Renal function panel at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$1,525.33
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.
$1,525.33
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.
$6.01 with Amerigroup vs $1,525.33 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 | $6.01 | ↓ -100% |
| United | STARPerinate | $6.01 | ↓ -100% |
| United | CHIP | $6.01 | ↓ -100% |
| United | STAR | $6.01 | ↓ -100% |
| United | STARKids | $6.01 | ↓ -100% |
| Amerigroup | MGMCD | $6.01 | ↓ -100% |
| United | STARPLUS | $6.01 | ↓ -100% |
| Cigna Healthspring | MGMCD | $6.31 | ↓ -100% |
| Aetna Better Health | MCD | $6.49 | ↓ -100% |
| Aetna Better Health | CHIP | $6.49 | ↓ -100% |
| Molina | MCDSTAR | $6.61 | ↓ -100% |
| Parkland Community Health Plan | MCD | $6.61 | ↓ -100% |
| Molina | CHIP | $6.61 | ↓ -100% |
| Molina | STAR+PLUS | $6.61 | ↓ -100% |
| Molina | STARKIDS | $6.61 | ↓ -100% |
| Humana | MGMCD | $7.51 | ↓ -100% |
| WellMed | MGMCR | $8.64 | ↓ -99% |
| TriWest Veterans | FEDERAL | $8.68 | ↓ -99% |
| Devoted Health | HMO | $8.68 | ↓ -99% |
| United | NarrowNetworkIndivExchange | $8.68 | ↓ -99% |
| Humana | MGMCR | $8.68 | ↓ -99% |
| Amerigroup | DualEligible | $8.68 | ↓ -99% |
| Devoted Health | SNP | $8.68 | ↓ -99% |
| Mutual of Omaha | MGMCR | $8.68 | ↓ -99% |
| BCBS | MCRPPO | $8.68 | ↓ -99% |
| United | SmallGroup | $8.68 | ↓ -99% |
| Devoted Health | PPO | $8.68 | ↓ -99% |
| BCBS | MGMCRHMO | $8.68 | ↓ -99% |
| United | AllPayerAppendix | $8.68 | ↓ -99% |
| Devoted Health | POS | $8.68 | ↓ -99% |
| Devoted Health | MCR | $8.68 | ↓ -99% |
| Devoted Health | MME | $8.68 | ↓ -99% |
| Triwest Veterans | FED | $8.68 | ↓ -99% |
| United | MGMCR | $8.72 | ↓ -99% |
| Aetna | MCR | $8.75 | ↓ -99% |
| Care N Care | MGMCR | $8.77 | ↓ -99% |
| Cigna Healthspring | MGMCR | $8.85 | ↓ -99% |
| Integranet | MGMCR | $8.94 | ↓ -99% |
| WellCare | MGMCR | $8.94 | ↓ -99% |
| Superior Health Plan | MGMCRSNP | $9.11 | ↓ -99% |
| Humana | Tricare | $9.11 | ↓ -99% |
| ProCare Advantge | MCR | $9.11 | ↓ -99% |
| Superior Health Plan | MGMCRHMO | $9.11 | ↓ -99% |
| Superior Health Plan | MGMCRPPO | $9.11 | ↓ -99% |
| Superior Health Plan | MGMCRDualEligible | $9.11 | ↓ -99% |
| Superior Health Plan | MGMCRPFFS | $9.11 | ↓ -99% |
| Superior Health Plan | MGMCRPOS | $9.11 | ↓ -99% |
| American Health Plan of Texas, Inc. | MGMCR | $9.11 | ↓ -99% |
| Provider Partners Health Plan | MCR | $9.20 | ↓ -99% |
| Texas Independent Health Plan | MGMCR | $9.20 | ↓ -99% |
| TriWest Health Alliance | TRCR | $9.39 | ↓ -99% |
| Molina | MMP | $9.46 | ↓ -99% |
| Molina | MCR | $9.46 | ↓ -99% |
| Molina | MME | $9.46 | ↓ -99% |
| Imperial Insurance Company | MCR | $9.55 | ↓ -99% |
| Universal Healthcare Group | MCR | $10.42 | ↓ -99% |
| Aetna | QHPHIX | $11.05 | ↓ -99% |
| BCBS | BluePremier | $11.11 | ↓ -99% |
| Verda Health Plan | MGMCR | $11.28 | ↓ -99% |
| Bravo Health | MCRPOS | $13.02 | ↓ -99% |
| Bravo Health | MCRHMO | $13.02 | ↓ -99% |
| Bravo Health | MCRPPO | $13.02 | ↓ -99% |
| Bravo Health | MCRSNP | $13.02 | ↓ -99% |
| Bravo Health | MCRPFFS | $13.02 | ↓ -99% |
| BCBS | MyBlueHealth | $15.19 | ↓ -99% |
| BCBS | BlueAdvantageHMO | $15.19 | ↓ -99% |
| Aetna | NewBusiness | $15.21 | ↓ -99% |
| Superior | ValueHMO | $15.54 | ↓ -99% |
| BCBS | BlueEssentialsAccess | $15.80 | ↓ -99% |
| BCBS | BlueEssentials | $15.80 | ↓ -99% |
| Aetna | Meritain | $16.20 | ↓ -99% |
| Aetna | COMM | $16.20 | ↓ -99% |
| USA Managed Care | WORKERSCOMP | $16.49 | ↓ -99% |
| BCBS | EPOSOA | $16.58 | ↓ -99% |
| Corvel Corporation | WORKERSCOMP | $17.19 | ↓ -99% |
| BCBS | PPO | $17.36 | ↓ -99% |
| Aetna | OON | $19.07 | ↓ -99% |
| Superior | HMO | $19.44 | ↓ -99% |
| Superior | EPO | $19.44 | ↓ -99% |
| Oscar | HIX | $22.57 | ↓ -99% |
| Molina Healthcare | HIX | $22.74 | ↓ -99% |
| Cigna | LocalPlus | $34.90 | ↓ -98% |
| Cigna | NewBusiness | $34.94 | ↓ -98% |
| Cigna | NetworkBenefit | $39.00 | ↓ -97% |
| Cigna | HMO | $39.00 | ↓ -97% |
| Cigna | OpenAccessPlus | $39.00 | ↓ -97% |
| Cigna | AllOther | $49.33 | ↓ -97% |
| Humana | COMM | $96.46 | ↓ -94% |
| Superior Health Plan | MCDSTAR | $106.77 | ↓ -93% |
| Superior Health Plan | CHIP | $106.77 | ↓ -93% |
| Superior Health Plan | STARKids | $106.77 | ↓ -93% |
| Superior Health Plan | STARHealth | $106.77 | ↓ -93% |
| Superior Health Plan | STARPLUS | $106.77 | ↓ -93% |
| Cigna | IFP | $205.92 | ↓ -86% |
| Cigna | QHP | $213.55 | ↓ -86% |
| United | OptionsPPO | $265.41 | ↓ -83% |
| Healthcare Highways | NarrowNetwork | $373.71 | ↓ -75% |
| Evry Health | COMM | $393.54 | ↓ -74% |
| LifeCare Hospitals | MGMCD | $457.60 | ↓ -70% |
| LifeCare Hospitals | MGMCR | $457.60 | ↓ -70% |
| Healthcare Highways | CityofPlano | $515.56 | ↓ -66% |
| Prominence Health Plan | HIX | $610.13 | ↓ -60% |
| BCBS | Traditional | $677.25 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $686.40 | ↓ -55% |
| City of McKinney | COMM | $686.40 | ↓ -55% |
| National ChoiceCare | WCOMP | $762.66 | ↓ -50% |
| Aetna | ASA | $803.85 | ↓ -47% |
| Aetna | WCOMP | $838.93 | ↓ -45% |
| PC Texas Partners | WCOMP | $838.93 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $838.93 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $838.93 | ↓ -45% |
| Averde Health, Inc | PPO | $884.69 | ↓ -42% |
| Aetna Coventry First Health | EXCLUSIVE | $922.82 | ↓ -40% |
| Aetna Coventry First Health | NONEXCLUSIVE | $922.82 | ↓ -40% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $991.46 | ↓ -35% |
| Mega Life | MGMCRPPO | $1,067.73 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $1,067.73 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $1,067.73 | ↓ -30% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,144.00 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $1,144.00 | ↓ -25% |
| USA Managed Care | COMM | $1,220.26 | ↓ -20% |
| USC Health Services | COMM | $1,220.26 | ↓ -20% |
| Galaxy Health Network | PPO | $1,296.53 | ↓ -15% |
| National Healthcare Solutions | COMM | $1,525.33 | ↑ +0% |
| Independent Medical Systems | COMM | $1,525.33 | ↑ +0% |
| Unicare | MCD | $1,525.33 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Renal function panel at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $177.37 | $7.29 – $221.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $177.37 | $7.29 – $221.72 |
| Texas Health Hospital Frisco | Frisco | $352.50 | $7.29 – $36.29 |
| Adventhealth Rollins Brook | Lampasas | $377.61 | $7.81 – $33.42 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $177.37 | $7.29 – $221.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $167.42 | $12.00 – $251.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $128.89 | $7.29 – $161.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $167.42 | $7.80 – $251.14 |