Biovance 1 square cm 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.
$129.65 with Humana vs $2,128.00 with Independent Medical Systems — 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 |
|---|---|---|---|
| Humana | Tricare | $129.65 | — |
| TriWest Health Alliance | TRCR | $133.66 | — |
| Superior Health Plan | STARPLUS | $148.96 | — |
| Superior Health Plan | MCDSTAR | $148.96 | — |
| Superior Health Plan | CHIP | $148.96 | — |
| Superior Health Plan | STARKids | $148.96 | — |
| Superior Health Plan | STARHealth | $148.96 | — |
| United | SmallGroup | $209.78 | — |
| United | NarrowNetworkIndivExchange | $209.78 | — |
| United | AllPayerAppendix | $209.78 | — |
| Cigna | IFP | $287.28 | — |
| Cigna | QHP | $297.92 | — |
| Aetna | QHPHIX | $346.86 | — |
| United | OptionsPPO | $370.27 | — |
| Aetna | NewBusiness | $506.46 | — |
| BCBS | MyBlueHealth | $525.62 | — |
| BCBS | BlueAdvantageHMO | $525.62 | — |
| Aetna | COMM | $544.77 | — |
| Aetna | Meritain | $544.77 | — |
| BCBS | BluePremier | $621.38 | — |
| LifeCare Hospitals | MGMCD | $638.40 | — |
| LifeCare Hospitals | MGMCR | $638.40 | — |
| Aetna | OON | $638.40 | — |
| BCBS | BlueEssentialsAccess | $678.83 | — |
| BCBS | BlueEssentials | $678.83 | — |
| BCBS | EPOSOA | $712.88 | — |
| Healthcare Highways | CityofPlano | $719.26 | — |
| BCBS | PPO | $744.80 | — |
| Prominence Health Plan | HIX | $851.20 | — |
| Cigna | LocalPlus | $864.45 | — |
| Cigna | NewBusiness | $865.30 | — |
| BCBS | Traditional | $944.83 | — |
| City of McKinney | COMM | $957.60 | — |
| Cigna | OpenAccessPlus | $965.73 | — |
| Cigna | NetworkBenefit | $965.73 | — |
| Cigna | HMO | $965.73 | — |
| National ChoiceCare | WCOMP | $1,064.00 | — |
| Aetna | ASA | $1,121.46 | — |
| Physicians Coop of TX | MGMCR | $1,170.40 | — |
| Aetna | WCOMP | $1,170.40 | — |
| Rockport Health Group | WORKERSCOMP | $1,170.40 | — |
| PC Texas Partners | WCOMP | $1,170.40 | — |
| Cigna | AllOther | $1,221.74 | — |
| Averde Health, Inc | PPO | $1,234.24 | — |
| Aetna Coventry First Health | EXCLUSIVE | $1,287.44 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $1,287.44 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $1,383.20 | — |
| Mega Life | MGMCRPPO | $1,489.60 | — |
| Coastal Comp Health Networks | WCOMP | $1,489.60 | — |
| HealthSmart Preferred Care | PPO | $1,596.00 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,596.00 | — |
| USC Health Services | COMM | $1,702.40 | — |
| USA Managed Care | COMM | $1,702.40 | — |
| Galaxy Health Network | PPO | $1,808.80 | — |
| National Healthcare Solutions | COMM | $2,128.00 | — |
| Unicare | MCD | $2,128.00 | — |
| Independent Medical Systems | COMM | $2,128.00 | — |
Visitor-reported prices
Comments
Biovance 1 square cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Frisco | Frisco | $286.59 | not published |
| Covenant Children's Hospital | Lubbock | $7,928.07 | $500.00 – $564.15 |
| HCA HOUSTON NORTHWEST | SPRING | $1,280.12 | $133.66 – $345.72 |
| Texas Health Presbyterian Hospital Allen | Allen | $286.59 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $286.59 | not published |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $286.59 | not published |
| Texas Health Arlington Memorial Hospital | Arlington | $286.59 | not published |
| Texas Health Presbyterian Hospital Denton | Denton | $286.59 | not published |