Obstetric panel inc HIV tstg 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.
$62.88 with United vs $831.62 with Humana — 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 |
|---|---|---|---|
| United | STAR | $62.88 | — |
| Amerigroup | MGMCD | $62.88 | — |
| Amerigroup | CHIP | $62.88 | — |
| United | CHIP | $62.88 | — |
| United | STARPerinate | $62.88 | — |
| United | STARPLUS | $62.88 | — |
| United | STARKids | $62.88 | — |
| Cigna Healthspring | MGMCD | $66.02 | — |
| Aetna Better Health | CHIP | $67.91 | — |
| Aetna Better Health | MCD | $67.91 | — |
| Molina | STARKIDS | $69.17 | — |
| Molina | STAR+PLUS | $69.17 | — |
| Molina | CHIP | $69.17 | — |
| Parkland Community Health Plan | MCD | $69.17 | — |
| Molina | MCDSTAR | $69.17 | — |
| WellMed | MGMCR | $74.49 | — |
| BCBS | MGMCRHMO | $74.86 | — |
| Devoted Health | SNP | $74.86 | — |
| Devoted Health | HMO | $74.86 | — |
| Humana | MGMCR | $74.86 | — |
| Devoted Health | PPO | $74.86 | — |
| TriWest Veterans | FEDERAL | $74.86 | — |
| United | AllPayerAppendix | $74.86 | — |
| United | NarrowNetworkIndivExchange | $74.86 | — |
| Triwest Veterans | FED | $74.86 | — |
| Devoted Health | MME | $74.86 | — |
| United | SmallGroup | $74.86 | — |
| Devoted Health | MCR | $74.86 | — |
| BCBS | MCRPPO | $74.86 | — |
| Devoted Health | POS | $74.86 | — |
| Mutual of Omaha | MGMCR | $74.86 | — |
| Amerigroup | DualEligible | $74.86 | — |
| United | MGMCR | $75.23 | — |
| Aetna | MCR | $75.50 | — |
| Care N Care | MGMCR | $75.61 | — |
| Cigna Healthspring | MGMCR | $76.36 | — |
| Integranet | MGMCR | $77.11 | — |
| WellCare | MGMCR | $77.11 | — |
| Humana | Tricare | $78.59 | — |
| Superior Health Plan | MGMCRPOS | $78.60 | — |
| Superior Health Plan | MGMCRSNP | $78.60 | — |
| Superior Health Plan | MGMCRPPO | $78.60 | — |
| American Health Plan of Texas, Inc. | MGMCR | $78.60 | — |
| ProCare Advantge | MCR | $78.60 | — |
| Superior Health Plan | MGMCRHMO | $78.60 | — |
| Humana | MGMCD | $78.60 | — |
| Superior Health Plan | MGMCRDualEligible | $78.60 | — |
| Superior Health Plan | MGMCRPFFS | $78.60 | — |
| Texas Independent Health Plan | MGMCR | $79.35 | — |
| Provider Partners Health Plan | MCR | $79.35 | — |
| TriWest Health Alliance | TRCR | $81.02 | — |
| Molina | MME | $81.60 | — |
| Molina | MCR | $81.60 | — |
| Molina | MMP | $81.60 | — |
| Imperial Insurance Company | MCR | $82.35 | — |
| Universal Healthcare Group | MCR | $89.83 | — |
| Aetna | QHPHIX | $95.23 | — |
| BCBS | BluePremier | $95.82 | — |
| Verda Health Plan | MGMCR | $97.32 | — |
| Bravo Health | MCRHMO | $112.29 | — |
| Bravo Health | MCRPPO | $112.29 | — |
| Bravo Health | MCRPFFS | $112.29 | — |
| Bravo Health | MCRSNP | $112.29 | — |
| Bravo Health | MCRPOS | $112.29 | — |
| BCBS | MyBlueHealth | $131.00 | — |
| BCBS | BlueAdvantageHMO | $131.00 | — |
| Aetna | NewBusiness | $131.17 | — |
| Superior | ValueHMO | $134.00 | — |
| BCBS | BlueEssentials | $136.25 | — |
| BCBS | BlueEssentialsAccess | $136.25 | — |
| Aetna | COMM | $139.70 | — |
| Aetna | Meritain | $139.70 | — |
| USA Managed Care | WORKERSCOMP | $142.23 | — |
| BCBS | EPOSOA | $142.98 | — |
| Corvel Corporation | WORKERSCOMP | $148.22 | — |
| BCBS | PPO | $149.72 | — |
| Aetna | OON | $164.41 | — |
| Superior | HMO | $167.69 | — |
| Superior | EPO | $167.69 | — |
| Oscar | HIX | $194.64 | — |
| Molina Healthcare | HIX | $196.13 | — |
| Cigna | LocalPlus | $296.70 | — |
| Cigna | NewBusiness | $296.98 | — |
| Cigna | HMO | $331.56 | — |
| Cigna | OpenAccessPlus | $331.56 | — |
| Cigna | NetworkBenefit | $331.56 | — |
| Cigna | AllOther | $419.36 | — |
| Humana | COMM | $831.62 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Obstetric panel inc HIV tstg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $487.97 | $10.00 – $609.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $487.97 | $10.00 – $609.97 |
| Texas Health Hospital Frisco | Frisco | not published | $62.88 – $67.91 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $487.97 | $10.00 – $609.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $204.56 | $12.00 – $306.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $204.56 | $12.00 – $255.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $204.56 | $12.00 – $306.84 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $204.56 | $8.00 – $306.84 |