Rmvl icd gen w/rplc icd gen sgl lead sys at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$41,770.09
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.
$41,770.09
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 | ↓ -95% |
| Aetna | QHPHIX | $2,513.00 | ↓ -94% |
| Superior Health Plan | STARPLUS | $2,610.63 | ↓ -94% |
| Superior Health Plan | STARHealth | $2,610.63 | ↓ -94% |
| Superior Health Plan | STARKids | $2,610.63 | ↓ -94% |
| Superior Health Plan | CHIP | $2,610.63 | ↓ -94% |
| Superior Health Plan | MCDSTAR | $2,610.63 | ↓ -94% |
| Aetna | NewBusiness | $3,445.00 | ↓ -92% |
| Aetna | Meritain | $3,682.00 | ↓ -91% |
| Aetna | COMM | $3,682.00 | ↓ -91% |
| Aetna | OON | $4,332.00 | ↓ -90% |
| Cigna | IFP | $5,034.79 | ↓ -88% |
| Cigna | QHP | $5,221.26 | ↓ -88% |
| United | OptionsPPO | $6,489.28 | ↓ -84% |
| Humana | COMM | $7,113.00 | ↓ -83% |
| Oscar | HIX | $8,325.00 | ↓ -80% |
| BCBS | BluePremier | $10,890.06 | ↓ -74% |
| LifeCare Hospitals | MGMCD | $11,188.42 | ↓ -73% |
| LifeCare Hospitals | MGMCR | $11,188.42 | ↓ -73% |
| Healthcare Highways | CityofPlano | $12,605.62 | ↓ -70% |
| Healthcare Highways | NarrowNetwork | $14,600.00 | ↓ -65% |
| Prominence Health Plan | HIX | $14,917.89 | ↓ -64% |
| Evry Health | COMM | $16,144.00 | ↓ -61% |
| United | CHIP | $16,178.06 | ↓ -61% |
| United | STARPLUS | $16,178.06 | ↓ -61% |
| United | STAR | $16,178.06 | ↓ -61% |
| United | STARKids | $16,178.06 | ↓ -61% |
| United | STARPerinate | $16,178.06 | ↓ -61% |
| BCBS | Traditional | $16,558.86 | ↓ -60% |
| City of McKinney | COMM | $16,782.62 | ↓ -60% |
| Amerigroup | CHIP | $16,986.96 | ↓ -59% |
| Cigna Healthspring | MGMCD | $16,986.96 | ↓ -59% |
| Amerigroup | MGMCD | $16,986.96 | ↓ -59% |
| Molina | CHIP | $17,795.87 | ↓ -57% |
| Molina | STARKIDS | $17,795.87 | ↓ -57% |
| Molina | STAR+PLUS | $17,795.87 | ↓ -57% |
| Molina | MCDSTAR | $17,795.87 | ↓ -57% |
| Parkland Community Health Plan | MCD | $17,795.87 | ↓ -57% |
| National ChoiceCare | WCOMP | $18,647.36 | ↓ -55% |
| Aetna Better Health | CHIP | $19,413.67 | ↓ -54% |
| Aetna Better Health | MCD | $19,413.67 | ↓ -54% |
| Aetna | ASA | $19,654.32 | ↓ -53% |
| Humana | MGMCD | $20,222.58 | ↓ -52% |
| PC Texas Partners | WCOMP | $20,512.10 | ↓ -51% |
| Aetna | WCOMP | $20,512.10 | ↓ -51% |
| Rockport Health Group | WORKERSCOMP | $20,512.10 | ↓ -51% |
| Physicians Coop of TX | MGMCR | $20,512.10 | ↓ -51% |
| Averde Health, Inc | PPO | $21,630.94 | ↓ -48% |
| Cigna | LocalPlus | $21,804.00 | ↓ -48% |
| Cigna | NewBusiness | $21,826.00 | ↓ -48% |
| WellMed | MGMCR | $22,456.66 | ↓ -46% |
| Aetna Coventry First Health | NONEXCLUSIVE | $22,563.31 | ↓ -46% |
| Aetna Coventry First Health | EXCLUSIVE | $22,563.31 | ↓ -46% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $24,241.57 | ↓ -42% |
| Cigna | OpenAccessPlus | $24,362.00 | ↓ -42% |
| Cigna | NetworkBenefit | $24,362.00 | ↓ -42% |
| Cigna | HMO | $24,362.00 | ↓ -42% |
| Coastal Comp Health Networks | WCOMP | $26,106.30 | ↓ -38% |
| Mega Life | MGMCRPPO | $26,106.30 | ↓ -38% |
| Multiplan PHCS | PrimaryNetwork | $26,106.30 | ↓ -38% |
| HealthSmart Preferred Care | PPO | $27,971.04 | ↓ -33% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $27,971.04 | ↓ -33% |
| USA Managed Care | COMM | $29,835.78 | ↓ -29% |
| USC Health Services | COMM | $29,835.78 | ↓ -29% |
| Cigna | AllOther | $30,818.00 | ↓ -26% |
| Galaxy Health Network | PPO | $31,700.51 | ↓ -24% |
| National Healthcare Solutions | COMM | $37,294.72 | ↓ -11% |
| Unicare | MCD | $37,294.72 | ↓ -11% |
| Independent Medical Systems | COMM | $37,294.72 | ↓ -11% |
| BCBS | BlueAdvantageHMO | $45,880.04 | ↑ +10% |
| BCBS | MyBlueHealth | $45,880.04 | ↑ +10% |
| BCBS | BlueEssentials | $54,283.81 | ↑ +30% |
| BCBS | BlueEssentialsAccess | $54,283.81 | ↑ +30% |
| BCBS | EPOSOA | $57,009.35 | ↑ +36% |
| BCBS | PPO | $59,734.90 | ↑ +43% |
| United | NarrowNetworkIndivExchange | $62,381.00 | ↑ +49% |
| United | SmallGroup | $77,953.00 | ↑ +87% |
| United | AllPayerAppendix | $109,000.00 | ↑ +161% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
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Rmvl icd gen w/rplc icd gen sgl lead sys at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $38,067.53 | $16,178.06 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $38,067.53 | $16,178.06 – $48,041.62 |
| Texas Health Hospital Frisco | Frisco | $36,434.85 | $16,178.06 – $17,472.30 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $38,067.53 | $6,299.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $46,872.23 | $9,647.87 – $70,308.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $28,337.36 | $15,811.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $46,872.23 | $15,811.00 – $70,308.34 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $46,872.23 | $13,462.00 – $70,308.34 |