Phlebotomy therapeutic at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$679.09
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.
$679.09
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.
$47.54 with Superior Health Plan vs $695.91 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $47.54 | ↓ -93% |
| Superior Health Plan | STARHealth | $47.54 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $47.54 | ↓ -93% |
| Superior Health Plan | STARPLUS | $47.54 | ↓ -93% |
| Superior Health Plan | STARKids | $47.54 | ↓ -93% |
| Cigna | IFP | $91.68 | ↓ -86% |
| Cigna | QHP | $95.07 | ↓ -86% |
| Aetna | QHPHIX | $110.69 | ↓ -84% |
| United | OptionsPPO | $118.16 | ↓ -83% |
| Oscar | HIX | $141.25 | ↓ -79% |
| BCBS | BluePremier | $151.55 | ↓ -78% |
| Aetna | NewBusiness | $161.62 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $166.38 | ↓ -75% |
| BCBS | MyBlueHealth | $167.74 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $167.74 | ↓ -75% |
| Aetna | COMM | $173.85 | ↓ -74% |
| Aetna | Meritain | $173.85 | ↓ -74% |
| Evry Health | COMM | $175.21 | ↓ -74% |
| Cigna | LocalPlus | $179.28 | ↓ -74% |
| Cigna | NewBusiness | $179.28 | ↓ -74% |
| Cigna | OpenAccessPlus | $200.33 | ↓ -71% |
| Cigna | NetworkBenefit | $200.33 | ↓ -71% |
| Cigna | HMO | $200.33 | ↓ -71% |
| Aetna | OON | $203.73 | ↓ -70% |
| LifeCare Hospitals | MGMCD | $203.73 | ↓ -70% |
| LifeCare Hospitals | MGMCR | $203.73 | ↓ -70% |
| BCBS | BlueEssentialsAccess | $216.63 | ↓ -68% |
| BCBS | BlueEssentials | $216.63 | ↓ -68% |
| BCBS | EPOSOA | $227.50 | ↓ -66% |
| Healthcare Highways | CityofPlano | $229.53 | ↓ -66% |
| BCBS | PPO | $237.68 | ↓ -65% |
| Cigna | AllOther | $253.30 | ↓ -63% |
| Prominence Health Plan | HIX | $271.64 | ↓ -60% |
| Curative Administrators | COMM | $271.64 | ↓ -60% |
| BCBS | Traditional | $301.52 | ↓ -56% |
| City of McKinney | COMM | $305.59 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $305.59 | ↓ -55% |
| National ChoiceCare | WCOMP | $339.55 | ↓ -50% |
| Aetna | ASA | $357.88 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $373.50 | ↓ -45% |
| PC Texas Partners | WCOMP | $373.50 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $373.50 | ↓ -45% |
| Aetna | WCOMP | $373.50 | ↓ -45% |
| Averde Health, Inc | PPO | $393.87 | ↓ -42% |
| Aetna Coventry First Health | NONEXCLUSIVE | $410.85 | ↓ -39% |
| Aetna Coventry First Health | EXCLUSIVE | $410.85 | ↓ -39% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $441.41 | ↓ -35% |
| Multiplan PHCS | PrimaryNetwork | $475.36 | ↓ -30% |
| Mega Life | MGMCRPPO | $475.36 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $475.36 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $509.32 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $509.32 | ↓ -25% |
| USA Managed Care | COMM | $543.27 | ↓ -20% |
| USC Health Services | COMM | $543.27 | ↓ -20% |
| Galaxy Health Network | PPO | $577.23 | ↓ -15% |
| National Healthcare Solutions | COMM | $679.09 | ↑ +0% |
| Unicare | MCD | $679.09 | ↑ +0% |
| Independent Medical Systems | COMM | $679.09 | ↑ +0% |
| Humana | COMM | $695.91 | ↑ +2% |
Visitor-reported prices
Comments
Phlebotomy therapeutic at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $275.15 | $73.37 – $343.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $275.15 | $126.97 – $343.94 |
| Texas Health Hospital Frisco | Frisco | $167.70 | $148.06 – $148.06 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $275.15 | $77.96 – $343.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $238.04 | $49.00 – $357.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $275.15 | $55.03 – $343.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $238.04 | $76.41 – $357.07 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $238.04 | $122.99 – $357.07 |