Smear gram stain 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.
$3.59 with United vs $242.34 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 | — |
| Amerigroup | MGMCD | $3.59 | — |
| United | STARPLUS | $3.59 | — |
| United | CHIP | $3.59 | — |
| United | STARPerinate | $3.59 | — |
| Amerigroup | CHIP | $3.59 | — |
| United | STARKids | $3.59 | — |
| Cigna Healthspring | MGMCD | $3.77 | — |
| Aetna Better Health | CHIP | $3.88 | — |
| Aetna Better Health | MCD | $3.88 | — |
| Molina | STARKIDS | $3.95 | — |
| Molina | MCDSTAR | $3.95 | — |
| Parkland Community Health Plan | MCD | $3.95 | — |
| Molina | CHIP | $3.95 | — |
| Molina | STAR+PLUS | $3.95 | — |
| WellMed | MGMCR | $4.25 | — |
| Humana | MGMCR | $4.27 | — |
| TriWest Veterans | FEDERAL | $4.27 | — |
| Devoted Health | HMO | $4.27 | — |
| Devoted Health | PPO | $4.27 | — |
| United | NarrowNetworkIndivExchange | $4.27 | — |
| Amerigroup | DualEligible | $4.27 | — |
| Triwest Veterans | FED | $4.27 | — |
| Devoted Health | SNP | $4.27 | — |
| Mutual of Omaha | MGMCR | $4.27 | — |
| BCBS | MCRPPO | $4.27 | — |
| United | SmallGroup | $4.27 | — |
| BCBS | MGMCRHMO | $4.27 | — |
| United | AllPayerAppendix | $4.27 | — |
| Devoted Health | POS | $4.27 | — |
| Devoted Health | MCR | $4.27 | — |
| Devoted Health | MME | $4.27 | — |
| United | MGMCR | $4.29 | — |
| Care N Care | MGMCR | $4.31 | — |
| Aetna | MCR | $4.31 | — |
| Cigna Healthspring | MGMCR | $4.36 | — |
| Integranet | MGMCR | $4.40 | — |
| WellCare | MGMCR | $4.40 | — |
| Superior Health Plan | MGMCRSNP | $4.48 | — |
| Humana | Tricare | $4.48 | — |
| ProCare Advantge | MCR | $4.48 | — |
| Superior Health Plan | MGMCRHMO | $4.48 | — |
| Superior Health Plan | MGMCRPPO | $4.48 | — |
| Superior Health Plan | MGMCRDualEligible | $4.48 | — |
| Superior Health Plan | MGMCRPFFS | $4.48 | — |
| Superior Health Plan | MGMCRPOS | $4.48 | — |
| American Health Plan of Texas, Inc. | MGMCR | $4.48 | — |
| Humana | MGMCD | $4.49 | — |
| Provider Partners Health Plan | MCR | $4.53 | — |
| Texas Independent Health Plan | MGMCR | $4.53 | — |
| TriWest Health Alliance | TRCR | $4.62 | — |
| Molina | MCR | $4.65 | — |
| Molina | MME | $4.65 | — |
| Molina | MMP | $4.65 | — |
| Imperial Insurance Company | MCR | $4.70 | — |
| Universal Healthcare Group | MCR | $5.12 | — |
| Aetna | QHPHIX | $5.43 | — |
| BCBS | BluePremier | $5.47 | — |
| Verda Health Plan | MGMCR | $5.55 | — |
| Bravo Health | MCRPOS | $6.40 | — |
| Bravo Health | MCRPFFS | $6.40 | — |
| Bravo Health | MCRHMO | $6.40 | — |
| Bravo Health | MCRSNP | $6.40 | — |
| Bravo Health | MCRPPO | $6.40 | — |
| BCBS | MyBlueHealth | $7.47 | — |
| BCBS | BlueAdvantageHMO | $7.47 | — |
| Aetna | NewBusiness | $7.48 | — |
| Superior | ValueHMO | $7.64 | — |
| BCBS | BlueEssentialsAccess | $7.77 | — |
| BCBS | BlueEssentials | $7.77 | — |
| Aetna | Meritain | $7.96 | — |
| Aetna | COMM | $7.96 | — |
| USA Managed Care | WORKERSCOMP | $8.11 | — |
| BCBS | EPOSOA | $8.16 | — |
| Corvel Corporation | WORKERSCOMP | $8.45 | — |
| BCBS | PPO | $8.54 | — |
| Aetna | OON | $9.37 | — |
| Superior | HMO | $9.56 | — |
| Superior | EPO | $9.56 | — |
| Oscar | HIX | $11.10 | — |
| Molina Healthcare | HIX | $11.19 | — |
| Superior Health Plan | MCDSTAR | $16.96 | — |
| Superior Health Plan | CHIP | $16.96 | — |
| Superior Health Plan | STARKids | $16.96 | — |
| Superior Health Plan | STARHealth | $16.96 | — |
| Superior Health Plan | STARPLUS | $16.96 | — |
| Cigna | LocalPlus | $17.47 | — |
| Cigna | NewBusiness | $17.49 | — |
| Cigna | NetworkBenefit | $19.53 | — |
| Cigna | OpenAccessPlus | $19.53 | — |
| Cigna | HMO | $19.53 | — |
| Cigna | AllOther | $24.70 | — |
| Cigna | IFP | $32.72 | — |
| Cigna | QHP | $33.93 | — |
| United | OptionsPPO | $42.17 | — |
| Humana | COMM | $47.42 | — |
| Healthcare Highways | NarrowNetwork | $59.37 | — |
| Evry Health | COMM | $62.52 | — |
| LifeCare Hospitals | MGMCD | $72.70 | — |
| LifeCare Hospitals | MGMCR | $72.70 | — |
| Healthcare Highways | CityofPlano | $81.91 | — |
| Prominence Health Plan | HIX | $96.94 | — |
| BCBS | Traditional | $107.60 | — |
| Fidelis SecureCare | MGMCR | $109.05 | — |
| City of McKinney | COMM | $109.05 | — |
| National ChoiceCare | WCOMP | $121.17 | — |
| Aetna | ASA | $127.71 | — |
| Aetna | WCOMP | $133.29 | — |
| PC Texas Partners | WCOMP | $133.29 | — |
| Physicians Coop of TX | MGMCR | $133.29 | — |
| Rockport Health Group | WORKERSCOMP | $133.29 | — |
| Averde Health, Inc | PPO | $140.56 | — |
| Aetna Coventry First Health | EXCLUSIVE | $146.62 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $146.62 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $157.52 | — |
| Mega Life | MGMCRPPO | $169.64 | — |
| Multiplan PHCS | PrimaryNetwork | $169.64 | — |
| Coastal Comp Health Networks | WCOMP | $169.64 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $181.75 | — |
| HealthSmart Preferred Care | PPO | $181.75 | — |
| USA Managed Care | COMM | $193.87 | — |
| USC Health Services | COMM | $193.87 | — |
| Galaxy Health Network | PPO | $205.99 | — |
| National Healthcare Solutions | COMM | $242.34 | — |
| Independent Medical Systems | COMM | $242.34 | — |
| Unicare | MCD | $242.34 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Smear gram stain at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $74.19 | $3.59 – $92.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $74.19 | $3.59 – $92.74 |
| Texas Health Hospital Frisco | Frisco | $91.35 | $3.59 – $17.14 |
| Adventhealth Rollins Brook | Lampasas | $108.96 | $3.84 – $16.44 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $74.19 | $3.59 – $92.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $76.01 | $6.26 – $114.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $81.61 | $3.59 – $102.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $76.01 | $3.84 – $114.01 |