Pinworm exam at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$175.81
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.
$175.81
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.
$3.59 with United vs $175.81 with Unicare — 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 | $3.59 | ↓ -98% |
| Amerigroup | MGMCD | $3.59 | ↓ -98% |
| United | STARPLUS | $3.59 | ↓ -98% |
| United | CHIP | $3.59 | ↓ -98% |
| United | STARPerinate | $3.59 | ↓ -98% |
| Amerigroup | CHIP | $3.59 | ↓ -98% |
| United | STARKids | $3.59 | ↓ -98% |
| Cigna Healthspring | MGMCD | $3.77 | ↓ -98% |
| Aetna Better Health | CHIP | $3.88 | ↓ -98% |
| Aetna Better Health | MCD | $3.88 | ↓ -98% |
| Molina | STARKIDS | $3.95 | ↓ -98% |
| Molina | MCDSTAR | $3.95 | ↓ -98% |
| Parkland Community Health Plan | MCD | $3.95 | ↓ -98% |
| Molina | CHIP | $3.95 | ↓ -98% |
| Molina | STAR+PLUS | $3.95 | ↓ -98% |
| WellMed | MGMCR | $4.25 | ↓ -98% |
| Humana | MGMCR | $4.27 | ↓ -98% |
| TriWest Veterans | FEDERAL | $4.27 | ↓ -98% |
| Devoted Health | HMO | $4.27 | ↓ -98% |
| Devoted Health | PPO | $4.27 | ↓ -98% |
| United | NarrowNetworkIndivExchange | $4.27 | ↓ -98% |
| Amerigroup | DualEligible | $4.27 | ↓ -98% |
| Triwest Veterans | FED | $4.27 | ↓ -98% |
| Devoted Health | SNP | $4.27 | ↓ -98% |
| Mutual of Omaha | MGMCR | $4.27 | ↓ -98% |
| BCBS | MCRPPO | $4.27 | ↓ -98% |
| United | SmallGroup | $4.27 | ↓ -98% |
| BCBS | MGMCRHMO | $4.27 | ↓ -98% |
| United | AllPayerAppendix | $4.27 | ↓ -98% |
| Devoted Health | POS | $4.27 | ↓ -98% |
| Devoted Health | MCR | $4.27 | ↓ -98% |
| Devoted Health | MME | $4.27 | ↓ -98% |
| United | MGMCR | $4.29 | ↓ -98% |
| Care N Care | MGMCR | $4.31 | ↓ -98% |
| Aetna | MCR | $4.31 | ↓ -98% |
| Cigna Healthspring | MGMCR | $4.36 | ↓ -98% |
| Integranet | MGMCR | $4.40 | ↓ -97% |
| WellCare | MGMCR | $4.40 | ↓ -97% |
| Superior Health Plan | MGMCRSNP | $4.48 | ↓ -97% |
| Humana | Tricare | $4.48 | ↓ -97% |
| ProCare Advantge | MCR | $4.48 | ↓ -97% |
| Superior Health Plan | MGMCRHMO | $4.48 | ↓ -97% |
| Superior Health Plan | MGMCRPPO | $4.48 | ↓ -97% |
| Superior Health Plan | MGMCRDualEligible | $4.48 | ↓ -97% |
| Superior Health Plan | MGMCRPFFS | $4.48 | ↓ -97% |
| Superior Health Plan | MGMCRPOS | $4.48 | ↓ -97% |
| American Health Plan of Texas, Inc. | MGMCR | $4.48 | ↓ -97% |
| Humana | MGMCD | $4.49 | ↓ -97% |
| Provider Partners Health Plan | MCR | $4.53 | ↓ -97% |
| Texas Independent Health Plan | MGMCR | $4.53 | ↓ -97% |
| TriWest Health Alliance | TRCR | $4.62 | ↓ -97% |
| Molina | MCR | $4.65 | ↓ -97% |
| Molina | MME | $4.65 | ↓ -97% |
| Molina | MMP | $4.65 | ↓ -97% |
| Imperial Insurance Company | MCR | $4.70 | ↓ -97% |
| Universal Healthcare Group | MCR | $5.12 | ↓ -97% |
| Aetna | QHPHIX | $5.43 | ↓ -97% |
| BCBS | BluePremier | $5.47 | ↓ -97% |
| Verda Health Plan | MGMCR | $5.55 | ↓ -97% |
| Bravo Health | MCRPOS | $6.40 | ↓ -96% |
| Bravo Health | MCRPFFS | $6.40 | ↓ -96% |
| Bravo Health | MCRHMO | $6.40 | ↓ -96% |
| Bravo Health | MCRSNP | $6.40 | ↓ -96% |
| Bravo Health | MCRPPO | $6.40 | ↓ -96% |
| BCBS | MyBlueHealth | $7.47 | ↓ -96% |
| BCBS | BlueAdvantageHMO | $7.47 | ↓ -96% |
| Aetna | NewBusiness | $7.48 | ↓ -96% |
| Superior | ValueHMO | $7.64 | ↓ -96% |
| BCBS | BlueEssentialsAccess | $7.77 | ↓ -96% |
| BCBS | BlueEssentials | $7.77 | ↓ -96% |
| Aetna | Meritain | $7.96 | ↓ -95% |
| Aetna | COMM | $7.96 | ↓ -95% |
| USA Managed Care | WORKERSCOMP | $8.11 | ↓ -95% |
| BCBS | EPOSOA | $8.16 | ↓ -95% |
| Corvel Corporation | WORKERSCOMP | $8.45 | ↓ -95% |
| BCBS | PPO | $8.54 | ↓ -95% |
| Aetna | OON | $9.37 | ↓ -95% |
| Superior | HMO | $9.56 | ↓ -95% |
| Superior | EPO | $9.56 | ↓ -95% |
| Oscar | HIX | $11.10 | ↓ -94% |
| Molina Healthcare | HIX | $11.19 | ↓ -94% |
| Superior Health Plan | STARHealth | $12.31 | ↓ -93% |
| Superior Health Plan | CHIP | $12.31 | ↓ -93% |
| Superior Health Plan | STARKids | $12.31 | ↓ -93% |
| Superior Health Plan | STARPLUS | $12.31 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $12.31 | ↓ -93% |
| Cigna | LocalPlus | $17.47 | ↓ -90% |
| Cigna | NewBusiness | $17.49 | ↓ -90% |
| Cigna | HMO | $19.53 | ↓ -89% |
| Cigna | NetworkBenefit | $19.53 | ↓ -89% |
| Cigna | OpenAccessPlus | $19.53 | ↓ -89% |
| Cigna | IFP | $23.73 | ↓ -87% |
| Cigna | QHP | $24.61 | ↓ -86% |
| Cigna | AllOther | $24.70 | ↓ -86% |
| United | OptionsPPO | $30.59 | ↓ -83% |
| Healthcare Highways | NarrowNetwork | $43.07 | ↓ -76% |
| Evry Health | COMM | $45.36 | ↓ -74% |
| Humana | COMM | $47.42 | ↓ -73% |
| LifeCare Hospitals | MGMCD | $52.74 | ↓ -70% |
| LifeCare Hospitals | MGMCR | $52.74 | ↓ -70% |
| Healthcare Highways | CityofPlano | $59.42 | ↓ -66% |
| Prominence Health Plan | HIX | $70.32 | ↓ -60% |
| BCBS | Traditional | $78.06 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $79.11 | ↓ -55% |
| City of McKinney | COMM | $79.11 | ↓ -55% |
| National ChoiceCare | WCOMP | $87.91 | ↓ -50% |
| Aetna | ASA | $92.65 | ↓ -47% |
| Aetna | WCOMP | $96.70 | ↓ -45% |
| PC Texas Partners | WCOMP | $96.70 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $96.70 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $96.70 | ↓ -45% |
| Averde Health, Inc | PPO | $101.97 | ↓ -42% |
| Aetna Coventry First Health | EXCLUSIVE | $106.37 | ↓ -39% |
| Aetna Coventry First Health | NONEXCLUSIVE | $106.37 | ↓ -39% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $114.28 | ↓ -35% |
| Mega Life | MGMCRPPO | $123.07 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $123.07 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $123.07 | ↓ -30% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $131.86 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $131.86 | ↓ -25% |
| USA Managed Care | COMM | $140.65 | ↓ -20% |
| USC Health Services | COMM | $140.65 | ↓ -20% |
| Galaxy Health Network | PPO | $149.44 | ↓ -15% |
| National Healthcare Solutions | COMM | $175.81 | ↑ +0% |
| Independent Medical Systems | COMM | $175.81 | ↑ +0% |
| Unicare | MCD | $175.81 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Pinworm exam at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $49.50 | $3.59 – $61.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $49.50 | $3.59 – $61.88 |
| Texas Health Hospital Frisco | Frisco | not published | $3.59 – $8.37 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $49.50 | $3.59 – $61.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $63.05 | $6.26 – $94.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $54.99 | $3.59 – $68.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $63.05 | $3.84 – $94.58 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $63.05 | $3.59 – $94.58 |