Stent/tib/peroneal/unilat/initial 37230 at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$58,824.75
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.
$58,824.75
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.
$2,369.00 with Superior Health Plan vs $52,522.10 with National Healthcare Solutions — 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 | $2,369.00 | ↓ -96% |
| Superior Health Plan | STARHealth | $2,369.00 | ↓ -96% |
| Superior Health Plan | MCDSTAR | $2,369.00 | ↓ -96% |
| Superior Health Plan | STARPLUS | $2,369.00 | ↓ -96% |
| Superior Health Plan | STARKids | $2,369.00 | ↓ -96% |
| Oscar | HIX | $7,008.00 | ↓ -88% |
| Cigna | IFP | $7,090.48 | ↓ -88% |
| Humana | COMM | $7,113.00 | ↓ -88% |
| Cigna | QHP | $7,353.09 | ↓ -88% |
| United | STAR | $8,497.34 | ↓ -86% |
| United | STARKids | $8,497.34 | ↓ -86% |
| United | CHIP | $8,497.34 | ↓ -86% |
| United | STARPerinate | $8,497.34 | ↓ -86% |
| United | STARPLUS | $8,497.34 | ↓ -86% |
| Aetna | QHPHIX | $8,561.10 | ↓ -85% |
| Amerigroup | CHIP | $8,922.21 | ↓ -85% |
| Amerigroup | MGMCD | $8,922.21 | ↓ -85% |
| Cigna Healthspring | MGMCD | $8,922.21 | ↓ -85% |
| United | OptionsPPO | $9,138.85 | ↓ -84% |
| Molina | STARKIDS | $9,347.07 | ↓ -84% |
| Parkland Community Health Plan | MCD | $9,347.07 | ↓ -84% |
| Molina | CHIP | $9,347.07 | ↓ -84% |
| Molina | STAR+PLUS | $9,347.07 | ↓ -84% |
| Molina | MCDSTAR | $9,347.07 | ↓ -84% |
| Aetna Better Health | MCD | $10,196.81 | ↓ -83% |
| Aetna Better Health | CHIP | $10,196.81 | ↓ -83% |
| Humana | MGMCD | $10,621.67 | ↓ -82% |
| Evry Health | COMM | $10,763.00 | ↓ -82% |
| Aetna | NewBusiness | $12,500.26 | ↓ -79% |
| Healthcare Highways | NarrowNetwork | $12,867.91 | ↓ -78% |
| Aetna | COMM | $13,445.66 | ↓ -77% |
| Aetna | Meritain | $13,445.66 | ↓ -77% |
| Cigna | LocalPlus | $13,865.83 | ↓ -76% |
| Cigna | NewBusiness | $13,865.83 | ↓ -76% |
| Cigna | OpenAccessPlus | $15,494.02 | ↓ -74% |
| Cigna | NetworkBenefit | $15,494.02 | ↓ -74% |
| Cigna | HMO | $15,494.02 | ↓ -74% |
| LifeCare Hospitals | MGMCD | $15,756.63 | ↓ -73% |
| LifeCare Hospitals | MGMCR | $15,756.63 | ↓ -73% |
| Aetna | OON | $15,756.63 | ↓ -73% |
| Healthcare Highways | CityofPlano | $17,752.47 | ↓ -70% |
| Cigna | AllOther | $19,590.74 | ↓ -67% |
| Curative Administrators | COMM | $21,008.84 | ↓ -64% |
| Prominence Health Plan | HIX | $21,008.84 | ↓ -64% |
| BCBS | BluePremier | $22,156.56 | ↓ -62% |
| BCBS | Traditional | $23,319.81 | ↓ -60% |
| Fidelis SecureCare | MGMCR | $23,634.94 | ↓ -60% |
| City of McKinney | COMM | $23,634.94 | ↓ -60% |
| National ChoiceCare | WCOMP | $26,261.05 | ↓ -55% |
| Aetna | ASA | $27,679.15 | ↓ -53% |
| Aetna | WCOMP | $28,887.15 | ↓ -51% |
| PC Texas Partners | WCOMP | $28,887.15 | ↓ -51% |
| Physicians Coop of TX | MGMCR | $28,887.15 | ↓ -51% |
| Rockport Health Group | WORKERSCOMP | $28,887.15 | ↓ -51% |
| Averde Health, Inc | PPO | $30,462.82 | ↓ -48% |
| Aetna Coventry First Health | NONEXCLUSIVE | $31,775.87 | ↓ -46% |
| Aetna Coventry First Health | EXCLUSIVE | $31,775.87 | ↓ -46% |
| BCBS | MyBlueHealth | $32,198.74 | ↓ -45% |
| BCBS | BlueAdvantageHMO | $32,198.74 | ↓ -45% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $34,139.36 | ↓ -42% |
| Mega Life | MGMCRPPO | $36,765.47 | ↓ -37% |
| Multiplan PHCS | PrimaryNetwork | $36,765.47 | ↓ -37% |
| Coastal Comp Health Networks | WCOMP | $36,765.47 | ↓ -37% |
| BCBS | BlueEssentialsAccess | $38,096.53 | ↓ -35% |
| BCBS | BlueEssentials | $38,096.53 | ↓ -35% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $39,391.57 | ↓ -33% |
| HealthSmart Preferred Care | PPO | $39,391.57 | ↓ -33% |
| BCBS | EPOSOA | $40,009.32 | ↓ -32% |
| BCBS | PPO | $41,922.12 | ↓ -29% |
| USA Managed Care | COMM | $42,017.68 | ↓ -29% |
| USC Health Services | COMM | $42,017.68 | ↓ -29% |
| Galaxy Health Network | PPO | $44,643.79 | ↓ -24% |
| Independent Medical Systems | COMM | $52,522.10 | ↓ -11% |
| Unicare | MCD | $52,522.10 | ↓ -11% |
| National Healthcare Solutions | COMM | $52,522.10 | ↓ -11% |
Visitor-reported prices
Comments
Stent/tib/peroneal/unilat/initial 37230 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $27,840.56 | $7,038.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $27,840.56 | $7,038.00 – $39,440.80 |
| Texas Health Hospital Frisco | Frisco | $13,263.60 | $8,497.34 – $9,177.13 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $27,840.56 | $6,299.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $29,957.43 | $71.00 – $44,936.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $28,036.28 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $29,957.43 | $85.00 – $44,936.14 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $29,957.43 | $14,096.00 – $44,936.14 |