Sec abd wall suture evisceration/dehsn 49900 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.
$1,184.22 with BCBS 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 |
|---|---|---|---|
| BCBS | BluePremier | $1,184.22 | — |
| Fidelis SecureCare | MGMCR | $1,995.00 | — |
| Healthcare Highways | NarrowNetwork | $2,069.00 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Aetna | Meritain | $3,682.00 | — |
| Aetna | COMM | $3,682.00 | — |
| Aetna | OON | $4,332.00 | — |
| Humana | COMM | $5,790.85 | — |
| Oscar | HIX | $6,587.00 | — |
| United | SmallGroup | $7,977.00 | — |
| United | NarrowNetworkIndivExchange | $9,360.00 | — |
| United | AllPayerAppendix | $10,868.00 | — |
| BCBS | BlueEssentials | $10,930.65 | — |
| BCBS | BlueEssentialsAccess | $10,930.65 | — |
| BCBS | EPOSOA | $11,475.90 | — |
| BCBS | MyBlueHealth | $11,782.61 | — |
| BCBS | BlueAdvantageHMO | $11,782.61 | — |
| BCBS | PPO | $12,012.64 | — |
| Curative Administrators | COMM | $12,018.00 | — |
| Evry Health | COMM | $16,144.00 | — |
| Cigna | LocalPlus | $21,804.00 | — |
| Cigna | NewBusiness | $21,826.00 | — |
| Cigna | HMO | $24,362.00 | — |
| Cigna | OpenAccessPlus | $24,362.00 | — |
| Cigna | NetworkBenefit | $24,362.00 | — |
| Cigna | AllOther | $30,818.00 | — |
| WellMed | MGMCR | not published by hospital | — |
Visitor-reported prices
Comments
Sec abd wall suture evisceration/dehsn 49900 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Frisco | Frisco | $2,163.45 | not published |
| Covenant Children's Hospital | Lubbock | $120.96 | $995.13 – $1,814.67 |
| St. Luke's Health - Patients Medical Center | Pasadena | $1,281.42 | $243.47 – $2,745.90 |
| Texas Health Arlington Memorial Hospital | Arlington | $2,163.45 | not published |
| Covenant Medical Center | Lubbock | $120.96 | $1,011.93 – $4,659.10 |
| Covenant Hospital Plainview | Plainview | $131.88 | $1,712.44 – $2,212.16 |
| Covenant Hospital Levelland | Levelland | $120.96 | $3,050.02 – $3,583.34 |
| Covenant Specialty Hospital | Lubbock | $120.96 | not published |