Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$2,787.08
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.
$2,787.08
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.
$182.33 with Superior Health Plan vs $6,587.00 with Oscar — 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 | STARKids | $182.33 | ↓ -93% |
| Superior Health Plan | STARPLUS | $182.33 | ↓ -93% |
| Superior Health Plan | STARHealth | $182.33 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $182.33 | ↓ -93% |
| Superior Health Plan | CHIP | $182.33 | ↓ -93% |
| United | STARPerinate | $262.86 | ↓ -91% |
| United | STARPLUS | $262.86 | ↓ -91% |
| United | STARKids | $262.86 | ↓ -91% |
| United | STAR | $262.86 | ↓ -91% |
| United | CHIP | $262.86 | ↓ -91% |
| Amerigroup | MGMCD | $276.00 | ↓ -90% |
| Amerigroup | CHIP | $276.00 | ↓ -90% |
| Cigna Healthspring | MGMCD | $276.00 | ↓ -90% |
| Molina | CHIP | $289.15 | ↓ -90% |
| Parkland Community Health Plan | MCD | $289.15 | ↓ -90% |
| Molina | STAR+PLUS | $289.15 | ↓ -90% |
| Molina | STARKIDS | $289.15 | ↓ -90% |
| Molina | MCDSTAR | $289.15 | ↓ -90% |
| Aetna Better Health | CHIP | $315.43 | ↓ -89% |
| Aetna Better Health | MCD | $315.43 | ↓ -89% |
| Humana | MGMCD | $328.58 | ↓ -88% |
| Cigna | IFP | $351.64 | ↓ -87% |
| Cigna | QHP | $364.67 | ↓ -87% |
| United | OptionsPPO | $453.23 | ↓ -84% |
| Healthcare Highways | NarrowNetwork | $670.07 | ↓ -76% |
| BCBS | BlueAdvantageHMO | $675.54 | ↓ -76% |
| BCBS | MyBlueHealth | $675.54 | ↓ -76% |
| Evry Health | COMM | $705.63 | ↓ -75% |
| WellMed | MGMCR | $712.64 | ↓ -74% |
| Cigna | LocalPlus | $722.04 | ↓ -74% |
| Cigna | NewBusiness | $722.04 | ↓ -74% |
| BCBS | BluePremier | $798.62 | ↓ -71% |
| Cigna | HMO | $806.82 | ↓ -71% |
| Cigna | OpenAccessPlus | $806.82 | ↓ -71% |
| Cigna | NetworkBenefit | $806.82 | ↓ -71% |
| Humana | COMM | $807.21 | ↓ -71% |
| LifeCare Hospitals | MGMCR | $836.12 | ↓ -70% |
| LifeCare Hospitals | MGMCD | $836.12 | ↓ -70% |
| BCBS | BlueEssentialsAccess | $872.46 | ↓ -69% |
| BCBS | BlueEssentials | $872.46 | ↓ -69% |
| Healthcare Highways | CityofPlano | $880.41 | ↓ -68% |
| BCBS | EPOSOA | $916.22 | ↓ -67% |
| BCBS | PPO | $957.25 | ↓ -66% |
| Cigna | AllOther | $1,020.15 | ↓ -63% |
| Curative Administrators | COMM | $1,094.00 | ↓ -61% |
| Prominence Health Plan | HIX | $1,094.00 | ↓ -61% |
| BCBS | Traditional | $1,156.51 | ↓ -59% |
| City of McKinney | COMM | $1,254.19 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $1,254.19 | ↓ -55% |
| Aetna | ASA | $1,372.70 | ↓ -51% |
| National ChoiceCare | WCOMP | $1,393.54 | ↓ -50% |
| Rockport Health Group | WORKERSCOMP | $1,532.89 | ↓ -45% |
| Aetna | WCOMP | $1,532.89 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $1,532.89 | ↓ -45% |
| PC Texas Partners | WCOMP | $1,532.89 | ↓ -45% |
| Aetna Coventry First Health | NONEXCLUSIVE | $1,575.87 | ↓ -43% |
| Aetna Coventry First Health | EXCLUSIVE | $1,575.87 | ↓ -43% |
| United | SmallGroup | $1,603.00 | ↓ -42% |
| Averde Health, Inc | PPO | $1,616.51 | ↓ -42% |
| United | NarrowNetworkIndivExchange | $1,807.00 | ↓ -35% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $1,811.60 | ↓ -35% |
| Multiplan PHCS | PrimaryNetwork | $1,823.33 | ↓ -35% |
| Mega Life | MGMCRPPO | $1,950.96 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $1,950.96 | ↓ -30% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $2,090.31 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $2,090.31 | ↓ -25% |
| USC Health Services | COMM | $2,229.66 | ↓ -20% |
| USA Managed Care | COMM | $2,229.66 | ↓ -20% |
| United | AllPayerAppendix | $2,300.00 | ↓ -17% |
| Galaxy Health Network | PPO | $2,369.02 | ↓ -15% |
| Aetna | QHPHIX | $2,513.00 | ↓ -10% |
| National Healthcare Solutions | COMM | $2,734.99 | ↓ -2% |
| Independent Medical Systems | COMM | $2,734.99 | ↓ -2% |
| Unicare | MCD | $2,787.08 | ↑ +0% |
| Aetna | NewBusiness | $3,445.00 | ↑ +24% |
| Aetna | COMM | $3,682.00 | ↑ +32% |
| Aetna | Meritain | $3,682.00 | ↑ +32% |
| Aetna | OON | $4,332.00 | ↑ +55% |
| Oscar | HIX | $6,587.00 | ↑ +136% |
Visitor-reported prices
Comments
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,692.88 | $262.86 – $3,693.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $1,692.88 | $262.86 – $3,693.00 |
| Texas Health Hospital Frisco | Frisco | $2,776.65 | $262.86 – $283.89 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,692.88 | $262.86 – $3,693.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,010.48 | $207.99 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,030.57 | $262.86 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,010.48 | $281.26 – $2,975.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,010.48 | $262.86 – $2,501.00 |