Emergency care is defined as healthcare services provided in a freestanding emergency medical care facility to evaluate and stabilize a medical condition of recent onset and severity, including severe pain, that would lead a prudent layperson possessing an average knowledge of medicine and health to believe that the person’s condition, sickness, or injury is of such a nature that failure to get immediate medical care could result in placing the person’s health in serious jeopardy. You can find our required legal posting here.
Your insurance provider is required to reimburse you for emergency treatment. If your insurance company refuses to reimburse you for your emergency room visit, you may file an official complaint with the Texas Department of Insurance. For additional information about the Texas Department of Insurance, go to http://www.tdi.state.tx.us.
All freestanding emergency centers shall provide, without regard to the individual’s ability to pay, an appropriate medical screening, examination, and stabilization within the facility’s capability to determine whether an emergency medical condition exists and any necessary stabilizing treatment.
This facility is a freestanding emergency medical care facility. The facility charges rates comparable to those of a hospital emergency room and may also charge a facility fee. Both the facility and any physicians providing medical care at this facility may be out-of-network providers for the patient’s health benefit plan network. Additionally, a physician providing medical care at this facility may bill separately from the facility for the services rendered to a patient. Please note that this facility is considered an out-of-network provider for all health benefit plans.
For the Department’s contact information, please reach out to:
Department of State Health Services,
Patient Quality Care Unit – Health Facility Compliance
P.O. Box 149347, Mail Code 1979, Austin, Texas 78714-9347
Telephone: (888) 973-0022
A group health plan and a health insurance issuer offering group or individual health insurance coverage (including a grandfathered health plan, as defined in section 1251(e) of the Patient Protection and Affordable Care Act), shall provide coverage and shall not impose any cost-sharing, including deductibles, copayments, and coinsurance.
Public health and Social Services Emergency Fund reimbursement is available for testing uninsured individuals.
Providers must clearly publicize the cash price of the COVID-19 test on the website (or be subject to civil monetary penalties up to $300 per day while the violation is ongoing. Frisco ER Covid-19
We are an emergency room facility, and per our mission, we are a comprehensive emergency medical facility. Because of the type of facility and services that we offer, we do not offer standalone testing for COVID-19 or testing of asymptomatic patients. Our pricing for a comprehensive treatment plan may include COVID-19 testing, the cost of which for the test, not including any other necessary testing and/or services, is charged at $150 for a COVID-19 Rapid, point-of-care diagnostic test and $450 for a COVID-19 PCR swab test. The final price may also include the additional cost of an emergency room physician’s physical assessment. Patient responsibility will be discussed prior to any treatment.
Pursuant to Section 6001 of the Families First Coronavirus Response Act (the “FFCRA”), as amended by Sections 3201 and 3202 of the Coronavirus Aid, Relief, and Economic Security Act (the “CARES Act”), specifically as they relate to the provision and reimbursement of orders for and/or administration of SARS-CoV-2 or COVID-19 (collectively, “COVID-19”) in vitro diagnostic tests (including serological tests used to detect COVID-19 antibodies), as well as the provision and reimbursement of items and services furnished to individuals during visits that result in an order for or administration of a COVID-19 in vitro diagnostic test(s), and/or the provision and reimbursement of services related to the evaluation of such individuals by the attending healthcare provider for purposes of determining the need for the product or service in question, the following are the lists, by provider, of CPT codes and associated cash prices required by Section 3202(b) of the CARES Act related to the foregoing COVID-19 in vitro diagnostic testing services, as well as said related items and services.
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In case you had any concerns, here are some frequently asked questions and answers to clear things up.
We process all commercial insurances however, currently we do not take Medicare, Medicaid, or Tricare.
EOB is, an Explanation of Benefits (EOB) it is NOT your bill. EOBs can often be confusing and may appear quite distinct from the bill you may receive. For inquiries regarding your actual bill, please reach out to our billing department.
After physician evaluation and consultation of the patient, we will discuss the physician recommended treatment plan and associated costs to ensure you are fully informed and comfortable with the expenses before the treatment begins. Our basic cash pay/self-pay visit fee starts at $200, with potential increase depending on the required tests and treatments.