Special physics consult at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$628.44
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.
$628.44
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.
$84.84 with Cigna vs $655.87 with BCBS — 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 |
|---|---|---|---|
| Cigna | IFP | $84.84 | ↓ -86% |
| Cigna | QHP | $87.98 | ↓ -86% |
| United | OptionsPPO | $106.21 | ↓ -83% |
| Oscar | HIX | $130.72 | ↓ -79% |
| Healthcare Highways | NarrowNetwork | $153.97 | ↓ -75% |
| Evry Health | COMM | $162.14 | ↓ -74% |
| LifeCare Hospitals | MGMCR | $188.53 | ↓ -70% |
| LifeCare Hospitals | MGMCD | $188.53 | ↓ -70% |
| Humana | COMM | $194.75 | ↓ -69% |
| Healthcare Highways | CityofPlano | $212.41 | ↓ -66% |
| Aetna | QHPHIX | $228.79 | ↓ -64% |
| Prominence Health Plan | HIX | $251.38 | ↓ -60% |
| Curative Administrators | COMM | $251.38 | ↓ -60% |
| BCBS | Traditional | $260.17 | ↓ -59% |
| United | GlobalBenefitPlan | $282.80 | ↓ -55% |
| City of McKinney | COMM | $282.80 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $282.80 | ↓ -55% |
| Aetna | NewBusiness | $313.69 | ↓ -50% |
| National ChoiceCare | WCOMP | $314.22 | ↓ -50% |
| Aetna | ASA | $317.36 | ↓ -50% |
| BCBS | BluePremier | $329.84 | ↓ -48% |
| Aetna | Meritain | $336.03 | ↓ -47% |
| Aetna | COMM | $336.03 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $345.64 | ↓ -45% |
| PC Texas Partners | WCOMP | $345.64 | ↓ -45% |
| Aetna | WCOMP | $345.64 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $345.64 | ↓ -45% |
| Averde Health, Inc | PPO | $364.50 | ↓ -42% |
| Aetna Coventry First Health | EXCLUSIVE | $369.52 | ↓ -41% |
| Aetna Coventry First Health | NONEXCLUSIVE | $369.52 | ↓ -41% |
| Aetna | OON | $394.12 | ↓ -37% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $408.49 | ↓ -35% |
| Coastal Comp Health Networks | WCOMP | $439.91 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $439.91 | ↓ -30% |
| Mega Life | MGMCRPPO | $439.91 | ↓ -30% |
| BCBS | BlueAdvantageHMO | $444.01 | ↓ -29% |
| BCBS | MyBlueHealth | $444.01 | ↓ -29% |
| Multiplan | PHCSPrimaryNetwork | $471.33 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $471.33 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $471.33 | ↓ -25% |
| USA Managed Care | COMM | $502.75 | ↓ -20% |
| USC Health Services | COMM | $502.75 | ↓ -20% |
| Multiplan | ComplementaryNetwork | $534.17 | ↓ -15% |
| Galaxy Health Network | PPO | $534.17 | ↓ -15% |
| BCBS | BlueEssentialsAccess | $596.24 | ↓ -5% |
| BCBS | BlueEssentials | $596.24 | ↓ -5% |
| BCBS | EPOSOA | $626.69 | ↓ -0% |
| National Healthcare Solutions | COMM | $628.44 | ↑ +0% |
| Independent Medical Systems | COMM | $628.44 | ↑ +0% |
| Unicare | MCD | $628.44 | ↑ +0% |
| BCBS | PPO | $655.87 | ↑ +4% |
Visitor-reported prices
Comments
Special physics consult at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $945.67 | $121.79 – $1,182.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $945.67 | $128.27 – $1,182.08 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $945.67 | $128.27 – $1,182.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $799.57 | $164.58 – $1,199.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $699.60 | $128.27 – $874.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $799.57 | $128.27 – $1,199.35 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $799.57 | $336.13 – $1,199.35 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $699.60 | $128.27 – $1,049.40 |