BCBS | PPO | $84,903.34 | — |
| United | AllPayerAppendix | $109,000.00 | — |
Visitor-reported prices
Comments
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $43,324.90 | $21,852.74 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $43,324.90 | $21,852.74 – $67,793.59 |
| Texas Health Hospital Frisco | Frisco | $51,832.80 | $21,852.74 – $23,600.96 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $43,324.90 | $6,299.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $42,510.52 | $8,750.08 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $40,970.38 | $15,811.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $42,510.52 | $15,811.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $42,510.52 | $21,852.74 – $81,499.55 |