Acetazolamide 500 mg solution for injection at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$1,145.80
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.
$1,145.80
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.
$18.49 with Humana vs $1,145.80 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 |
|---|---|---|---|
| Humana | Tricare | $18.49 | ↓ -98% |
| United | AllPayerAppendix | $42.22 | ↓ -96% |
| United | SmallGroup | $42.22 | ↓ -96% |
| United | NarrowNetworkIndivExchange | $42.22 | ↓ -96% |
| Superior Health Plan | CHIP | $80.21 | ↓ -93% |
| Superior Health Plan | STARKids | $80.21 | ↓ -93% |
| Superior Health Plan | STARPLUS | $80.21 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $80.21 | ↓ -93% |
| Superior Health Plan | STARHealth | $80.21 | ↓ -93% |
| BCBS | MyBlueHealth | $86.84 | ↓ -92% |
| BCBS | BlueAdvantageHMO | $86.84 | ↓ -92% |
| BCBS | BluePremier | $102.69 | ↓ -91% |
| Humana | COMM | $103.87 | ↓ -91% |
| Cigna | LocalPlus | $104.26 | ↓ -91% |
| Cigna | NewBusiness | $104.36 | ↓ -91% |
| Cigna | NetworkBenefit | $116.47 | ↓ -90% |
| Cigna | OpenAccessPlus | $116.47 | ↓ -90% |
| Cigna | HMO | $116.47 | ↓ -90% |
| BCBS | BlueEssentials | $127.11 | ↓ -89% |
| BCBS | BlueEssentialsAccess | $127.11 | ↓ -89% |
| BCBS | EPOSOA | $133.40 | ↓ -88% |
| BCBS | PPO | $139.69 | ↓ -88% |
| Cigna | AllOther | $147.35 | ↓ -87% |
| Cigna | IFP | $154.68 | ↓ -87% |
| Aetna | QHPHIX | $154.68 | ↓ -87% |
| Cigna | QHP | $160.41 | ↓ -86% |
| United | OptionsPPO | $228.01 | ↓ -80% |
| Aetna | NewBusiness | $228.01 | ↓ -80% |
| Aetna | COMM | $244.06 | ↓ -79% |
| Aetna | Meritain | $244.06 | ↓ -79% |
| Unicare | CHIP | $274.99 | ↓ -76% |
| Aetna | OON | $287.60 | ↓ -75% |
| Healthcare Highways | CityofPlano | $387.28 | ↓ -66% |
| BCBS | Traditional | $508.74 | ↓ -56% |
| City of McKinney | COMM | $515.61 | ↓ -55% |
| National ChoiceCare | WCOMP | $572.90 | ↓ -50% |
| Aetna | ASA | $603.84 | ↓ -47% |
| PC Texas Partners | WCOMP | $630.19 | ↓ -45% |
| Aetna | WCOMP | $630.19 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $630.19 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $630.19 | ↓ -45% |
| Averde Health, Inc | PPO | $664.56 | ↓ -42% |
| USC Health Services | COMM | $687.48 | ↓ -40% |
| Mega Life | MGMCRPPO | $802.06 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $802.06 | ↓ -30% |
| Jostens | WCOMP | $802.06 | ↓ -30% |
| Aetna Coventry First Health | COMM | $833.00 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $859.35 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $859.35 | ↓ -25% |
| USA Managed Care | COMM | $916.64 | ↓ -20% |
| Galaxy Health Network | PPO | $973.93 | ↓ -15% |
| Independent Medical Systems | COMM | $1,145.80 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,145.80 | ↑ +0% |
| Unicare | MCD | $1,145.80 | ↑ +0% |
Visitor-reported prices
Comments
Acetazolamide 500 mg solution for injection at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $246.40 | $96.90 – $96.90 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $113.40 | $26.80 – $160.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $113.40 | $23.34 – $170.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $113.40 | $22.68 – $141.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $113.40 | $26.80 – $160.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $113.40 | $26.80 – $170.10 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $113.40 | $26.80 – $170.10 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $113.40 | $26.80 – $170.10 |