M.pneumon dna quant 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$254.20 with United vs $2,723.07 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United | STAR | $254.20 | — |
| Amerigroup | MGMCD | $254.20 | — |
| Amerigroup | CHIP | $254.20 | — |
| United | CHIP | $254.20 | — |
| United | STARPerinate | $254.20 | — |
| United | STARPLUS | $254.20 | — |
| United | STARKids | $254.20 | — |
| Cigna Healthspring | MGMCD | $266.91 | — |
| Aetna Better Health | CHIP | $274.54 | — |
| Aetna Better Health | MCD | $274.54 | — |
| Molina | STARKIDS | $279.62 | — |
| Molina | STAR+PLUS | $279.62 | — |
| Molina | CHIP | $279.62 | — |
| Parkland Community Health Plan | MCD | $279.62 | — |
| Molina | MCDSTAR | $279.62 | — |
| WellMed | MGMCR | $301.11 | — |
| BCBS | MGMCRHMO | $302.62 | — |
| Devoted Health | SNP | $302.62 | — |
| Devoted Health | HMO | $302.62 | — |
| Humana | MGMCR | $302.62 | — |
| Devoted Health | PPO | $302.62 | — |
| TriWest Veterans | FEDERAL | $302.62 | — |
| United | AllPayerAppendix | $302.62 | — |
| United | NarrowNetworkIndivExchange | $302.62 | — |
| Triwest Veterans | FED | $302.62 | — |
| Devoted Health | MME | $302.62 | — |
| United | SmallGroup | $302.62 | — |
| Devoted Health | MCR | $302.62 | — |
| BCBS | MCRPPO | $302.62 | — |
| Devoted Health | POS | $302.62 | — |
| Mutual of Omaha | MGMCR | $302.62 | — |
| Amerigroup | DualEligible | $302.62 | — |
| United | MGMCR | $304.13 | — |
| Aetna | MCR | $305.19 | — |
| Care N Care | MGMCR | $305.65 | — |
| Cigna Healthspring | MGMCR | $308.67 | — |
| Integranet | MGMCR | $311.70 | — |
| WellCare | MGMCR | $311.70 | — |
| Humana | Tricare | $317.70 | — |
| Superior Health Plan | MGMCRPOS | $317.75 | — |
| Superior Health Plan | MGMCRSNP | $317.75 | — |
| Superior Health Plan | MGMCRPPO | $317.75 | — |
| American Health Plan of Texas, Inc. | MGMCR | $317.75 | — |
| ProCare Advantge | MCR | $317.75 | — |
| Superior Health Plan | MGMCRHMO | $317.75 | — |
| Humana | MGMCD | $317.75 | — |
| Superior Health Plan | MGMCRDualEligible | $317.75 | — |
| Superior Health Plan | MGMCRPFFS | $317.75 | — |
| Texas Independent Health Plan | MGMCR | $320.78 | — |
| Provider Partners Health Plan | MCR | $320.78 | — |
| TriWest Health Alliance | TRCR | $327.53 | — |
| Molina | MME | $329.86 | — |
| Molina | MCR | $329.86 | — |
| Molina | MMP | $329.86 | — |
| Imperial Insurance Company | MCR | $332.88 | — |
| Universal Healthcare Group | MCR | $363.14 | — |
| Aetna | QHPHIX | $384.93 | — |
| BCBS | BluePremier | $387.35 | — |
| Verda Health Plan | MGMCR | $393.41 | — |
| Bravo Health | MCRHMO | $453.93 | — |
| Bravo Health | MCRPPO | $453.93 | — |
| Bravo Health | MCRPFFS | $453.93 | — |
| Bravo Health | MCRSNP | $453.93 | — |
| Bravo Health | MCRPOS | $453.93 | — |
| BCBS | MyBlueHealth | $529.59 | — |
| BCBS | BlueAdvantageHMO | $529.59 | — |
| Aetna | NewBusiness | $530.18 | — |
| Superior | ValueHMO | $541.69 | — |
| BCBS | BlueEssentials | $550.77 | — |
| BCBS | BlueEssentialsAccess | $550.77 | — |
| Aetna | COMM | $564.68 | — |
| Aetna | Meritain | $564.68 | — |
| USA Managed Care | WORKERSCOMP | $574.98 | — |
| BCBS | EPOSOA | $578.00 | — |
| Corvel Corporation | WORKERSCOMP | $599.19 | — |
| BCBS | PPO | $605.24 | — |
| Aetna | OON | $664.55 | — |
| Superior | HMO | $677.87 | — |
| Superior | EPO | $677.87 | — |
| Oscar | HIX | $786.81 | — |
| Molina Healthcare | HIX | $792.86 | — |
| Cigna | LocalPlus | $1,198.79 | — |
| Cigna | NewBusiness | $1,199.94 | — |
| Cigna | HMO | $1,339.66 | — |
| Cigna | OpenAccessPlus | $1,339.66 | — |
| Cigna | NetworkBenefit | $1,339.66 | — |
| Cigna | AllOther | $1,694.41 | — |
| Humana | COMM | $2,723.07 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
M.pneumon dna quant at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Frisco | Frisco | not published | $81.93 – $274.54 |
| Adventhealth Rollins Brook | Lampasas | not published | $272.36 – $1,165.09 |
| CHRISTUS Children's Hospital | San Antonio | not published | $105.47 – $317.75 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $249.12 – $1,244.79 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $254.20 – $1,244.79 |
| Covenant Children's Hospital | Lubbock | not published | $660.92 – $1,319.42 |
| HCA HOUSTON CONROE | CONROE | not published | $249.12 – $1,244.79 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $249.12 – $1,244.79 |