Surgical pathology level 4 gross & microscopic examination at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$248.17
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.
$248.17
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.
$1.55 with Superior Health Plan vs $254.83 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 | $1.55 | ↓ -99% |
| Superior Health Plan | STARHealth | $1.55 | ↓ -99% |
| Superior Health Plan | MCDSTAR | $1.55 | ↓ -99% |
| Superior Health Plan | STARPLUS | $1.55 | ↓ -99% |
| Superior Health Plan | STARKids | $1.55 | ↓ -99% |
| Cigna | IFP | $2.99 | ↓ -99% |
| Cigna | QHP | $3.10 | ↓ -99% |
| United | OptionsPPO | $3.86 | ↓ -98% |
| Oscar | HIX | $4.61 | ↓ -98% |
| Healthcare Highways | NarrowNetwork | $5.43 | ↓ -98% |
| Evry Health | COMM | $5.72 | ↓ -98% |
| LifeCare Hospitals | MGMCR | $6.65 | ↓ -97% |
| LifeCare Hospitals | MGMCD | $6.65 | ↓ -97% |
| Healthcare Highways | CityofPlano | $7.49 | ↓ -97% |
| Prominence Health Plan | HIX | $8.87 | ↓ -96% |
| BCBS | Traditional | $9.84 | ↓ -96% |
| City of McKinney | COMM | $9.98 | ↓ -96% |
| Fidelis SecureCare | MGMCR | $9.98 | ↓ -96% |
| National ChoiceCare | WCOMP | $11.09 | ↓ -96% |
| Aetna | ASA | $11.68 | ↓ -95% |
| Aetna | WCOMP | $12.19 | ↓ -95% |
| Rockport Health Group | WORKERSCOMP | $12.19 | ↓ -95% |
| Physicians Coop of TX | MGMCR | $12.19 | ↓ -95% |
| PC Texas Partners | WCOMP | $12.19 | ↓ -95% |
| Averde Health, Inc | PPO | $12.86 | ↓ -95% |
| Aetna Coventry First Health | NONEXCLUSIVE | $13.41 | ↓ -95% |
| Aetna Coventry First Health | EXCLUSIVE | $13.41 | ↓ -95% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $14.41 | ↓ -94% |
| Multiplan PHCS | PrimaryNetwork | $15.52 | ↓ -94% |
| Coastal Comp Health Networks | WCOMP | $15.52 | ↓ -94% |
| Mega Life | MGMCRPPO | $15.52 | ↓ -94% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $16.63 | ↓ -93% |
| HealthSmart Preferred Care | PPO | $16.63 | ↓ -93% |
| USC Health Services | COMM | $17.74 | ↓ -93% |
| USA Managed Care | COMM | $17.74 | ↓ -93% |
| Galaxy Health Network | PPO | $18.84 | ↓ -92% |
| Unicare | MCD | $22.17 | ↓ -91% |
| National Healthcare Solutions | COMM | $22.17 | ↓ -91% |
| Independent Medical Systems | COMM | $22.17 | ↓ -91% |
| Aetna | QHPHIX | $44.94 | ↓ -82% |
| United | AllPayerAppendix | $49.76 | ↓ -80% |
| United | SmallGroup | $49.76 | ↓ -80% |
| United | NarrowNetworkIndivExchange | $49.76 | ↓ -80% |
| Aetna | NewBusiness | $61.90 | ↓ -75% |
| BCBS | BluePremier | $63.32 | ↓ -74% |
| Aetna | Meritain | $65.93 | ↓ -73% |
| Aetna | COMM | $65.93 | ↓ -73% |
| Aetna | OON | $77.59 | ↓ -69% |
| BCBS | BlueAdvantageHMO | $86.57 | ↓ -65% |
| BCBS | MyBlueHealth | $86.57 | ↓ -65% |
| BCBS | BlueEssentialsAccess | $90.04 | ↓ -64% |
| BCBS | BlueEssentials | $90.04 | ↓ -64% |
| BCBS | EPOSOA | $94.49 | ↓ -62% |
| BCBS | PPO | $98.94 | ↓ -60% |
| Cigna | LocalPlus | $139.36 | ↓ -44% |
| Cigna | NewBusiness | $139.50 | ↓ -44% |
| Cigna | NetworkBenefit | $155.74 | ↓ -37% |
| Cigna | OpenAccessPlus | $155.74 | ↓ -37% |
| Cigna | HMO | $155.74 | ↓ -37% |
| Cigna | AllOther | $196.98 | ↓ -21% |
| Humana | COMM | $254.83 | ↑ +3% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 4 gross & microscopic examination at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $474.00 | $35.00 – $371.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $474.00 | $35.00 – $371.42 |
| Texas Health Hospital Frisco | Frisco | $361.05 | $35.38 – $176.63 |
| Adventhealth Rollins Brook | Lampasas | $1,149.92 | $190.46 – $190.46 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $474.00 | $35.00 – $371.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $474.00 | $36.00 – $473.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $474.00 | $36.00 – $272.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $474.00 | $36.00 – $473.26 |