Btk gene common variants 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.
$147.34 with Amerigroup vs $982.88 with Cigna — 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 |
|---|---|---|---|
| Amerigroup | MGMCD | $147.34 | — |
| United | STARKids | $147.34 | — |
| United | CHIP | $147.34 | — |
| United | STARPLUS | $147.34 | — |
| United | STARPerinate | $147.34 | — |
| United | STAR | $147.34 | — |
| Amerigroup | CHIP | $147.34 | — |
| Cigna Healthspring | MGMCD | $154.71 | — |
| Aetna Better Health | MCD | $159.13 | — |
| Aetna Better Health | CHIP | $159.13 | — |
| Parkland Community Health Plan | MCD | $162.07 | — |
| Molina | CHIP | $162.07 | — |
| Molina | MCDSTAR | $162.07 | — |
| Molina | STARKIDS | $162.07 | — |
| Molina | STAR+PLUS | $162.07 | — |
| WellMed | MGMCR | $174.52 | — |
| Humana | MGMCR | $175.40 | — |
| TriWest Veterans | FEDERAL | $175.40 | — |
| Amerigroup | DualEligible | $175.40 | — |
| Triwest Veterans | FED | $175.40 | — |
| Devoted Health | SNP | $175.40 | — |
| Devoted Health | MCR | $175.40 | — |
| United | SmallGroup | $175.40 | — |
| Devoted Health | MME | $175.40 | — |
| Devoted Health | PPO | $175.40 | — |
| BCBS | MGMCRHMO | $175.40 | — |
| BCBS | MCRPPO | $175.40 | — |
| Mutual of Omaha | MGMCR | $175.40 | — |
| United | NarrowNetworkIndivExchange | $175.40 | — |
| Devoted Health | POS | $175.40 | — |
| Devoted Health | HMO | $175.40 | — |
| United | AllPayerAppendix | $175.40 | — |
| United | MGMCR | $176.28 | — |
| Aetna | MCR | $176.89 | — |
| Care N Care | MGMCR | $177.15 | — |
| Cigna Healthspring | MGMCR | $178.91 | — |
| Integranet | MGMCR | $180.66 | — |
| WellCare | MGMCR | $180.66 | — |
| Superior Health Plan | MGMCRPPO | $184.17 | — |
| American Health Plan of Texas, Inc. | MGMCR | $184.17 | — |
| ProCare Advantge | MCR | $184.17 | — |
| Superior Health Plan | MGMCRHMO | $184.17 | — |
| Superior Health Plan | MGMCRSNP | $184.17 | — |
| Superior Health Plan | MGMCRPOS | $184.17 | — |
| Superior Health Plan | MGMCRPFFS | $184.17 | — |
| Superior Health Plan | MGMCRDualEligible | $184.17 | — |
| Humana | MGMCD | $184.18 | — |
| Provider Partners Health Plan | MCR | $185.92 | — |
| Texas Independent Health Plan | MGMCR | $185.92 | — |
| Molina | MMP | $191.19 | — |
| Molina | MME | $191.19 | — |
| Molina | MCR | $191.19 | — |
| Imperial Insurance Company | MCR | $192.94 | — |
| Universal Healthcare Group | MCR | $210.48 | — |
| Aetna | QHPHIX | $223.11 | — |
| BCBS | BluePremier | $224.51 | — |
| Verda Health Plan | MGMCR | $228.02 | — |
| Bravo Health | MCRSNP | $263.10 | — |
| Bravo Health | MCRPPO | $263.10 | — |
| Bravo Health | MCRPOS | $263.10 | — |
| Bravo Health | MCRHMO | $263.10 | — |
| Bravo Health | MCRPFFS | $263.10 | — |
| BCBS | MyBlueHealth | $306.95 | — |
| BCBS | BlueAdvantageHMO | $306.95 | — |
| Aetna | NewBusiness | $307.30 | — |
| Superior | ValueHMO | $313.97 | — |
| BCBS | BlueEssentialsAccess | $319.23 | — |
| BCBS | BlueEssentials | $319.23 | — |
| Aetna | COMM | $327.30 | — |
| Aetna | Meritain | $327.30 | — |
| USA Managed Care | WORKERSCOMP | $333.26 | — |
| BCBS | EPOSOA | $335.01 | — |
| Corvel Corporation | WORKERSCOMP | $347.29 | — |
| BCBS | PPO | $350.80 | — |
| Aetna | OON | $385.18 | — |
| Superior | EPO | $392.90 | — |
| Superior | HMO | $392.90 | — |
| Oscar | HIX | $456.04 | — |
| Molina Healthcare | HIX | $459.55 | — |
| Cigna | LocalPlus | $695.39 | — |
| Cigna | NewBusiness | $696.06 | — |
| Cigna | NetworkBenefit | $777.10 | — |
| Cigna | OpenAccessPlus | $777.10 | — |
| Cigna | HMO | $777.10 | — |
| Cigna | AllOther | $982.88 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Btk gene common variants at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Frisco | Frisco | not published | $147.34 – $159.13 |
| Houston Methodist The Woodlands Hospital | The Woodlands | $401.50 | $175.40 – $729.66 |
| Houston Methodist Cypress Hospital | Cypress | $401.50 | $175.40 – $729.66 |
| Houston Methodist Willowbrook Hospital | Houston | $401.50 | $175.40 – $729.66 |
| Houston Methodist Continuing Care Hospital | Katy | $401.50 | not published |
| Houston Methodist Hospital | Houston | $401.50 | $175.40 – $729.66 |
| Houston Methodist Clear Lake Hospital | Nassau Bay | $401.50 | $175.40 – $342.03 |
| Houston Methodist Sugar Land Hospital | Sugar Land | $401.50 | $175.40 – $729.66 |