Levetiracetam 500 mg/5 ml intravenous solution at MEDICAL CITY FORT WORTH HOSPITAL

900 EIGHTH AVENUE, FT WORTH, TX · Medicalcityhealthcare · · NPI 1659323772

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

not published by hospital

Cash price

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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

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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.

$0.05 with TriWest Health Alliance vs $70.25 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 →

Payer
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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
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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
TriWest Health Alliance TRCR $0.05
Humana Tricare $0.05
United NarrowNetworkIndivExchange $0.07
United SmallGroup $0.07
United AllPayerAppendix $0.07
Cigna LocalPlus $0.30
Cigna NewBusiness $0.30
Cigna HMO $0.34
Cigna OpenAccessPlus $0.34
Cigna NetworkBenefit $0.34
BCBS BlueAdvantageHMO $0.38
BCBS MyBlueHealth $0.38
Cigna AllOther $0.43
BCBS BlueEssentialsAccess $0.56
BCBS BlueEssentials $0.56
BCBS EPOSOA $0.58
BCBS PPO $0.61
BCBS BluePremier $0.68
Humana COMM $1.07
Superior Health Plan MCDSTAR $4.92
Superior Health Plan CHIP $4.92
Superior Health Plan STARPLUS $4.92
Superior Health Plan STARKids $4.92
Superior Health Plan STARHealth $4.92
Cigna IFP $9.48
Cigna QHP $9.84
Aetna QHPHIX $11.45
United OptionsPPO $13.21
Unicare CHIP $15.46
Aetna NewBusiness $16.72
Aetna Meritain $17.98
Aetna COMM $17.98
Aetna OON $21.07
Healthcare Highways CityofPlano $23.74
BCBS Traditional $31.19
City of McKinney COMM $31.61
National ChoiceCare WCOMP $35.13
Emerging Therapy Solutions MGMCR $35.13
Aetna ASA $37.02
Cigna Lifesource COMM $37.23
Physicians Coop of TX MGMCR $38.64
Aetna WCOMP $38.64
PC Texas Partners WCOMP $38.64
Rockport Health Group WORKERSCOMP $38.64
Averde Health, Inc PPO $40.74
Aetna Coventry First Health NONEXCLUSIVE $41.38
Aetna Coventry First Health EXCLUSIVE $41.38
Mega Life MGMCRPPO $49.17
Coastal Comp Health Networks WCOMP $49.17
HealthSmart Preferred Care PPO $49.88
Emerging Therapy Solutions Commercial $50.58
LEWISVILLE ISD/DLS CONSULTING COMMPPO $52.69
TCU ATHLETICS COMM $56.20
USA Managed Care COMM $56.20
USC Health Services COMM $56.20
Galaxy Health Network PPO $59.71
Optum Transplant COMM $60.41
Independent Medical Systems COMM $70.25
National Healthcare Solutions COMM $70.25
Unicare MCD $70.25

Visitor-reported prices

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Levetiracetam 500 mg/5 ml intravenous solution at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $323.37 $0.42 – $0.42
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $119.59 $0.04 – $15.30
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $119.59 $0.04 – $16.20
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $119.59 $0.04 – $13.50
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $119.59 $0.04 – $15.30
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $119.59 $0.04 – $16.20
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $119.59 $0.04 – $16.20
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $119.59 $0.04 – $16.20

All Texas hospitals for this procedure →