Adh-sendout at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$1,810.99
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.
?
What you pay up front if you don't use insurance.
$1,810.99
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.
?
The hospital's undiscounted list price — almost no one pays this.
$20.36 with Cook Childrens Health Plan vs $1,810.99 with National Healthcare Solutions — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Cook Childrens Health Plan | CHIP | $20.36 | ↓ -99% |
| Cook Childrens Health Plan | STAR | $20.36 | ↓ -99% |
| TEXAS HEALTH NETWORK | MCD | $28.08 | ↓ -98% |
| United | CHIP | $28.51 | ↓ -98% |
| Amerigroup | CHIP | $28.51 | ↓ -98% |
| Amerigroup | MGMCD | $28.51 | ↓ -98% |
| United | STARPerinate | $28.51 | ↓ -98% |
| Parkland Community Health Plan | MCD | $28.51 | ↓ -98% |
| United | STARPLUS | $28.51 | ↓ -98% |
| United | STARKids | $28.51 | ↓ -98% |
| United | STAR | $28.51 | ↓ -98% |
| Cigna Healthspring | MGMCD | $29.94 | ↓ -98% |
| Aetna Better Health | CHIP | $30.79 | ↓ -98% |
| Aetna Better Health | MCD | $30.79 | ↓ -98% |
| Molina | STAR+PLUS | $31.36 | ↓ -98% |
| Molina | CHIP | $31.36 | ↓ -98% |
| Molina | MCDSTAR | $31.36 | ↓ -98% |
| Molina | STARKIDS | $31.36 | ↓ -98% |
| WellMed | MGMCR | $33.77 | ↓ -98% |
| Mutual of Omaha | MGMCR | $33.94 | ↓ -98% |
| Devoted Health | SNP | $33.94 | ↓ -98% |
| Devoted Health | HMO | $33.94 | ↓ -98% |
| Devoted Health | POS | $33.94 | ↓ -98% |
| Devoted Health | MCR | $33.94 | ↓ -98% |
| Devoted Health | MME | $33.94 | ↓ -98% |
| Devoted Health | PPO | $33.94 | ↓ -98% |
| Humana | MGMCR | $33.94 | ↓ -98% |
| United | AllPayerAppendix | $33.94 | ↓ -98% |
| BCBS | MGMCRHMO | $33.94 | ↓ -98% |
| United | NarrowNetworkIndivExchange | $33.94 | ↓ -98% |
| United | SmallGroup | $33.94 | ↓ -98% |
| BCBS | MCRPPO | $33.94 | ↓ -98% |
| TriWest Health Alliance | FEDERAL | $33.94 | ↓ -98% |
| Amerigroup | DualEligible | $33.94 | ↓ -98% |
| United | MGMCR | $34.11 | ↓ -98% |
| Aetna | MCR | $34.23 | ↓ -98% |
| Care N Care | MGMCR | $34.28 | ↓ -98% |
| Cigna Healthspring | MGMCR | $34.62 | ↓ -98% |
| Integranet | MGMCR | $34.96 | ↓ -98% |
| WellCare | MGMCR | $34.96 | ↓ -98% |
| Humana | Tricare | $35.63 | ↓ -98% |
| Superior Health Plan | MGMCRDualEligible | $35.64 | ↓ -98% |
| American Health Plan of Texas, Inc. | MGMCR | $35.64 | ↓ -98% |
| Superior Health Plan | MGMCRSNP | $35.64 | ↓ -98% |
| ProCare Advantge | MCR | $35.64 | ↓ -98% |
| Humana | MGMCD | $35.64 | ↓ -98% |
| Superior Health Plan | MGMCRPPO | $35.64 | ↓ -98% |
| Superior Health Plan | MGMCRPOS | $35.64 | ↓ -98% |
| Superior Health Plan | MGMCRPFFS | $35.64 | ↓ -98% |
| Superior Health Plan | MGMCRHMO | $35.64 | ↓ -98% |
| Texas Independent Health Plan | MGMCR | $35.98 | ↓ -98% |
| Provider Partners Health Plan | MCR | $35.98 | ↓ -98% |
| Molina | MME | $36.99 | ↓ -98% |
| Molina | MCR | $36.99 | ↓ -98% |
| Molina | MMP | $36.99 | ↓ -98% |
| Imperial Insurance Company | MCR | $37.33 | ↓ -98% |
| Universal Healthcare Group | MCR | $40.73 | ↓ -98% |
| Aetna | QHPHIX | $43.16 | ↓ -98% |
| Verda Health Plan | MGMCR | $44.12 | ↓ -98% |
| Bravo Health | MCRPFFS | $50.91 | ↓ -97% |
| Bravo Health | MCRHMO | $50.91 | ↓ -97% |
| Bravo Health | MCRPOS | $50.91 | ↓ -97% |
| Bravo Health | MCRPPO | $50.91 | ↓ -97% |
| Bravo Health | MCRSNP | $50.91 | ↓ -97% |
| BCBS | BluePremier | $57.70 | ↓ -97% |
| BCBS | MyBlueHealth | $59.39 | ↓ -97% |
| BCBS | BlueAdvantageHMO | $59.39 | ↓ -97% |
| Aetna | NewBusiness | $59.45 | ↓ -97% |
| Superior | ValueHMO | $60.75 | ↓ -97% |
| Aetna | COMM | $63.32 | ↓ -97% |
| Aetna | Meritain | $63.32 | ↓ -97% |
| USA Managed Care | WORKERSCOMP | $64.49 | ↓ -96% |
| Corvel Corporation | WORKERSCOMP | $67.20 | ↓ -96% |
| Aetna | OON | $74.52 | ↓ -96% |
| Superior | HMO | $76.03 | ↓ -96% |
| Superior | EPO | $76.03 | ↓ -96% |
| BCBS | BlueEssentials | $83.83 | ↓ -95% |
| BCBS | BlueEssentialsAccess | $83.83 | ↓ -95% |
| BCBS | EPOSOA | $87.90 | ↓ -95% |
| Oscar | HIX | $88.24 | ↓ -95% |
| Molina Healthcare | HIX | $88.92 | ↓ -95% |
| BCBS | PPO | $91.98 | ↓ -95% |
| Superior Health Plan | CHIP | $126.77 | ↓ -93% |
| Superior Health Plan | STARHealth | $126.77 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $126.77 | ↓ -93% |
| Superior Health Plan | STARPLUS | $126.77 | ↓ -93% |
| Superior Health Plan | STARKids | $126.77 | ↓ -93% |
| Cigna | LocalPlus | $129.11 | ↓ -93% |
| Cigna | NewBusiness | $129.24 | ↓ -93% |
| Cigna | HMO | $144.21 | ↓ -92% |
| Cigna | OpenAccessPlus | $144.21 | ↓ -92% |
| Cigna | NetworkBenefit | $144.21 | ↓ -92% |
| Cigna | AllOther | $182.52 | ↓ -90% |
| Cigna | IFP | $244.48 | ↓ -87% |
| Cigna | QHP | $253.54 | ↓ -86% |
| United | OptionsPPO | $360.39 | ↓ -80% |
| Humana | COMM | $377.03 | ↓ -79% |
| Unicare | CHIP | $434.64 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $443.69 | ↓ -76% |
| Evry Health | COMM | $467.24 | ↓ -74% |
| Healthcare Highways | CityofPlano | $612.11 | ↓ -66% |
| BCBS | Traditional | $804.08 | ↓ -56% |
| City of McKinney | COMM | $814.95 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $814.95 | ↓ -55% |
| National ChoiceCare | WCOMP | $905.50 | ↓ -50% |
| Aetna | ASA | $954.39 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $996.04 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $996.04 | ↓ -45% |
| Aetna | WCOMP | $996.04 | ↓ -45% |
| PC Texas Partners | WCOMP | $996.04 | ↓ -45% |
| Averde Health, Inc | PPO | $1,050.37 | ↓ -42% |
| USC Health Services | COMM | $1,086.59 | ↓ -40% |
| Coastal Comp Health Networks | WCOMP | $1,267.69 | ↓ -30% |
| Jostens | WCOMP | $1,267.69 | ↓ -30% |
| Mega Life | MGMCRPPO | $1,267.69 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $1,267.69 | ↓ -30% |
| Aetna Coventry First Health | COMM | $1,316.59 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,358.24 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $1,358.24 | ↓ -25% |
| USA Managed Care | COMM | $1,448.79 | ↓ -20% |
| Galaxy Health Network | PPO | $1,539.34 | ↓ -15% |
| Independent Medical Systems | COMM | $1,810.99 | ↑ +0% |
| Unicare | MCD | $1,810.99 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,810.99 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Adh-sendout at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $433.43 | $30.55 – $130.67 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $435.33 | $10.00 – $84.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $414.60 | $12.00 – $101.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $414.60 | $12.00 – $84.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $435.33 | $10.00 – $84.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $414.60 | $12.00 – $101.25 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $414.60 | $8.00 – $101.25 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $414.60 | $12.00 – $101.25 |