Echo exam of fetal heart 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.
$38.63 with Aetna vs $1,350.70 with Unicare — 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 |
|---|---|---|---|
| Aetna | QHPHIX | $38.63 | — |
| United | STARPLUS | $48.79 | — |
| United | STAR | $48.79 | — |
| United | CHIP | $48.79 | — |
| Amerigroup | MGMCD | $48.79 | — |
| Amerigroup | CHIP | $48.79 | — |
| United | STARKids | $48.79 | — |
| United | STARPerinate | $48.79 | — |
| Cigna Healthspring | MGMCD | $51.23 | — |
| Aetna Better Health | CHIP | $52.69 | — |
| Aetna Better Health | MCD | $52.69 | — |
| Aetna | NewBusiness | $52.97 | — |
| Molina | STARKIDS | $53.67 | — |
| Parkland Community Health Plan | MCD | $53.67 | — |
| Molina | STAR+PLUS | $53.67 | — |
| Molina | MCDSTAR | $53.67 | — |
| Molina | CHIP | $53.67 | — |
| Aetna | Meritain | $56.74 | — |
| Aetna | COMM | $56.74 | — |
| Humana | MGMCD | $60.99 | — |
| Aetna | OON | $66.55 | — |
| Cigna | LocalPlus | $92.37 | — |
| Cigna | NewBusiness | $92.45 | — |
| Superior Health Plan | STARHealth | $94.55 | — |
| Superior Health Plan | MCDSTAR | $94.55 | — |
| Superior Health Plan | STARPLUS | $94.55 | — |
| Superior Health Plan | STARKids | $94.55 | — |
| Superior Health Plan | CHIP | $94.55 | — |
| Humana | COMM | $100.89 | — |
| Cigna | OpenAccessPlus | $103.22 | — |
| Cigna | NetworkBenefit | $103.22 | — |
| Cigna | HMO | $103.22 | — |
| Cigna | AllOther | $130.55 | — |
| BCBS | BluePremier | $133.38 | — |
| BCBS | BlueAdvantageHMO | $146.82 | — |
| BCBS | MyBlueHealth | $146.82 | — |
| United | SmallGroup | $154.52 | — |
| United | NarrowNetworkIndivExchange | $154.52 | — |
| Cigna | IFP | $178.94 | — |
| Cigna | QHP | $185.56 | — |
| United | OptionsPPO | $230.63 | — |
| United | AllPayerAppendix | $245.18 | — |
| Healthcare Highways | NarrowNetwork | $324.74 | — |
| Evry Health | COMM | $341.97 | — |
| LifeCare Hospitals | MGMCD | $405.21 | — |
| LifeCare Hospitals | MGMCR | $405.21 | — |
| BCBS | BlueEssentialsAccess | $435.99 | — |
| BCBS | BlueEssentials | $435.99 | — |
| Healthcare Highways | CityofPlano | $448.01 | — |
| BCBS | EPOSOA | $457.29 | — |
| BCBS | PPO | $478.58 | — |
| Curative Administrators | COMM | $530.18 | — |
| Prominence Health Plan | HIX | $530.18 | — |
| BCBS | Traditional | $599.71 | — |
| City of McKinney | COMM | $607.82 | — |
| Fidelis SecureCare | MGMCR | $607.82 | — |
| National ChoiceCare | WCOMP | $675.35 | — |
| Aetna | ASA | $698.52 | — |
| Rockport Health Group | WORKERSCOMP | $742.88 | — |
| Aetna | WCOMP | $742.88 | — |
| Physicians Coop of TX | MGMCR | $742.88 | — |
| PC Texas Partners | WCOMP | $742.88 | — |
| Averde Health, Inc | PPO | $783.41 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $801.90 | — |
| Aetna Coventry First Health | EXCLUSIVE | $801.90 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $877.96 | — |
| Multiplan PHCS | PrimaryNetwork | $927.82 | — |
| Mega Life | MGMCRPPO | $945.49 | — |
| Coastal Comp Health Networks | WCOMP | $945.49 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,013.02 | — |
| HealthSmart Preferred Care | PPO | $1,013.02 | — |
| USC Health Services | COMM | $1,080.56 | — |
| USA Managed Care | COMM | $1,080.56 | — |
| Galaxy Health Network | PPO | $1,148.10 | — |
| Independent Medical Systems | COMM | $1,325.46 | — |
| National Healthcare Solutions | COMM | $1,325.46 | — |
| Unicare | MCD | $1,350.70 | — |
Visitor-reported prices
Comments
Echo exam of fetal heart at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $318.34 | $48.79 – $397.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $318.34 | $48.79 – $397.93 |
| Texas Health Hospital Frisco | Frisco | not published | $48.79 – $52.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $318.34 | $48.79 – $397.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $328.97 | $67.71 – $493.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $284.85 | $48.79 – $356.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $328.97 | $52.21 – $493.45 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $328.97 | $48.79 – $493.45 |