Immune complex assay 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.
$20.47 with Amerigroup vs $1,281.40 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 |
|---|---|---|---|
| Amerigroup | CHIP | $20.47 | — |
| Amerigroup | MGMCD | $20.47 | — |
| United | STARPerinate | $20.47 | — |
| United | CHIP | $20.47 | — |
| United | STARPLUS | $20.47 | — |
| United | STAR | $20.47 | — |
| United | STARKids | $20.47 | — |
| Cigna Healthspring | MGMCD | $21.49 | — |
| Aetna Better Health | MCD | $22.11 | — |
| Aetna Better Health | CHIP | $22.11 | — |
| Molina | STARKIDS | $22.52 | — |
| Molina | MCDSTAR | $22.52 | — |
| Parkland Community Health Plan | MCD | $22.52 | — |
| Molina | CHIP | $22.52 | — |
| Molina | STAR+PLUS | $22.52 | — |
| WellMed | MGMCR | $24.25 | — |
| Amerigroup | DualEligible | $24.37 | — |
| TriWest Veterans | FEDERAL | $24.37 | — |
| Humana | MGMCR | $24.37 | — |
| Devoted Health | POS | $24.37 | — |
| United | NarrowNetworkIndivExchange | $24.37 | — |
| Devoted Health | PPO | $24.37 | — |
| Devoted Health | SNP | $24.37 | — |
| BCBS | MCRPPO | $24.37 | — |
| Mutual of Omaha | MGMCR | $24.37 | — |
| Devoted Health | HMO | $24.37 | — |
| United | SmallGroup | $24.37 | — |
| BCBS | MGMCRHMO | $24.37 | — |
| United | AllPayerAppendix | $24.37 | — |
| Devoted Health | MCR | $24.37 | — |
| Devoted Health | MME | $24.37 | — |
| Triwest Veterans | FED | $24.37 | — |
| United | MGMCR | $24.49 | — |
| Aetna | MCR | $24.58 | — |
| Care N Care | MGMCR | $24.61 | — |
| Cigna Healthspring | MGMCR | $24.86 | — |
| Integranet | MGMCR | $25.10 | — |
| WellCare | MGMCR | $25.10 | — |
| Superior Health Plan | MGMCRSNP | $25.59 | — |
| Humana | Tricare | $25.59 | — |
| Humana | MGMCD | $25.59 | — |
| ProCare Advantge | MCR | $25.59 | — |
| Superior Health Plan | MGMCRHMO | $25.59 | — |
| Superior Health Plan | MGMCRPPO | $25.59 | — |
| Superior Health Plan | MGMCRDualEligible | $25.59 | — |
| Superior Health Plan | MGMCRPFFS | $25.59 | — |
| Superior Health Plan | MGMCRPOS | $25.59 | — |
| American Health Plan of Texas, Inc. | MGMCR | $25.59 | — |
| Provider Partners Health Plan | MCR | $25.83 | — |
| Texas Independent Health Plan | MGMCR | $25.83 | — |
| TriWest Health Alliance | TRCR | $26.38 | — |
| Molina | MMP | $26.56 | — |
| Molina | MCR | $26.56 | — |
| Molina | MME | $26.56 | — |
| Imperial Insurance Company | MCR | $26.81 | — |
| Universal Healthcare Group | MCR | $29.24 | — |
| Aetna | QHPHIX | $30.99 | — |
| BCBS | BluePremier | $31.19 | — |
| Verda Health Plan | MGMCR | $31.68 | — |
| Bravo Health | MCRPOS | $36.55 | — |
| Bravo Health | MCRHMO | $36.55 | — |
| Bravo Health | MCRPPO | $36.55 | — |
| Bravo Health | MCRSNP | $36.55 | — |
| Bravo Health | MCRPFFS | $36.55 | — |
| BCBS | MyBlueHealth | $42.65 | — |
| BCBS | BlueAdvantageHMO | $42.65 | — |
| Aetna | NewBusiness | $42.69 | — |
| Superior | ValueHMO | $43.62 | — |
| BCBS | BlueEssentialsAccess | $44.35 | — |
| BCBS | BlueEssentials | $44.35 | — |
| Aetna | Meritain | $45.47 | — |
| Aetna | COMM | $45.47 | — |
| USA Managed Care | WORKERSCOMP | $46.30 | — |
| BCBS | EPOSOA | $46.55 | — |
| Corvel Corporation | WORKERSCOMP | $48.25 | — |
| BCBS | PPO | $48.74 | — |
| Aetna | OON | $53.51 | — |
| Superior | HMO | $54.59 | — |
| Superior | EPO | $54.59 | — |
| Oscar | HIX | $63.36 | — |
| Molina Healthcare | HIX | $63.85 | — |
| Superior Health Plan | MCDSTAR | $89.70 | — |
| Superior Health Plan | CHIP | $89.70 | — |
| Superior Health Plan | STARKids | $89.70 | — |
| Superior Health Plan | STARHealth | $89.70 | — |
| Superior Health Plan | STARPLUS | $89.70 | — |
| Cigna | LocalPlus | $96.66 | — |
| Cigna | NewBusiness | $96.75 | — |
| Cigna | NetworkBenefit | $108.02 | — |
| Cigna | OpenAccessPlus | $108.02 | — |
| Cigna | HMO | $108.02 | — |
| Cigna | AllOther | $136.62 | — |
| Cigna | IFP | $172.99 | — |
| Cigna | QHP | $179.40 | — |
| United | OptionsPPO | $222.96 | — |
| Humana | COMM | $270.76 | — |
| Healthcare Highways | NarrowNetwork | $313.94 | — |
| Evry Health | COMM | $330.60 | — |
| LifeCare Hospitals | MGMCD | $384.42 | — |
| LifeCare Hospitals | MGMCR | $384.42 | — |
| Healthcare Highways | CityofPlano | $433.11 | — |
| Prominence Health Plan | HIX | $512.56 | — |
| BCBS | Traditional | $568.94 | — |
| Fidelis SecureCare | MGMCR | $576.63 | — |
| City of McKinney | COMM | $576.63 | — |
| National ChoiceCare | WCOMP | $640.70 | — |
| Aetna | ASA | $675.30 | — |
| Aetna | WCOMP | $704.77 | — |
| PC Texas Partners | WCOMP | $704.77 | — |
| Physicians Coop of TX | MGMCR | $704.77 | — |
| Rockport Health Group | WORKERSCOMP | $704.77 | — |
| Averde Health, Inc | PPO | $743.21 | — |
| Aetna Coventry First Health | EXCLUSIVE | $775.25 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $775.25 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $832.91 | — |
| Mega Life | MGMCRPPO | $896.98 | — |
| Multiplan PHCS | PrimaryNetwork | $896.98 | — |
| Coastal Comp Health Networks | WCOMP | $896.98 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $961.05 | — |
| HealthSmart Preferred Care | PPO | $961.05 | — |
| USA Managed Care | COMM | $1,025.12 | — |
| USC Health Services | COMM | $1,025.12 | — |
| Galaxy Health Network | PPO | $1,089.19 | — |
| National Healthcare Solutions | COMM | $1,281.40 | — |
| Independent Medical Systems | COMM | $1,281.40 | — |
| Unicare | MCD | $1,281.40 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Immune complex assay at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $141.71 | $10.00 – $155.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $141.71 | $10.00 – $155.05 |
| Texas Health Hospital Frisco | Frisco | $173.25 | $20.47 – $100.81 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $141.71 | $10.00 – $155.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $174.76 | $12.00 – $186.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $163.65 | $12.00 – $155.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $174.76 | $12.00 – $186.06 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $174.76 | $8.00 – $186.06 |