Rmvl icd gen w/rplc icd gen mlt lead sys at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$63,178.80
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.
$63,178.80
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.
$1,995.00 with Fidelis SecureCare vs $109,000.00 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 |
|---|---|---|---|
| Fidelis SecureCare | MGMCR | $1,995.00 | ↓ -97% |
| Aetna | QHPHIX | $2,513.00 | ↓ -96% |
| Aetna | NewBusiness | $3,445.00 | ↓ -95% |
| Aetna | Meritain | $3,682.00 | ↓ -94% |
| Aetna | COMM | $3,682.00 | ↓ -94% |
| Superior Health Plan | CHIP | $3,948.67 | ↓ -94% |
| Superior Health Plan | STARHealth | $3,948.67 | ↓ -94% |
| Superior Health Plan | MCDSTAR | $3,948.67 | ↓ -94% |
| Superior Health Plan | STARPLUS | $3,948.67 | ↓ -94% |
| Superior Health Plan | STARKids | $3,948.67 | ↓ -94% |
| Aetna | OON | $4,332.00 | ↓ -93% |
| Humana | COMM | $7,113.00 | ↓ -89% |
| Cigna | IFP | $7,615.30 | ↓ -88% |
| Cigna | QHP | $7,897.35 | ↓ -88% |
| Oscar | HIX | $8,325.00 | ↓ -87% |
| United | OptionsPPO | $9,815.28 | ↓ -84% |
| Healthcare Highways | NarrowNetwork | $14,600.00 | ↓ -77% |
| Evry Health | COMM | $16,144.00 | ↓ -74% |
| BCBS | BluePremier | $16,471.61 | ↓ -74% |
| LifeCare Hospitals | MGMCD | $16,922.89 | ↓ -73% |
| LifeCare Hospitals | MGMCR | $16,922.89 | ↓ -73% |
| Healthcare Highways | CityofPlano | $19,066.46 | ↓ -70% |
| United | CHIP | $21,766.45 | ↓ -66% |
| United | STARPLUS | $21,766.45 | ↓ -66% |
| United | STARPerinate | $21,766.45 | ↓ -66% |
| United | STAR | $21,766.45 | ↓ -66% |
| United | STARKids | $21,766.45 | ↓ -66% |
| Cigna | LocalPlus | $21,804.00 | ↓ -65% |
| Cigna | NewBusiness | $21,826.00 | ↓ -65% |
| Prominence Health Plan | HIX | $22,563.86 | ↓ -64% |
| Amerigroup | CHIP | $22,854.77 | ↓ -64% |
| Cigna Healthspring | MGMCD | $22,854.77 | ↓ -64% |
| Amerigroup | MGMCD | $22,854.77 | ↓ -64% |
| Parkland Community Health Plan | MCD | $23,943.10 | ↓ -62% |
| Molina | MCDSTAR | $23,943.10 | ↓ -62% |
| Molina | CHIP | $23,943.10 | ↓ -62% |
| Molina | STAR+PLUS | $23,943.10 | ↓ -62% |
| Molina | STARKIDS | $23,943.10 | ↓ -62% |
| Cigna | NetworkBenefit | $24,362.00 | ↓ -61% |
| Cigna | HMO | $24,362.00 | ↓ -61% |
| Cigna | OpenAccessPlus | $24,362.00 | ↓ -61% |
| BCBS | Traditional | $25,045.88 | ↓ -60% |
| City of McKinney | COMM | $25,384.34 | ↓ -60% |
| Aetna Better Health | CHIP | $26,119.74 | ↓ -59% |
| Aetna Better Health | MCD | $26,119.74 | ↓ -59% |
| Humana | MGMCD | $27,208.06 | ↓ -57% |
| National ChoiceCare | WCOMP | $28,204.82 | ↓ -55% |
| Aetna | ASA | $29,727.88 | ↓ -53% |
| Cigna | AllOther | $30,818.00 | ↓ -51% |
| Rockport Health Group | WORKERSCOMP | $31,025.30 | ↓ -51% |
| Physicians Coop of TX | MGMCR | $31,025.30 | ↓ -51% |
| PC Texas Partners | WCOMP | $31,025.30 | ↓ -51% |
| Aetna | WCOMP | $31,025.30 | ↓ -51% |
| WellMed | MGMCR | $31,689.56 | ↓ -50% |
| Averde Health, Inc | PPO | $32,717.59 | ↓ -48% |
| Aetna Coventry First Health | EXCLUSIVE | $34,127.83 | ↓ -46% |
| Aetna Coventry First Health | NONEXCLUSIVE | $34,127.83 | ↓ -46% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $36,666.27 | ↓ -42% |
| Coastal Comp Health Networks | WCOMP | $39,486.75 | ↓ -38% |
| Multiplan PHCS | PrimaryNetwork | $39,486.75 | ↓ -38% |
| Mega Life | MGMCRPPO | $39,486.75 | ↓ -38% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $42,307.23 | ↓ -33% |
| HealthSmart Preferred Care | PPO | $42,307.23 | ↓ -33% |
| USA Managed Care | COMM | $45,127.71 | ↓ -29% |
| USC Health Services | COMM | $45,127.71 | ↓ -29% |
| Galaxy Health Network | PPO | $47,948.19 | ↓ -24% |
| National Healthcare Solutions | COMM | $56,409.64 | ↓ -11% |
| Independent Medical Systems | COMM | $56,409.64 | ↓ -11% |
| Unicare | MCD | $56,409.64 | ↓ -11% |
| United | NarrowNetworkIndivExchange | $62,381.00 | ↓ -1% |
| BCBS | MyBlueHealth | $65,210.93 | ↑ +3% |
| BCBS | BlueAdvantageHMO | $65,210.93 | ↑ +3% |
| BCBS | BlueEssentials | $77,155.51 | ↑ +22% |
| BCBS | BlueEssentialsAccess | $77,155.51 | ↑ +22% |
| United | SmallGroup | $77,953.00 | ↑ +23% |
| BCBS | EPOSOA | $81,029.43 | ↑ +28% |
| BCBS | PPO | $84,903.34 | ↑ +34% |
| United | AllPayerAppendix | $109,000.00 | ↑ +73% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
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Rmvl icd gen w/rplc icd gen mlt lead sys at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $44,390.75 | $19,034.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $44,390.75 | $19,034.00 – $67,793.59 |
| Texas Health Hospital Frisco | Frisco | $36,434.85 | $21,766.45 – $23,507.77 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $44,390.75 | $6,299.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $43,215.38 | $8,895.17 – $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 | $43,215.38 | $15,811.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $43,215.38 | $13,462.00 – $81,499.55 |