Valvuloplasty pulmonary at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$17,327.57
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.
$17,327.57
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.
$2,339.22 with Cigna vs $100,082.00 with Aetna — 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 |
|---|---|---|---|
| Cigna | IFP | $2,339.22 | ↓ -87% |
| Cigna | QHP | $2,425.86 | ↓ -86% |
| United | OptionsPPO | $2,928.36 | ↓ -83% |
| LifeCare Hospitals | MGMCD | $5,198.27 | ↓ -70% |
| LifeCare Hospitals | MGMCR | $5,198.27 | ↓ -70% |
| Superior Health Plan | STARHealth | $5,591.00 | ↓ -68% |
| Superior Health Plan | STARPLUS | $5,591.00 | ↓ -68% |
| Superior Health Plan | MCDSTAR | $5,591.00 | ↓ -68% |
| Superior Health Plan | CHIP | $5,591.00 | ↓ -68% |
| Superior Health Plan | STARKids | $5,591.00 | ↓ -68% |
| Healthcare Highways | CityofPlano | $5,856.72 | ↓ -66% |
| Prominence Health Plan | HIX | $6,931.03 | ↓ -60% |
| BCBS | Traditional | $7,173.61 | ↓ -59% |
| United | GlobalBenefitPlan | $7,797.41 | ↓ -55% |
| City of McKinney | COMM | $7,797.41 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $8,300.00 | ↓ -52% |
| National ChoiceCare | WCOMP | $8,663.78 | ↓ -50% |
| Aetna | ASA | $8,750.42 | ↓ -50% |
| Aetna | WCOMP | $9,530.16 | ↓ -45% |
| PC Texas Partners | WCOMP | $9,530.16 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $9,530.16 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $9,530.16 | ↓ -45% |
| Averde Health, Inc | PPO | $10,049.99 | ↓ -42% |
| Aetna Coventry First Health | NONEXCLUSIVE | $10,188.61 | ↓ -41% |
| Aetna Coventry First Health | EXCLUSIVE | $10,188.61 | ↓ -41% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $11,262.92 | ↓ -35% |
| Coastal Comp Health Networks | WCOMP | $12,129.30 | ↓ -30% |
| Mega Life | MGMCRPPO | $12,129.30 | ↓ -30% |
| Oscar | HIX | $12,897.00 | ↓ -26% |
| HealthSmart Preferred Care | PPO | $12,995.68 | ↓ -25% |
| Multiplan | PHCSPrimaryNetwork | $12,995.68 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $12,995.68 | ↓ -25% |
| USA Managed Care | COMM | $13,862.06 | ↓ -20% |
| USC Health Services | COMM | $13,862.06 | ↓ -20% |
| Multiplan | ComplementaryNetwork | $14,728.43 | ↓ -15% |
| United | NarrowNetworkIndivExchange | $16,482.00 | ↓ -5% |
| Unicare | MCD | $17,327.57 | ↑ +0% |
| National Healthcare Solutions | COMM | $17,327.57 | ↑ +0% |
| Independent Medical Systems | COMM | $17,327.57 | ↑ +0% |
| United | SmallGroup | $19,594.00 | ↑ +13% |
| United | AllPayerAppendix | $26,125.00 | ↑ +51% |
| Healthcare Highways | NarrowNetwork | $27,837.00 | ↑ +61% |
| Evry Health | COMM | $29,597.00 | ↑ +71% |
| BCBS | MyBlueHealth | $31,707.14 | ↑ +83% |
| BCBS | BlueAdvantageHMO | $31,707.14 | ↑ +83% |
| Cigna | LocalPlus | $32,724.00 | ↑ +89% |
| Cigna | NewBusiness | $32,756.00 | ↑ +89% |
| Cigna | HMO | $36,562.00 | ↑ +111% |
| Cigna | OpenAccessPlus | $36,562.00 | ↑ +111% |
| Cigna | NetworkBenefit | $36,562.00 | ↑ +111% |
| BCBS | BlueEssentialsAccess | $43,795.48 | ↑ +153% |
| BCBS | BlueEssentials | $43,795.48 | ↑ +153% |
| Curative Administrators | COMM | $43,890.00 | ↑ +153% |
| BCBS | EPOSOA | $45,975.35 | ↑ +165% |
| Cigna | AllOther | $46,251.00 | ↑ +167% |
| BCBS | PPO | $48,155.21 | ↑ +178% |
| Aetna | NewBusiness | $79,186.00 | ↑ +357% |
| Aetna | Meritain | $84,600.00 | ↑ +388% |
| Aetna | COMM | $84,600.00 | ↑ +388% |
| Aetna | OON | $100,082.00 | ↑ +478% |
Visitor-reported prices
Comments
Valvuloplasty pulmonary at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $12,700.66 | $3,386.84 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $12,700.66 | $5,926.98 – $24,933.10 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $12,700.66 | $3,598.52 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $10,567.06 | $2,175.05 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $11,095.42 | $2,219.08 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $10,567.06 | $3,392.03 – $27,252.71 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $10,567.06 | $5,459.65 – $27,252.71 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $11,095.42 | $3,698.47 – $27,252.71 |