Perc d-e cor revasc t cabg s 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.
$5,591.00 with Superior Health Plan vs $94,000.00 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 | $5,591.00 | — |
| Superior Health Plan | STARHealth | $5,591.00 | — |
| Superior Health Plan | MCDSTAR | $5,591.00 | — |
| Superior Health Plan | STARPLUS | $5,591.00 | — |
| Superior Health Plan | STARKids | $5,591.00 | — |
| Cigna | IFP | $6,207.21 | — |
| Cigna | QHP | $6,437.10 | — |
| Aetna | QHPHIX | $7,494.63 | — |
| United | OptionsPPO | $8,000.40 | — |
| Aetna | NewBusiness | $10,943.07 | — |
| Aetna | COMM | $11,770.70 | — |
| Aetna | Meritain | $11,770.70 | — |
| Oscar | HIX | $12,897.00 | — |
| LifeCare Hospitals | MGMCD | $13,793.79 | — |
| LifeCare Hospitals | MGMCR | $13,793.79 | — |
| Aetna | OON | $13,793.79 | — |
| Humana | COMM | $14,248.99 | — |
| Healthcare Highways | CityofPlano | $15,541.00 | — |
| Prominence Health Plan | HIX | $18,391.72 | — |
| BCBS | Traditional | $20,414.81 | — |
| City of McKinney | COMM | $20,690.69 | — |
| Fidelis SecureCare | MGMCR | $20,690.69 | — |
| National ChoiceCare | WCOMP | $22,989.65 | — |
| BCBS | BluePremier | $23,384.01 | — |
| Aetna | ASA | $24,231.09 | — |
| PC Texas Partners | WCOMP | $25,288.62 | — |
| Physicians Coop of TX | MGMCR | $25,288.62 | — |
| Rockport Health Group | WORKERSCOMP | $25,288.62 | — |
| Aetna | WCOMP | $25,288.62 | — |
| Averde Health, Inc | PPO | $26,667.99 | — |
| Healthcare Highways | NarrowNetwork | $26,766.00 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $27,817.48 | — |
| Aetna Coventry First Health | EXCLUSIVE | $27,817.48 | — |
| Evry Health | COMM | $29,597.00 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $29,886.54 | — |
| BCBS | BlueAdvantageHMO | $30,319.95 | — |
| BCBS | MyBlueHealth | $30,319.95 | — |
| Multiplan PHCS | PrimaryNetwork | $32,185.51 | — |
| Coastal Comp Health Networks | WCOMP | $32,185.51 | — |
| Mega Life | MGMCRPPO | $32,185.51 | — |
| Cigna | LocalPlus | $32,724.00 | — |
| Cigna | NewBusiness | $32,756.00 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $34,484.47 | — |
| HealthSmart Preferred Care | PPO | $34,484.47 | — |
| Cigna | HMO | $36,562.00 | — |
| Cigna | OpenAccessPlus | $36,562.00 | — |
| Cigna | NetworkBenefit | $36,562.00 | — |
| USC Health Services | COMM | $36,783.44 | — |
| USA Managed Care | COMM | $36,783.44 | — |
| Galaxy Health Network | PPO | $39,082.41 | — |
| BCBS | BlueEssentialsAccess | $39,138.50 | — |
| BCBS | BlueEssentials | $39,138.50 | — |
| BCBS | EPOSOA | $41,120.19 | — |
| BCBS | PPO | $43,002.80 | — |
| Curative Administrators | COMM | $43,890.00 | — |
| Independent Medical Systems | COMM | $45,979.30 | — |
| National Healthcare Solutions | COMM | $45,979.30 | — |
| Unicare | MCD | $45,979.30 | — |
| Cigna | AllOther | $46,251.00 | — |
| United | NarrowNetworkIndivExchange | $51,705.00 | — |
| United | SmallGroup | $70,011.00 | — |
| United | AllPayerAppendix | $94,000.00 | — |
Visitor-reported prices
Comments
Perc d-e cor revasc t cabg s at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $21,790.26 | $5,810.74 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $21,790.26 | $10,168.79 – $27,237.83 |
| Texas Health Hospital Frisco | Frisco | $18,808.65 | not published |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $21,790.26 | $6,173.91 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $22,624.54 | $4,656.88 – $33,936.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $21,754.07 | $4,350.81 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $22,624.54 | $7,262.48 – $33,936.81 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $22,624.54 | $11,689.35 – $33,936.81 |