Cholesterol body fluid 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.
$48.90 with Superior Health Plan vs $698.52 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 | STARHealth | $48.90 | — |
| Superior Health Plan | STARPLUS | $48.90 | — |
| Superior Health Plan | STARKids | $48.90 | — |
| Superior Health Plan | CHIP | $48.90 | — |
| Superior Health Plan | MCDSTAR | $48.90 | — |
| Cigna | IFP | $94.30 | — |
| Cigna | LocalPlus | $95.87 | — |
| Cigna | NewBusiness | $95.96 | — |
| Cigna | QHP | $97.79 | — |
| Cigna | OpenAccessPlus | $107.13 | — |
| Cigna | HMO | $107.13 | — |
| Cigna | NetworkBenefit | $107.13 | — |
| Aetna | QHPHIX | $113.86 | — |
| United | OptionsPPO | $121.54 | — |
| Imperial Insurance Company | MCR | $132.72 | — |
| Cigna | AllOther | $135.50 | — |
| Oscar | HIX | $145.29 | — |
| Aetna | NewBusiness | $166.25 | — |
| Healthcare Highways | NarrowNetwork | $171.14 | — |
| BCBS | MyBlueHealth | $172.53 | — |
| BCBS | BlueAdvantageHMO | $172.53 | — |
| Aetna | Meritain | $178.82 | — |
| Aetna | COMM | $178.82 | — |
| Evry Health | COMM | $180.22 | — |
| BCBS | BluePremier | $203.97 | — |
| Aetna | OON | $209.56 | — |
| LifeCare Hospitals | MGMCD | $209.56 | — |
| LifeCare Hospitals | MGMCR | $209.56 | — |
| Humana | COMM | $216.47 | — |
| BCBS | BlueEssentialsAccess | $222.83 | — |
| BCBS | BlueEssentials | $222.83 | — |
| BCBS | EPOSOA | $234.00 | — |
| Healthcare Highways | CityofPlano | $236.10 | — |
| BCBS | PPO | $244.48 | — |
| Prominence Health Plan | HIX | $279.41 | — |
| BCBS | Traditional | $310.14 | — |
| City of McKinney | COMM | $314.33 | — |
| Fidelis SecureCare | MGMCR | $314.33 | — |
| National ChoiceCare | WCOMP | $349.26 | — |
| Aetna | ASA | $368.12 | — |
| Rockport Health Group | WORKERSCOMP | $384.19 | — |
| Aetna | WCOMP | $384.19 | — |
| PC Texas Partners | WCOMP | $384.19 | — |
| Physicians Coop of TX | MGMCR | $384.19 | — |
| Averde Health, Inc | PPO | $405.14 | — |
| Aetna Coventry First Health | EXCLUSIVE | $422.60 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $422.60 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $454.04 | — |
| Mega Life | MGMCRPPO | $488.96 | — |
| Multiplan PHCS | PrimaryNetwork | $488.96 | — |
| Coastal Comp Health Networks | WCOMP | $488.96 | — |
| HealthSmart Preferred Care | PPO | $523.89 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $523.89 | — |
| USA Managed Care | COMM | $558.82 | — |
| USC Health Services | COMM | $558.82 | — |
| Galaxy Health Network | PPO | $593.74 | — |
| Unicare | MCD | $698.52 | — |
| Independent Medical Systems | COMM | $698.52 | — |
| National Healthcare Solutions | COMM | $698.52 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Cholesterol body fluid at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Frisco | Frisco | $88.65 | $7.11 – $10.28 |
| HCA HOUSTON KINGWOOD | HUMBLE | $716.44 | $99.55 – $99.55 |
| HCA HOUSTON NORTHWEST | SPRING | $462.06 | $99.55 – $99.55 |
| St. Luke's Health - Patients Medical Center | Pasadena | $136.71 | $53.34 – $275.40 |
| St. Luke's Health Memorial Lufkin | Lufkin | $24.90 | $14.50 – $96.56 |
| HCA HOUSTON PEARLAND | Pearland | $523.04 | $99.55 – $99.55 |
| Texas Health Presbyterian Hospital Allen | Allen | $100.35 | $7.11 – $10.28 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $100.35 | $7.11 – $10.28 |