Protein analysis w/probe 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.
$22.02 with United vs $252.67 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 | $22.02 | — |
| Amerigroup | MGMCD | $22.02 | — |
| United | STARKids | $22.02 | — |
| Amerigroup | CHIP | $22.02 | — |
| United | STARPerinate | $22.02 | — |
| United | STARPLUS | $22.02 | — |
| United | STAR | $22.02 | — |
| Cigna Healthspring | MGMCD | $23.12 | — |
| Aetna Better Health | CHIP | $23.78 | — |
| Aetna Better Health | MCD | $23.78 | — |
| Molina | CHIP | $24.22 | — |
| Molina | MCDSTAR | $24.22 | — |
| Parkland Community Health Plan | MCD | $24.22 | — |
| Molina | STARKIDS | $24.22 | — |
| Molina | STAR+PLUS | $24.22 | — |
| WellMed | MGMCR | $26.09 | — |
| United | NarrowNetworkIndivExchange | $26.22 | — |
| Devoted Health | HMO | $26.22 | — |
| Devoted Health | POS | $26.22 | — |
| Devoted Health | MCR | $26.22 | — |
| Devoted Health | MME | $26.22 | — |
| Triwest Veterans | FED | $26.22 | — |
| TriWest Veterans | FEDERAL | $26.22 | — |
| Humana | MGMCR | $26.22 | — |
| Devoted Health | PPO | $26.22 | — |
| Devoted Health | SNP | $26.22 | — |
| BCBS | MGMCRHMO | $26.22 | — |
| BCBS | MCRPPO | $26.22 | — |
| Mutual of Omaha | MGMCR | $26.22 | — |
| Amerigroup | DualEligible | $26.22 | — |
| United | SmallGroup | $26.22 | — |
| United | AllPayerAppendix | $26.22 | — |
| United | MGMCR | $26.35 | — |
| Aetna | MCR | $26.44 | — |
| Care N Care | MGMCR | $26.48 | — |
| Cigna Healthspring | MGMCR | $26.74 | — |
| Integranet | MGMCR | $27.01 | — |
| WellCare | MGMCR | $27.01 | — |
| Humana | MGMCD | $27.52 | — |
| ProCare Advantge | MCR | $27.53 | — |
| Superior Health Plan | MGMCRSNP | $27.53 | — |
| Superior Health Plan | MGMCRPOS | $27.53 | — |
| Superior Health Plan | MGMCRPFFS | $27.53 | — |
| Superior Health Plan | MGMCRDualEligible | $27.53 | — |
| Superior Health Plan | MGMCRPPO | $27.53 | — |
| Superior Health Plan | MGMCRHMO | $27.53 | — |
| American Health Plan of Texas, Inc. | MGMCR | $27.53 | — |
| Provider Partners Health Plan | MCR | $27.79 | — |
| Texas Independent Health Plan | MGMCR | $27.79 | — |
| Molina | MCR | $28.58 | — |
| Molina | MME | $28.58 | — |
| Molina | MMP | $28.58 | — |
| Imperial Insurance Company | MCR | $28.84 | — |
| Universal Healthcare Group | MCR | $31.46 | — |
| Aetna | QHPHIX | $33.35 | — |
| BCBS | BluePremier | $33.56 | — |
| Verda Health Plan | MGMCR | $34.09 | — |
| Bravo Health | MCRHMO | $39.33 | — |
| Bravo Health | MCRPOS | $39.33 | — |
| Bravo Health | MCRPPO | $39.33 | — |
| Bravo Health | MCRSNP | $39.33 | — |
| Bravo Health | MCRPFFS | $39.33 | — |
| BCBS | MyBlueHealth | $45.88 | — |
| BCBS | BlueAdvantageHMO | $45.88 | — |
| Aetna | NewBusiness | $45.93 | — |
| Superior | ValueHMO | $46.93 | — |
| BCBS | BlueEssentialsAccess | $47.72 | — |
| BCBS | BlueEssentials | $47.72 | — |
| Aetna | Meritain | $48.92 | — |
| Aetna | COMM | $48.92 | — |
| USA Managed Care | WORKERSCOMP | $49.82 | — |
| BCBS | EPOSOA | $50.08 | — |
| Corvel Corporation | WORKERSCOMP | $51.92 | — |
| BCBS | PPO | $52.44 | — |
| Aetna | OON | $57.57 | — |
| Superior | EPO | $58.73 | — |
| Superior | HMO | $58.73 | — |
| Oscar | HIX | $68.17 | — |
| Molina Healthcare | HIX | $68.70 | — |
| Cigna | LocalPlus | $103.37 | — |
| Cigna | NewBusiness | $103.47 | — |
| Cigna | OpenAccessPlus | $115.52 | — |
| Cigna | HMO | $115.52 | — |
| Cigna | NetworkBenefit | $115.52 | — |
| Cigna | AllOther | $146.11 | — |
| Humana | COMM | $252.67 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Protein analysis w/probe at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Frisco | Frisco | not published | $22.02 – $44.65 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $107.10 | $22.02 – $169.11 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $107.10 | $22.02 – $169.11 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $110.16 | $22.02 – $169.11 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $110.16 | $22.02 – $169.11 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $84.15 | $22.02 – $169.11 |
| Dell Children's Medical Center (Ascension Seton) | Austin | $163.63 | $22.02 – $169.11 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | $110.16 | $22.02 – $169.11 |