Med genetics&genetic counseling svcs each 30 min at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$202.20
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.
$202.20
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.
$14.15 with Superior Health Plan vs $281.04 with BCBS — 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 | STARKids | $14.15 | ↓ -93% |
| Superior Health Plan | STARHealth | $14.15 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $14.15 | ↓ -93% |
| Superior Health Plan | CHIP | $14.15 | ↓ -93% |
| Superior Health Plan | STARPLUS | $14.15 | ↓ -93% |
| Cigna | IFP | $27.30 | ↓ -86% |
| Cigna | QHP | $28.31 | ↓ -86% |
| Aetna | QHPHIX | $32.96 | ↓ -84% |
| United | OptionsPPO | $35.18 | ↓ -83% |
| Imperial Insurance Company | MCR | $38.42 | ↓ -81% |
| Aetna | NewBusiness | $48.12 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $49.54 | ↓ -75% |
| Aetna | COMM | $51.76 | ↓ -74% |
| Aetna | Meritain | $51.76 | ↓ -74% |
| Evry Health | COMM | $52.17 | ↓ -74% |
| Aetna | OON | $60.66 | ↓ -70% |
| LifeCare Hospitals | MGMCD | $60.66 | ↓ -70% |
| LifeCare Hospitals | MGMCR | $60.66 | ↓ -70% |
| Healthcare Highways | CityofPlano | $68.34 | ↓ -66% |
| Curative Administrators | COMM | $80.88 | ↓ -60% |
| Prominence Health Plan | HIX | $80.88 | ↓ -60% |
| BCBS | Traditional | $89.78 | ↓ -56% |
| City of McKinney | COMM | $90.99 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $90.99 | ↓ -55% |
| National ChoiceCare | WCOMP | $101.10 | ↓ -50% |
| Aetna | ASA | $106.56 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $111.21 | ↓ -45% |
| Aetna | WCOMP | $111.21 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $111.21 | ↓ -45% |
| PC Texas Partners | WCOMP | $111.21 | ↓ -45% |
| Averde Health, Inc | PPO | $117.28 | ↓ -42% |
| Aetna Coventry First Health | EXCLUSIVE | $122.33 | ↓ -40% |
| Aetna Coventry First Health | NONEXCLUSIVE | $122.33 | ↓ -40% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $131.43 | ↓ -35% |
| Multiplan PHCS | PrimaryNetwork | $141.54 | ↓ -30% |
| Mega Life | MGMCRPPO | $141.54 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $141.54 | ↓ -30% |
| BCBS | MyBlueHealth | $144.46 | ↓ -29% |
| BCBS | BlueAdvantageHMO | $144.46 | ↓ -29% |
| HealthSmart Preferred Care | PPO | $151.65 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $151.65 | ↓ -25% |
| USC Health Services | COMM | $161.76 | ↓ -20% |
| USA Managed Care | COMM | $161.76 | ↓ -20% |
| Galaxy Health Network | PPO | $171.87 | ↓ -15% |
| National Healthcare Solutions | COMM | $202.20 | ↑ +0% |
| Independent Medical Systems | COMM | $202.20 | ↑ +0% |
| Unicare | MCD | $202.20 | ↑ +0% |
| BCBS | BlueEssentialsAccess | $255.82 | ↑ +27% |
| BCBS | BlueEssentials | $255.82 | ↑ +27% |
| BCBS | EPOSOA | $268.43 | ↑ +33% |
| BCBS | PPO | $281.04 | ↑ +39% |
Visitor-reported prices
Comments
Med genetics&genetic counseling svcs each 30 min at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $100.00 | $26.67 – $141.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $100.00 | $46.67 – $141.67 |
| Texas Health Hospital Frisco | Frisco | $123.60 | $71.34 – $71.34 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $100.00 | $28.33 – $6,299.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $100.00 | $26.67 – $141.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $100.00 | $25.00 – $141.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $100.00 | $18.33 – $141.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $100.00 | $18.33 – $141.67 |