Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm at MEDICAL CITY FRISCO HOSPITAL

5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

not published by hospital

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

not published by hospital

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$22.55 with Humana vs $394.00 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 →

Payer
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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
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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 $22.55
TriWest Health Alliance TRCR $23.25
Superior Health Plan CHIP $27.58
Superior Health Plan STARPLUS $27.58
Superior Health Plan STARKids $27.58
Superior Health Plan MCDSTAR $27.58
Superior Health Plan STARHealth $27.58
Cigna IFP $53.19
Cigna QHP $55.16
Aetna QHPHIX $64.22
United OptionsPPO $68.56
Aetna NewBusiness $93.77
Aetna Meritain $100.86
Aetna COMM $100.86
LifeCare Hospitals MGMCR $118.20
LifeCare Hospitals MGMCD $118.20
Aetna OON $118.20
Healthcare Highways CityofPlano $133.17
BCBS BluePremier $153.78
Prominence Health Plan HIX $157.60
Cigna LocalPlus $157.87
Cigna NewBusiness $158.03
BCBS MyBlueHealth $160.29
BCBS BlueAdvantageHMO $160.29
BCBS Traditional $174.94
Cigna NetworkBenefit $176.37
Cigna OpenAccessPlus $176.37
Cigna HMO $176.37
City of McKinney COMM $177.30
National ChoiceCare WCOMP $197.00
Aetna ASA $207.64
United AllPayerAppendix $209.78
United NarrowNetworkIndivExchange $209.78
United SmallGroup $209.78
Rockport Health Group WORKERSCOMP $216.70
Aetna WCOMP $216.70
PC Texas Partners WCOMP $216.70
Physicians Coop of TX MGMCR $216.70
Cigna AllOther $223.12
Averde Health, Inc PPO $228.52
BCBS BlueEssentialsAccess $234.62
BCBS BlueEssentials $234.62
Aetna Coventry First Health NONEXCLUSIVE $238.37
Aetna Coventry First Health EXCLUSIVE $238.37
BCBS EPOSOA $246.24
Humana COMM $256.03
Texas Healthcare Foundation WC WORKERSCOMP $256.10
BCBS PPO $257.85
Mega Life MGMCRPPO $275.80
Coastal Comp Health Networks WCOMP $275.80
LEWISVILLE ISD/DLS CONSULTING COMMPPO $295.50
HealthSmart Preferred Care PPO $295.50
USA Managed Care COMM $315.20
USC Health Services COMM $315.20
Galaxy Health Network PPO $334.90
Unicare MCD $394.00
Independent Medical Systems COMM $394.00
National Healthcare Solutions COMM $394.00

Visitor-reported prices

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Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $288.32 $18.86 – $268.77
BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY Frisco $288.32 $33.01 – $268.77
Texas Health Hospital Frisco Frisco $142.68 $60.63 – $60.63
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $288.32 $20.04 – $268.77
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $288.32 $14.56 – $106.11
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $288.32 $14.15 – $131.26
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $288.32 $22.71 – $186.89
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $288.32 $36.55 – $106.11

All Texas hospitals for this procedure →