Repair av fistula ext 35190 at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$14,785.80
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.
$14,785.80
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.
$1,035.01 with Superior Health Plan vs $30,818.00 with Cigna — 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 | $1,035.01 | ↓ -93% |
| Superior Health Plan | STARHealth | $1,035.01 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $1,035.01 | ↓ -93% |
| Superior Health Plan | STARPLUS | $1,035.01 | ↓ -93% |
| Superior Health Plan | STARKids | $1,035.01 | ↓ -93% |
| Fidelis SecureCare | MGMCR | $1,995.00 | ↓ -87% |
| Cigna | IFP | $1,996.08 | ↓ -87% |
| Cigna | QHP | $2,070.01 | ↓ -86% |
| Aetna | QHPHIX | $2,513.00 | ↓ -83% |
| United | OptionsPPO | $2,572.73 | ↓ -83% |
| Aetna | NewBusiness | $3,445.00 | ↓ -77% |
| Aetna | COMM | $3,682.00 | ↓ -75% |
| Aetna | Meritain | $3,682.00 | ↓ -75% |
| Aetna | OON | $4,332.00 | ↓ -71% |
| LifeCare Hospitals | MGMCD | $4,435.74 | ↓ -70% |
| LifeCare Hospitals | MGMCR | $4,435.74 | ↓ -70% |
| Healthcare Highways | CityofPlano | $4,997.60 | ↓ -66% |
| Humana | COMM | $5,461.56 | ↓ -63% |
| Healthcare Highways | NarrowNetwork | $5,475.00 | ↓ -63% |
| WellMed | MGMCR | $5,617.79 | ↓ -62% |
| Prominence Health Plan | HIX | $5,914.32 | ↓ -60% |
| Evry Health | COMM | $6,054.00 | ↓ -59% |
| BCBS | BluePremier | $6,388.70 | ↓ -57% |
| BCBS | Traditional | $6,564.90 | ↓ -56% |
| City of McKinney | COMM | $6,653.61 | ↓ -55% |
| Oscar | HIX | $7,168.00 | ↓ -52% |
| National ChoiceCare | WCOMP | $7,392.90 | ↓ -50% |
| Aetna | ASA | $7,792.12 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $8,132.19 | ↓ -45% |
| Aetna | WCOMP | $8,132.19 | ↓ -45% |
| PC Texas Partners | WCOMP | $8,132.19 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $8,132.19 | ↓ -45% |
| Averde Health, Inc | PPO | $8,575.76 | ↓ -42% |
| Curative Administrators | COMM | $8,778.00 | ↓ -41% |
| Aetna Coventry First Health | EXCLUSIVE | $8,945.41 | ↓ -39% |
| Aetna Coventry First Health | NONEXCLUSIVE | $8,945.41 | ↓ -39% |
| BCBS | BlueAdvantageHMO | $9,284.30 | ↓ -37% |
| BCBS | MyBlueHealth | $9,284.30 | ↓ -37% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $9,610.77 | ↓ -35% |
| United | NarrowNetworkIndivExchange | $10,089.00 | ↓ -32% |
| Coastal Comp Health Networks | WCOMP | $10,350.06 | ↓ -30% |
| Mega Life | MGMCRPPO | $10,350.06 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $10,350.06 | ↓ -30% |
| United | SmallGroup | $10,730.00 | ↓ -27% |
| BCBS | BlueEssentials | $10,984.89 | ↓ -26% |
| BCBS | BlueEssentialsAccess | $10,984.89 | ↓ -26% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $11,089.35 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $11,089.35 | ↓ -25% |
| BCBS | EPOSOA | $11,536.44 | ↓ -22% |
| USC Health Services | COMM | $11,828.64 | ↓ -20% |
| USA Managed Care | COMM | $11,828.64 | ↓ -20% |
| BCBS | PPO | $12,087.98 | ↓ -18% |
| Galaxy Health Network | PPO | $12,567.93 | ↓ -15% |
| National Healthcare Solutions | COMM | $14,785.80 | ↑ +0% |
| Independent Medical Systems | COMM | $14,785.80 | ↑ +0% |
| Unicare | MCD | $14,785.80 | ↑ +0% |
| United | AllPayerAppendix | $16,960.00 | ↑ +15% |
| Cigna | LocalPlus | $21,804.00 | ↑ +47% |
| Cigna | NewBusiness | $21,826.00 | ↑ +48% |
| Cigna | HMO | $24,362.00 | ↑ +65% |
| Cigna | OpenAccessPlus | $24,362.00 | ↑ +65% |
| Cigna | NetworkBenefit | $24,362.00 | ↑ +65% |
| Cigna | AllOther | $30,818.00 | ↑ +108% |
Visitor-reported prices
Comments
Repair av fistula ext 35190 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $5,321.80 | $71.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,063.80 | $71.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $5,321.80 | $85.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $5,321.80 | $2,749.60 – $13,613.39 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $4,063.80 | $71.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $5,321.80 | $71.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $5,321.80 | $71.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $4,063.80 | $71.00 – $13,613.39 |