Tc-99m gluceptate 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$70.00 with Imaging Providers of Texas vs $1,607.08 with Independent Medical Systems — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Imaging Providers of Texas | HMOBlue | $70.00 | — |
| Superior Health Plan | STARPLUS | $112.50 | — |
| Superior Health Plan | STARHealth | $112.50 | — |
| Superior Health Plan | MCDSTAR | $112.50 | — |
| Superior Health Plan | CHIP | $112.50 | — |
| Superior Health Plan | STARKids | $112.50 | — |
| Cigna | IFP | $216.96 | — |
| Cigna | QHP | $224.99 | — |
| United | OptionsPPO | $271.60 | — |
| Imperial Insurance Company | MCR | $305.35 | — |
| Superior | HMO | $321.42 | — |
| Superior | EPO | $321.42 | — |
| Superior | ValueHMO | $321.42 | — |
| Oscar | HIX | $334.27 | — |
| BCBS | MyBlueHealth | $384.09 | — |
| BCBS | BlueAdvantageHMO | $384.09 | — |
| Healthcare Highways | NarrowNetwork | $393.73 | — |
| Molina Healthcare | HIX | $401.77 | — |
| Evry Health | COMM | $414.63 | — |
| Cigna | NewBusiness | $424.27 | — |
| Cigna | LocalPlus | $424.27 | — |
| Cigna | HMO | $474.09 | — |
| Cigna | NetworkBenefit | $474.09 | — |
| Cigna | OpenAccessPlus | $474.09 | — |
| LifeCare Hospitals | MGMCD | $482.12 | — |
| LifeCare Hospitals | MGMCR | $482.12 | — |
| BCBS | BlueEssentialsAccess | $504.62 | — |
| BCBS | BlueEssentials | $504.62 | — |
| BCBS | EPOSOA | $530.34 | — |
| Healthcare Highways | CityofPlano | $543.19 | — |
| BCBS | PPO | $554.44 | — |
| Cigna | AllOther | $599.44 | — |
| Prominence Health Plan | HIX | $642.83 | — |
| Curative Administrators | COMM | $642.83 | — |
| BCBS | Traditional | $665.33 | — |
| Fidelis SecureCare | MGMCR | $723.19 | — |
| United | GlobalBenefitPlan | $723.19 | — |
| City of McKinney | COMM | $723.19 | — |
| National ChoiceCare | WCOMP | $803.54 | — |
| Aetna | ASA | $811.58 | — |
| PC Texas Partners | WCOMP | $883.89 | — |
| Aetna | WCOMP | $883.89 | — |
| Rockport Health Group | WORKERSCOMP | $883.89 | — |
| Physicians Coop of TX | MGMCR | $883.89 | — |
| Averde Health, Inc | PPO | $932.11 | — |
| Aetna Coventry First Health | EXCLUSIVE | $944.96 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $944.96 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $1,044.60 | — |
| Mega Life | MGMCRPPO | $1,124.96 | — |
| Coastal Comp Health Networks | WCOMP | $1,124.96 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,205.31 | — |
| Multiplan | PHCSPrimaryNetwork | $1,205.31 | — |
| HealthSmart Preferred Care | PPO | $1,205.31 | — |
| USA Managed Care | COMM | $1,285.66 | — |
| USC Health Services | COMM | $1,285.66 | — |
| Multiplan | ComplementaryNetwork | $1,366.02 | — |
| Unicare | MCD | $1,607.08 | — |
| National Healthcare Solutions | COMM | $1,607.08 | — |
| Independent Medical Systems | COMM | $1,607.08 | — |
Visitor-reported prices
Comments
Tc-99m gluceptate at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $27.65 | $20.13 – $158.00 |
| St. Joseph Health College Station Hospital | College Station | $27.65 | $31.60 – $158.00 |
| St. Joseph Health Grimes Hospital | Navasota | $27.65 | $31.60 – $175.38 |
| St. Joseph Health Burleson Hospital | Caldwell | $27.65 | $31.60 – $158.00 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | $201.84 | $70.00 – $70.00 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE | $533.67 | $70.00 – $70.00 |
| Covenant Medical Center | Lubbock | not published | $103.01 – $103.01 |
| CHRISTUS Good Shepherd Medical Center - Marshall | Marshall | not published | $20.33 – $20.33 |