Myelography l-s spine 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.
$109.26 with United vs $3,170.57 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 |
|---|---|---|---|
| United | STARPerinate | $109.26 | — |
| Amerigroup | MGMCD | $109.26 | — |
| United | CHIP | $109.26 | — |
| Amerigroup | CHIP | $109.26 | — |
| United | STAR | $109.26 | — |
| United | STARKids | $109.26 | — |
| United | STARPLUS | $109.26 | — |
| Cigna Healthspring | MGMCD | $114.72 | — |
| Aetna Better Health | CHIP | $118.00 | — |
| Aetna Better Health | MCD | $118.00 | — |
| Aetna | QHPHIX | $118.66 | — |
| Molina | STAR+PLUS | $120.19 | — |
| Parkland Community Health Plan | MCD | $120.19 | — |
| Molina | CHIP | $120.19 | — |
| Molina | MCDSTAR | $120.19 | — |
| Molina | STARKIDS | $120.19 | — |
| Humana | MGMCD | $136.58 | — |
| Aetna | NewBusiness | $162.69 | — |
| Aetna | COMM | $174.28 | — |
| Aetna | Meritain | $174.28 | — |
| Humana | COMM | $203.43 | — |
| Aetna | OON | $204.40 | — |
| Superior Health Plan | STARHealth | $221.94 | — |
| Superior Health Plan | CHIP | $221.94 | — |
| Superior Health Plan | MCDSTAR | $221.94 | — |
| Superior Health Plan | STARPLUS | $221.94 | — |
| Superior Health Plan | STARKids | $221.94 | — |
| Cigna | LocalPlus | $282.98 | — |
| Cigna | NewBusiness | $283.25 | — |
| Cigna | HMO | $316.23 | — |
| Cigna | NetworkBenefit | $316.23 | — |
| Cigna | OpenAccessPlus | $316.23 | — |
| Cigna | AllOther | $399.97 | — |
| Cigna | IFP | $428.03 | — |
| Cigna | QHP | $443.88 | — |
| United | OptionsPPO | $551.68 | — |
| Healthcare Highways | NarrowNetwork | $776.79 | — |
| BCBS | BluePremier | $810.18 | — |
| Evry Health | COMM | $818.01 | — |
| BCBS | BlueAdvantageHMO | $891.87 | — |
| BCBS | MyBlueHealth | $891.87 | — |
| United | SmallGroup | $920.54 | — |
| United | NarrowNetworkIndivExchange | $920.54 | — |
| LifeCare Hospitals | MGMCD | $951.17 | — |
| LifeCare Hospitals | MGMCR | $951.17 | — |
| Healthcare Highways | CityofPlano | $1,071.65 | — |
| Prominence Health Plan | HIX | $1,268.23 | — |
| Curative Administrators | COMM | $1,268.23 | — |
| BCBS | Traditional | $1,407.73 | — |
| Fidelis SecureCare | MGMCR | $1,426.76 | — |
| City of McKinney | COMM | $1,426.76 | — |
| National ChoiceCare | WCOMP | $1,585.29 | — |
| United | AllPayerAppendix | $1,609.16 | — |
| Aetna | ASA | $1,670.89 | — |
| PC Texas Partners | WCOMP | $1,743.81 | — |
| Physicians Coop of TX | MGMCR | $1,743.81 | — |
| Rockport Health Group | WORKERSCOMP | $1,743.81 | — |
| Aetna | WCOMP | $1,743.81 | — |
| Averde Health, Inc | PPO | $1,838.93 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $1,918.19 | — |
| Aetna Coventry First Health | EXCLUSIVE | $1,918.19 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $2,060.87 | — |
| Mega Life | MGMCRPPO | $2,219.40 | — |
| Multiplan PHCS | PrimaryNetwork | $2,219.40 | — |
| Coastal Comp Health Networks | WCOMP | $2,219.40 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $2,377.93 | — |
| HealthSmart Preferred Care | PPO | $2,377.93 | — |
| USA Managed Care | COMM | $2,536.46 | — |
| USC Health Services | COMM | $2,536.46 | — |
| BCBS | BlueEssentials | $2,648.39 | — |
| BCBS | BlueEssentialsAccess | $2,648.39 | — |
| Galaxy Health Network | PPO | $2,694.98 | — |
| BCBS | EPOSOA | $2,777.75 | — |
| BCBS | PPO | $2,907.10 | — |
| Unicare | MCD | $3,170.57 | — |
| Independent Medical Systems | COMM | $3,170.57 | — |
| National Healthcare Solutions | COMM | $3,170.57 | — |
Visitor-reported prices
Comments
Myelography l-s spine at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,350.68 | $109.26 – $1,983.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $1,350.68 | $109.26 – $1,693.10 |
| Texas Health Hospital Frisco | Frisco | $1,305.60 | $109.26 – $118.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,350.68 | $109.26 – $1,983.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,334.09 | $274.60 – $2,001.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,334.09 | $109.26 – $1,983.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,334.09 | $116.91 – $2,001.13 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,334.09 | $109.26 – $2,001.13 |