Abciximab injection at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$13,449.15
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.
$13,449.15
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.
$941.44 with Superior Health Plan vs $13,449.15 with Independent Medical Systems — 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 | CHIP | $941.44 | ↓ -93% |
| Superior Health Plan | STARHealth | $941.44 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $941.44 | ↓ -93% |
| Superior Health Plan | STARPLUS | $941.44 | ↓ -93% |
| Superior Health Plan | STARKids | $941.44 | ↓ -93% |
| United | SmallGroup | $951.77 | ↓ -93% |
| United | AllPayerAppendix | $951.77 | ↓ -93% |
| United | NarrowNetworkIndivExchange | $951.77 | ↓ -93% |
| Cigna | IFP | $1,815.64 | ↓ -86% |
| Aetna | QHPHIX | $1,815.64 | ↓ -86% |
| Cigna | QHP | $1,882.88 | ↓ -86% |
| Aetna | NewBusiness | $2,676.38 | ↓ -80% |
| United | OptionsPPO | $2,676.38 | ↓ -80% |
| Aetna | COMM | $2,864.67 | ↓ -79% |
| Aetna | Meritain | $2,864.67 | ↓ -79% |
| Unicare | CHIP | $3,227.80 | ↓ -76% |
| Aetna | OON | $3,375.74 | ↓ -75% |
| Healthcare Highways | CityofPlano | $4,545.81 | ↓ -66% |
| BCBS | BlueAdvantageHMO | $4,651.22 | ↓ -65% |
| BCBS | MyBlueHealth | $4,651.22 | ↓ -65% |
| BCBS | BluePremier | $5,500.57 | ↓ -59% |
| BCBS | Traditional | $5,971.42 | ↓ -56% |
| City of McKinney | COMM | $6,052.12 | ↓ -55% |
| National ChoiceCare | WCOMP | $6,724.57 | ↓ -50% |
| BCBS | BlueEssentials | $6,808.31 | ↓ -49% |
| BCBS | BlueEssentialsAccess | $6,808.31 | ↓ -49% |
| Aetna | ASA | $7,087.70 | ↓ -47% |
| BCBS | EPOSOA | $7,145.35 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $7,397.03 | ↓ -45% |
| PC Texas Partners | WCOMP | $7,397.03 | ↓ -45% |
| Aetna | WCOMP | $7,397.03 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $7,397.03 | ↓ -45% |
| BCBS | PPO | $7,482.40 | ↓ -44% |
| Averde Health, Inc | PPO | $7,800.51 | ↓ -42% |
| USC Health Services | COMM | $8,069.49 | ↓ -40% |
| Cigna | LocalPlus | $8,647.30 | ↓ -36% |
| Cigna | NewBusiness | $8,655.88 | ↓ -36% |
| Humana | COMM | $9,294.52 | ↓ -31% |
| Coastal Comp Health Networks | WCOMP | $9,414.41 | ↓ -30% |
| Mega Life | MGMCRPPO | $9,414.41 | ↓ -30% |
| Jostens | WCOMP | $9,414.41 | ↓ -30% |
| Cigna | NetworkBenefit | $9,660.51 | ↓ -28% |
| Cigna | HMO | $9,660.51 | ↓ -28% |
| Cigna | OpenAccessPlus | $9,660.51 | ↓ -28% |
| Aetna Coventry First Health | COMM | $9,777.53 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $10,086.86 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $10,086.86 | ↓ -25% |
| USA Managed Care | COMM | $10,759.32 | ↓ -20% |
| Galaxy Health Network | PPO | $11,431.78 | ↓ -15% |
| Cigna | AllOther | $12,221.41 | ↓ -9% |
| Unicare | MCD | $13,449.15 | ↑ +0% |
| National Healthcare Solutions | COMM | $13,449.15 | ↑ +0% |
| Independent Medical Systems | COMM | $13,449.15 | ↑ +0% |
Visitor-reported prices
Comments
Abciximab injection at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,443.52 | $692.33 – $3,461.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,443.52 | $502.96 – $3,665.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,443.52 | $488.70 – $3,054.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,443.52 | $651.61 – $3,461.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,443.52 | $784.37 – $3,665.29 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,443.52 | $1,262.49 – $3,665.29 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,443.52 | $814.51 – $3,665.29 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,443.52 | $651.61 – $3,461.66 |