Infectious agent antigen immunoassay direct optical observation sars-cov-2 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.
$34.76 with United vs $166.17 with TriWest Health Alliance — 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 | STARPLUS | $34.76 | — |
| United | STAR | $34.76 | — |
| United | CHIP | $34.76 | — |
| Amerigroup | MGMCD | $34.76 | — |
| Amerigroup | CHIP | $34.76 | — |
| United | STARPerinate | $34.76 | — |
| United | STARKids | $34.76 | — |
| Cigna Healthspring | MGMCD | $36.50 | — |
| Aetna Better Health | CHIP | $37.54 | — |
| Aetna Better Health | MCD | $37.54 | — |
| Molina | STARKIDS | $38.24 | — |
| Molina | CHIP | $38.24 | — |
| Molina | STAR+PLUS | $38.24 | — |
| Parkland Community Health Plan | MCD | $38.24 | — |
| Molina | MCDSTAR | $38.24 | — |
| WellMed | MGMCR | $41.17 | — |
| Devoted Health | PPO | $41.38 | — |
| Devoted Health | SNP | $41.38 | — |
| Devoted Health | HMO | $41.38 | — |
| Devoted Health | POS | $41.38 | — |
| Devoted Health | MCR | $41.38 | — |
| Devoted Health | MME | $41.38 | — |
| Humana | MGMCR | $41.38 | — |
| Amerigroup | DualEligible | $41.38 | — |
| Mutual of Omaha | MGMCR | $41.38 | — |
| BCBS | MCRPPO | $41.38 | — |
| BCBS | MGMCRHMO | $41.38 | — |
| TriWest Veterans | FEDERAL | $41.38 | — |
| Triwest Veterans | FED | $41.38 | — |
| United | AllPayerAppendix | $41.52 | — |
| United | NarrowNetworkIndivExchange | $41.52 | — |
| United | SmallGroup | $41.52 | — |
| United | MGMCR | $41.59 | — |
| Aetna | MCR | $41.73 | — |
| Care N Care | MGMCR | $41.79 | — |
| Cigna Healthspring | MGMCR | $42.21 | — |
| WellCare | MGMCR | $42.62 | — |
| Integranet | MGMCR | $42.62 | — |
| Superior Health Plan | MGMCRPFFS | $43.45 | — |
| Superior Health Plan | MGMCRDualEligible | $43.45 | — |
| Superior Health Plan | MGMCRPPO | $43.45 | — |
| Superior Health Plan | MGMCRHMO | $43.45 | — |
| Humana | MGMCD | $43.45 | — |
| American Health Plan of Texas, Inc. | MGMCR | $43.45 | — |
| ProCare Advantge | MCR | $43.45 | — |
| Superior Health Plan | MGMCRSNP | $43.45 | — |
| Superior Health Plan | MGMCRPOS | $43.45 | — |
| Provider Partners Health Plan | MCR | $43.86 | — |
| Texas Independent Health Plan | MGMCR | $43.86 | — |
| Molina | MMP | $45.10 | — |
| Molina | MCR | $45.10 | — |
| Molina | MME | $45.10 | — |
| Imperial Insurance Company | MCR | $45.52 | — |
| Universal Healthcare Group | MCR | $49.66 | — |
| BCBS | BluePremier | $52.97 | — |
| Verda Health Plan | MGMCR | $53.79 | — |
| Bravo Health | MCRPPO | $62.07 | — |
| Bravo Health | MCRHMO | $62.07 | — |
| Bravo Health | MCRPFFS | $62.07 | — |
| Bravo Health | MCRSNP | $62.07 | — |
| Bravo Health | MCRPOS | $62.07 | — |
| BCBS | BlueAdvantageHMO | $72.42 | — |
| BCBS | MyBlueHealth | $72.42 | — |
| Superior | ValueHMO | $74.07 | — |
| BCBS | BlueEssentialsAccess | $75.31 | — |
| BCBS | BlueEssentials | $75.31 | — |
| USA Managed Care | WORKERSCOMP | $78.62 | — |
| BCBS | EPOSOA | $79.04 | — |
| Corvel Corporation | WORKERSCOMP | $81.93 | — |
| BCBS | PPO | $82.76 | — |
| Superior | EPO | $92.69 | — |
| Superior | HMO | $92.69 | — |
| Oscar | HIX | $107.59 | — |
| Molina Healthcare | HIX | $108.42 | — |
| Humana | Tricare | $161.18 | — |
| TriWest Health Alliance | TRCR | $166.17 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Infectious agent antigen immunoassay direct optical observation sars-cov-2 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Frisco | Frisco | not published | $34.76 – $37.54 |
| St. Luke's Health - Patients Medical Center | Pasadena | $125.69 | $33.02 – $269.33 |
| Baylor St Luke's Medical Center | Houston | $73.85 | $29.79 – $211.00 |
| St. Joseph Health Madison Hospital | Madisonville | $32.38 | $37.38 – $166.50 |
| St. Luke's Health Memorial Lufkin | Lufkin | $30.15 | $34.76 – $180.90 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $73.85 | $29.79 – $211.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $73.85 | $29.79 – $211.00 |
| St. Joseph Health College Station Hospital | College Station | $32.38 | $34.76 – $157.25 |