Genome re-evaluation 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.
$0.02 with Aetna vs $13,088.57 with Cigna — 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 | $0.02 | — |
| Aetna | Meritain | $0.03 | — |
| Aetna | NewBusiness | $0.03 | — |
| Aetna | COMM | $0.03 | — |
| Aetna | OON | $0.04 | — |
| WellMed | MGMCR | $2,325.96 | — |
| TriWest Veterans | FEDERAL | $2,337.65 | — |
| United | NarrowNetworkIndivExchange | $2,337.65 | — |
| BCBS | MCRPPO | $2,337.65 | — |
| Amerigroup | DualEligible | $2,337.65 | — |
| Mutual of Omaha | MGMCR | $2,337.65 | — |
| Triwest Veterans | FED | $2,337.65 | — |
| Humana | MGMCR | $2,337.65 | — |
| Devoted Health | HMO | $2,337.65 | — |
| Devoted Health | POS | $2,337.65 | — |
| Devoted Health | MCR | $2,337.65 | — |
| Devoted Health | MME | $2,337.65 | — |
| BCBS | MGMCRHMO | $2,337.65 | — |
| United | AllPayerAppendix | $2,337.65 | — |
| United | SmallGroup | $2,337.65 | — |
| Devoted Health | SNP | $2,337.65 | — |
| Devoted Health | PPO | $2,337.65 | — |
| United | MGMCR | $2,349.34 | — |
| Aetna | MCR | $2,357.52 | — |
| Care N Care | MGMCR | $2,361.03 | — |
| Cigna Healthspring | MGMCR | $2,384.40 | — |
| Integranet | MGMCR | $2,407.78 | — |
| WellCare | MGMCR | $2,407.78 | — |
| Humana | Tricare | $2,454.14 | — |
| Superior Health Plan | MGMCRPPO | $2,454.53 | — |
| Superior Health Plan | MGMCRHMO | $2,454.53 | — |
| Superior Health Plan | MGMCRDualEligible | $2,454.53 | — |
| Superior Health Plan | MGMCRPFFS | $2,454.53 | — |
| Superior Health Plan | MGMCRPOS | $2,454.53 | — |
| Superior Health Plan | MGMCRSNP | $2,454.53 | — |
| American Health Plan of Texas, Inc. | MGMCR | $2,454.53 | — |
| ProCare Advantge | MCR | $2,454.53 | — |
| Texas Independent Health Plan | MGMCR | $2,477.91 | — |
| Provider Partners Health Plan | MCR | $2,477.91 | — |
| TriWest Health Alliance | TRCR | $2,530.04 | — |
| Molina | MCR | $2,548.04 | — |
| Molina | MME | $2,548.04 | — |
| Molina | MMP | $2,548.04 | — |
| Imperial Insurance Company | MCR | $2,571.42 | — |
| Universal Healthcare Group | MCR | $2,805.18 | — |
| BCBS | BluePremier | $2,992.19 | — |
| Verda Health Plan | MGMCR | $3,038.95 | — |
| Bravo Health | MCRPOS | $3,506.48 | — |
| Bravo Health | MCRPPO | $3,506.48 | — |
| Bravo Health | MCRSNP | $3,506.48 | — |
| Bravo Health | MCRPFFS | $3,506.48 | — |
| Bravo Health | MCRHMO | $3,506.48 | — |
| BCBS | MyBlueHealth | $4,090.89 | — |
| BCBS | BlueAdvantageHMO | $4,090.89 | — |
| Superior | ValueHMO | $4,184.39 | — |
| BCBS | BlueEssentials | $4,254.52 | — |
| BCBS | BlueEssentialsAccess | $4,254.52 | — |
| USA Managed Care | WORKERSCOMP | $4,441.53 | — |
| BCBS | EPOSOA | $4,464.91 | — |
| Corvel Corporation | WORKERSCOMP | $4,628.55 | — |
| BCBS | PPO | $4,675.30 | — |
| Superior | HMO | $5,236.34 | — |
| Superior | EPO | $5,236.34 | — |
| Oscar | HIX | $6,077.89 | — |
| Molina Healthcare | HIX | $6,124.64 | — |
| Cigna | LocalPlus | $9,260.15 | — |
| Cigna | NewBusiness | $9,269.03 | — |
| Cigna | HMO | $10,348.28 | — |
| Cigna | NetworkBenefit | $10,348.28 | — |
| Cigna | OpenAccessPlus | $10,348.28 | — |
| Cigna | AllOther | $13,088.57 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Genome re-evaluation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | not published | $2,103.89 – $8,999.95 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $0.05 – $9,615.46 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $0.05 – $9,615.46 |
| Covenant Children's Hospital | Lubbock | not published | $5,105.42 – $10,192.15 |
| HCA HOUSTON CONROE | CONROE | not published | $0.05 – $9,615.46 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $0.05 – $9,615.46 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $0.05 – $9,615.46 |
| HCA HOUSTON PEARLAND | Pearland | not published | $0.05 – $9,615.46 |