Pmp22 gene dup/delet 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.
$637.02 with United vs $6,823.95 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 | CHIP | $637.02 | — |
| Amerigroup | MGMCD | $637.02 | — |
| United | STARKids | $637.02 | — |
| Amerigroup | CHIP | $637.02 | — |
| United | STARPerinate | $637.02 | — |
| United | STARPLUS | $637.02 | — |
| United | STAR | $637.02 | — |
| Cigna Healthspring | MGMCD | $668.87 | — |
| Aetna Better Health | CHIP | $687.98 | — |
| Aetna Better Health | MCD | $687.98 | — |
| Molina | CHIP | $700.72 | — |
| Molina | MCDSTAR | $700.72 | — |
| Parkland Community Health Plan | MCD | $700.72 | — |
| Molina | STARKIDS | $700.72 | — |
| Molina | STAR+PLUS | $700.72 | — |
| WellMed | MGMCR | $754.57 | — |
| United | NarrowNetworkIndivExchange | $758.36 | — |
| Devoted Health | HMO | $758.36 | — |
| Devoted Health | POS | $758.36 | — |
| Devoted Health | MCR | $758.36 | — |
| Devoted Health | MME | $758.36 | — |
| Triwest Veterans | FED | $758.36 | — |
| TriWest Veterans | FEDERAL | $758.36 | — |
| Humana | MGMCR | $758.36 | — |
| Devoted Health | PPO | $758.36 | — |
| Devoted Health | SNP | $758.36 | — |
| BCBS | MGMCRHMO | $758.36 | — |
| BCBS | MCRPPO | $758.36 | — |
| Mutual of Omaha | MGMCR | $758.36 | — |
| Amerigroup | DualEligible | $758.36 | — |
| United | SmallGroup | $758.36 | — |
| United | AllPayerAppendix | $758.36 | — |
| United | MGMCR | $762.15 | — |
| Aetna | MCR | $764.81 | — |
| Care N Care | MGMCR | $765.94 | — |
| Cigna Healthspring | MGMCR | $773.53 | — |
| Integranet | MGMCR | $781.11 | — |
| WellCare | MGMCR | $781.11 | — |
| Humana | MGMCD | $796.27 | — |
| ProCare Advantge | MCR | $796.28 | — |
| Superior Health Plan | MGMCRSNP | $796.28 | — |
| Superior Health Plan | MGMCRPOS | $796.28 | — |
| Superior Health Plan | MGMCRPFFS | $796.28 | — |
| Superior Health Plan | MGMCRDualEligible | $796.28 | — |
| Superior Health Plan | MGMCRPPO | $796.28 | — |
| Superior Health Plan | MGMCRHMO | $796.28 | — |
| American Health Plan of Texas, Inc. | MGMCR | $796.28 | — |
| Provider Partners Health Plan | MCR | $803.86 | — |
| Texas Independent Health Plan | MGMCR | $803.86 | — |
| Molina | MCR | $826.61 | — |
| Molina | MME | $826.61 | — |
| Molina | MMP | $826.61 | — |
| Imperial Insurance Company | MCR | $834.20 | — |
| Universal Healthcare Group | MCR | $910.03 | — |
| Aetna | QHPHIX | $964.64 | — |
| BCBS | BluePremier | $970.70 | — |
| Verda Health Plan | MGMCR | $985.87 | — |
| Bravo Health | MCRHMO | $1,137.54 | — |
| Bravo Health | MCRPOS | $1,137.54 | — |
| Bravo Health | MCRPPO | $1,137.54 | — |
| Bravo Health | MCRSNP | $1,137.54 | — |
| Bravo Health | MCRPFFS | $1,137.54 | — |
| BCBS | MyBlueHealth | $1,327.13 | — |
| BCBS | BlueAdvantageHMO | $1,327.13 | — |
| Aetna | NewBusiness | $1,328.66 | — |
| Superior | ValueHMO | $1,357.46 | — |
| BCBS | BlueEssentialsAccess | $1,380.22 | — |
| BCBS | BlueEssentials | $1,380.22 | — |
| Aetna | Meritain | $1,415.11 | — |
| Aetna | COMM | $1,415.11 | — |
| USA Managed Care | WORKERSCOMP | $1,440.88 | — |
| BCBS | EPOSOA | $1,448.47 | — |
| Corvel Corporation | WORKERSCOMP | $1,501.55 | — |
| BCBS | PPO | $1,516.72 | — |
| Aetna | OON | $1,665.37 | — |
| Superior | EPO | $1,698.73 | — |
| Superior | HMO | $1,698.73 | — |
| Oscar | HIX | $1,971.74 | — |
| Molina Healthcare | HIX | $1,986.90 | — |
| Cigna | LocalPlus | $3,004.40 | — |
| Cigna | NewBusiness | $3,007.28 | — |
| Cigna | OpenAccessPlus | $3,357.44 | — |
| Cigna | HMO | $3,357.44 | — |
| Cigna | NetworkBenefit | $3,357.44 | — |
| Cigna | AllOther | $4,246.51 | — |
| Humana | COMM | $6,823.95 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Pmp22 gene dup/delet at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,029.75 | $10.00 – $1,820.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $1,029.75 | $10.00 – $1,630.47 |
| Texas Health Hospital Frisco | Frisco | not published | $637.02 – $687.98 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,029.75 | $10.00 – $1,820.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,029.75 | $12.00 – $1,820.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,029.75 | $12.00 – $1,820.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,029.75 | $12.00 – $1,820.06 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,029.75 | $8.00 – $1,820.06 |