Tib/per revasc stent & ather 37231 at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$77,245.18
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.
$77,245.18
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 $68,968.91 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 | MCDSTAR | $2,369.00 | ↓ -97% |
| Superior Health Plan | STARHealth | $2,369.00 | ↓ -97% |
| Superior Health Plan | CHIP | $2,369.00 | ↓ -97% |
| Superior Health Plan | STARKids | $2,369.00 | ↓ -97% |
| Superior Health Plan | STARPLUS | $2,369.00 | ↓ -97% |
| Humana | COMM | $7,113.00 | ↓ -91% |
| Oscar | HIX | $7,668.00 | ↓ -90% |
| United | STARPLUS | $8,648.77 | ↓ -89% |
| United | STARKids | $8,648.77 | ↓ -89% |
| United | STAR | $8,648.77 | ↓ -89% |
| United | CHIP | $8,648.77 | ↓ -89% |
| United | STARPerinate | $8,648.77 | ↓ -89% |
| Amerigroup | MGMCD | $9,081.21 | ↓ -88% |
| Amerigroup | CHIP | $9,081.21 | ↓ -88% |
| Cigna Healthspring | MGMCD | $9,081.21 | ↓ -88% |
| Cigna | IFP | $9,310.80 | ↓ -88% |
| Parkland Community Health Plan | MCD | $9,513.65 | ↓ -88% |
| Molina | STAR+PLUS | $9,513.65 | ↓ -88% |
| Molina | STARKIDS | $9,513.65 | ↓ -88% |
| Molina | MCDSTAR | $9,513.65 | ↓ -88% |
| Molina | CHIP | $9,513.65 | ↓ -88% |
| Cigna | QHP | $9,655.65 | ↓ -87% |
| Aetna Better Health | MCD | $10,378.52 | ↓ -87% |
| Aetna Better Health | CHIP | $10,378.52 | ↓ -87% |
| Humana | MGMCD | $10,810.96 | ↓ -86% |
| Aetna | QHPHIX | $11,241.93 | ↓ -85% |
| United | OptionsPPO | $12,000.59 | ↓ -84% |
| Evry Health | COMM | $13,453.00 | ↓ -83% |
| Aetna | NewBusiness | $16,414.60 | ↓ -79% |
| Healthcare Highways | NarrowNetwork | $16,897.38 | ↓ -78% |
| Aetna | COMM | $17,656.04 | ↓ -77% |
| Aetna | Meritain | $17,656.04 | ↓ -77% |
| Cigna | LocalPlus | $18,207.79 | ↓ -76% |
| Cigna | NewBusiness | $18,207.79 | ↓ -76% |
| Cigna | HMO | $20,345.83 | ↓ -74% |
| Cigna | OpenAccessPlus | $20,345.83 | ↓ -74% |
| Cigna | NetworkBenefit | $20,345.83 | ↓ -74% |
| Aetna | OON | $20,690.67 | ↓ -73% |
| LifeCare Hospitals | MGMCR | $20,690.67 | ↓ -73% |
| LifeCare Hospitals | MGMCD | $20,690.67 | ↓ -73% |
| BCBS | BluePremier | $22,156.56 | ↓ -71% |
| Healthcare Highways | CityofPlano | $23,311.49 | ↓ -70% |
| Cigna | AllOther | $25,725.40 | ↓ -67% |
| Prominence Health Plan | HIX | $27,587.56 | ↓ -64% |
| Curative Administrators | COMM | $27,587.56 | ↓ -64% |
| BCBS | Traditional | $30,622.20 | ↓ -60% |
| Fidelis SecureCare | MGMCR | $31,036.01 | ↓ -60% |
| City of McKinney | COMM | $31,036.01 | ↓ -60% |
| BCBS | MyBlueHealth | $32,198.74 | ↓ -58% |
| BCBS | BlueAdvantageHMO | $32,198.74 | ↓ -58% |
| National ChoiceCare | WCOMP | $34,484.46 | ↓ -55% |
| Aetna | ASA | $36,346.62 | ↓ -53% |
| PC Texas Partners | WCOMP | $37,932.90 | ↓ -51% |
| Aetna | WCOMP | $37,932.90 | ↓ -51% |
| Rockport Health Group | WORKERSCOMP | $37,932.90 | ↓ -51% |
| Physicians Coop of TX | MGMCR | $37,932.90 | ↓ -51% |
| BCBS | BlueEssentials | $38,096.53 | ↓ -51% |
| BCBS | BlueEssentialsAccess | $38,096.53 | ↓ -51% |
| Averde Health, Inc | PPO | $40,001.97 | ↓ -48% |
| BCBS | EPOSOA | $40,009.32 | ↓ -48% |
| Aetna Coventry First Health | NONEXCLUSIVE | $41,726.19 | ↓ -46% |
| Aetna Coventry First Health | EXCLUSIVE | $41,726.19 | ↓ -46% |
| BCBS | PPO | $41,922.12 | ↓ -46% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $44,829.79 | ↓ -42% |
| Coastal Comp Health Networks | WCOMP | $48,278.24 | ↓ -37% |
| Multiplan PHCS | PrimaryNetwork | $48,278.24 | ↓ -37% |
| Mega Life | MGMCRPPO | $48,278.24 | ↓ -37% |
| HealthSmart Preferred Care | PPO | $51,726.68 | ↓ -33% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $51,726.68 | ↓ -33% |
| USC Health Services | COMM | $55,175.13 | ↓ -29% |
| USA Managed Care | COMM | $55,175.13 | ↓ -29% |
| Galaxy Health Network | PPO | $58,623.57 | ↓ -24% |
| Unicare | MCD | $68,968.91 | ↓ -11% |
| Independent Medical Systems | COMM | $68,968.91 | ↓ -11% |
| National Healthcare Solutions | COMM | $68,968.91 | ↓ -11% |
Visitor-reported prices
Comments
Tib/per revasc stent & ather 37231 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $33,770.88 | $7,038.00 – $47,842.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $33,770.88 | $7,038.00 – $47,842.08 |
| Texas Health Hospital Frisco | Frisco | $22,970.40 | $8,648.77 – $9,340.67 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $33,770.88 | $6,299.00 – $47,842.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $31,077.17 | $71.00 – $46,615.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $31,299.50 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $31,077.17 | $85.00 – $46,615.76 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $31,077.17 | $16,056.54 – $46,615.76 |