Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) 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.
$11.27 with Superior Health Plan vs $389.90 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 | STARKids | $11.27 | — |
| Superior Health Plan | STARPLUS | $11.27 | — |
| Superior Health Plan | MCDSTAR | $11.27 | — |
| Superior Health Plan | STARHealth | $11.27 | — |
| Superior Health Plan | CHIP | $11.27 | — |
| Cigna | IFP | $21.74 | — |
| Cigna | QHP | $22.54 | — |
| United | OptionsPPO | $28.02 | — |
| United | STAR | $31.31 | — |
| United | CHIP | $31.31 | — |
| Amerigroup | MGMCD | $31.31 | — |
| United | STARPerinate | $31.31 | — |
| United | STARPLUS | $31.31 | — |
| United | STARKids | $31.31 | — |
| Amerigroup | CHIP | $31.31 | — |
| Cigna Healthspring | MGMCD | $32.88 | — |
| Aetna Better Health | MCD | $33.81 | — |
| Aetna Better Health | CHIP | $33.81 | — |
| Molina | STAR+PLUS | $34.44 | — |
| Molina | CHIP | $34.44 | — |
| Parkland Community Health Plan | MCD | $34.44 | — |
| Molina | MCDSTAR | $34.44 | — |
| Molina | STARKIDS | $34.44 | — |
| WellMed | MGMCR | $37.08 | — |
| BCBS | MGMCRHMO | $37.27 | — |
| Devoted Health | SNP | $37.27 | — |
| Devoted Health | HMO | $37.27 | — |
| Devoted Health | POS | $37.27 | — |
| Devoted Health | MCR | $37.27 | — |
| Devoted Health | MME | $37.27 | — |
| Humana | MGMCR | $37.27 | — |
| Triwest Veterans | FED | $37.27 | — |
| United | AllPayerAppendix | $37.27 | — |
| United | NarrowNetworkIndivExchange | $37.27 | — |
| United | SmallGroup | $37.27 | — |
| TriWest Veterans | FEDERAL | $37.27 | — |
| Amerigroup | DualEligible | $37.27 | — |
| Mutual of Omaha | MGMCR | $37.27 | — |
| BCBS | MCRPPO | $37.27 | — |
| Devoted Health | PPO | $37.27 | — |
| United | MGMCR | $37.46 | — |
| Aetna | MCR | $37.59 | — |
| Care N Care | MGMCR | $37.64 | — |
| Cigna Healthspring | MGMCR | $38.02 | — |
| WellCare | MGMCR | $38.39 | — |
| Integranet | MGMCR | $38.39 | — |
| Superior Health Plan | MGMCRSNP | $39.13 | — |
| American Health Plan of Texas, Inc. | MGMCR | $39.13 | — |
| Humana | Tricare | $39.13 | — |
| Superior Health Plan | MGMCRHMO | $39.13 | — |
| Superior Health Plan | MGMCRPPO | $39.13 | — |
| Superior Health Plan | MGMCRDualEligible | $39.13 | — |
| Superior Health Plan | MGMCRPFFS | $39.13 | — |
| Superior Health Plan | MGMCRPOS | $39.13 | — |
| ProCare Advantge | MCR | $39.13 | — |
| Humana | MGMCD | $39.14 | — |
| Healthcare Highways | NarrowNetwork | $39.45 | — |
| Provider Partners Health Plan | MCR | $39.51 | — |
| Texas Independent Health Plan | MGMCR | $39.51 | — |
| TriWest Health Alliance | TRCR | $40.34 | — |
| Molina | MME | $40.62 | — |
| Molina | MCR | $40.62 | — |
| Molina | MMP | $40.62 | — |
| Imperial Insurance Company | MCR | $41.00 | — |
| Evry Health | COMM | $41.54 | — |
| Universal Healthcare Group | MCR | $44.72 | — |
| Aetna | QHPHIX | $47.40 | — |
| BCBS | BluePremier | $47.71 | — |
| LifeCare Hospitals | MGMCR | $48.30 | — |
| LifeCare Hospitals | MGMCD | $48.30 | — |
| Verda Health Plan | MGMCR | $48.45 | — |
| Healthcare Highways | CityofPlano | $54.42 | — |
| Bravo Health | MCRPPO | $55.91 | — |
| Bravo Health | MCRHMO | $55.91 | — |
| Bravo Health | MCRPFFS | $55.91 | — |
| Bravo Health | MCRPOS | $55.91 | — |
| Bravo Health | MCRSNP | $55.91 | — |
| Prominence Health Plan | HIX | $64.40 | — |
| BCBS | MyBlueHealth | $65.22 | — |
| BCBS | BlueAdvantageHMO | $65.22 | — |
| Aetna | NewBusiness | $65.29 | — |
| Superior | ValueHMO | $66.71 | — |
| BCBS | BlueEssentialsAccess | $67.83 | — |
| BCBS | BlueEssentials | $67.83 | — |
| Aetna | Meritain | $69.54 | — |
| Aetna | COMM | $69.54 | — |
| USA Managed Care | WORKERSCOMP | $70.81 | — |
| BCBS | EPOSOA | $71.19 | — |
| BCBS | Traditional | $71.49 | — |
| Fidelis SecureCare | MGMCR | $72.45 | — |
| City of McKinney | COMM | $72.45 | — |
| Corvel Corporation | WORKERSCOMP | $73.79 | — |
| BCBS | PPO | $74.54 | — |
| National ChoiceCare | WCOMP | $80.50 | — |
| Aetna | OON | $81.84 | — |
| Superior | HMO | $83.48 | — |
| Superior | EPO | $83.48 | — |
| Aetna | ASA | $84.85 | — |
| Rockport Health Group | WORKERSCOMP | $88.56 | — |
| PC Texas Partners | WCOMP | $88.56 | — |
| Aetna | WCOMP | $88.56 | — |
| Physicians Coop of TX | MGMCR | $88.56 | — |
| Averde Health, Inc | PPO | $93.39 | — |
| Oscar | HIX | $96.90 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $97.41 | — |
| Aetna Coventry First Health | EXCLUSIVE | $97.41 | — |
| Molina Healthcare | HIX | $97.65 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $104.66 | — |
| Mega Life | MGMCRPPO | $112.71 | — |
| Multiplan PHCS | PrimaryNetwork | $112.71 | — |
| Coastal Comp Health Networks | WCOMP | $112.71 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $120.76 | — |
| HealthSmart Preferred Care | PPO | $120.76 | — |
| USA Managed Care | COMM | $128.81 | — |
| USC Health Services | COMM | $128.81 | — |
| Galaxy Health Network | PPO | $136.86 | — |
| Cigna | LocalPlus | $147.66 | — |
| Cigna | NewBusiness | $147.80 | — |
| Independent Medical Systems | COMM | $161.01 | — |
| National Healthcare Solutions | COMM | $161.01 | — |
| Unicare | MCD | $161.01 | — |
| Cigna | HMO | $165.01 | — |
| Cigna | OpenAccessPlus | $165.01 | — |
| Cigna | NetworkBenefit | $165.01 | — |
| Cigna | AllOther | $208.71 | — |
| Humana | COMM | $389.90 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $215.18 | $10.00 – $268.98 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $215.18 | $10.00 – $268.98 |
| Texas Health Hospital Frisco | Frisco | $233.25 | $31.31 – $117.00 |
| Adventhealth Rollins Brook | Lampasas | $318.55 | $33.54 – $143.49 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $215.18 | $10.00 – $268.98 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $157.88 | $12.00 – $236.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $209.30 | $12.00 – $261.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $157.88 | $12.00 – $236.83 |