Administration immunization each additional vaccine at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
not published by hospital
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.
not published by hospital
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.
$5.69 with Superior Health Plan vs $88.99 with Humana — 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 | $5.69 | — |
| Superior Health Plan | STARPLUS | $5.69 | — |
| Superior Health Plan | STARHealth | $5.69 | — |
| Superior Health Plan | MCDSTAR | $5.69 | — |
| Superior Health Plan | STARKids | $5.69 | — |
| Aetna | QHPHIX | $10.98 | — |
| Cigna | IFP | $10.98 | — |
| Cigna | QHP | $11.38 | — |
| Imperial Insurance Company | MCR | $15.45 | — |
| United | OptionsPPO | $16.18 | — |
| Aetna | NewBusiness | $16.18 | — |
| Oscar | HIX | $16.91 | — |
| Aetna | Meritain | $17.32 | — |
| Aetna | COMM | $17.32 | — |
| Unicare | CHIP | $19.51 | — |
| Healthcare Highways | NarrowNetwork | $19.92 | — |
| Aetna | OON | $20.41 | — |
| Evry Health | COMM | $20.98 | — |
| Cigna | NewBusiness | $21.47 | — |
| Cigna | LocalPlus | $21.47 | — |
| Cigna | HMO | $23.99 | — |
| Cigna | NetworkBenefit | $23.99 | — |
| Cigna | OpenAccessPlus | $23.99 | — |
| Healthcare Highways | CityofPlano | $27.48 | — |
| Cigna | AllOther | $30.33 | — |
| BCBS | BluePremier | $30.61 | — |
| Curative Administrators | COMM | $32.52 | — |
| BCBS | BlueAdvantageHMO | $35.67 | — |
| BCBS | MyBlueHealth | $35.67 | — |
| BCBS | Traditional | $36.10 | — |
| City of McKinney | COMM | $36.59 | — |
| Fidelis SecureCare | MGMCR | $36.59 | — |
| National ChoiceCare | WCOMP | $40.66 | — |
| Aetna | ASA | $42.85 | — |
| Physicians Coop of TX | MGMCR | $44.72 | — |
| Aetna | WCOMP | $44.72 | — |
| PC Texas Partners | WCOMP | $44.72 | — |
| Rockport Health Group | WORKERSCOMP | $44.72 | — |
| Averde Health, Inc | PPO | $47.16 | — |
| USC Health Services | COMM | $48.79 | — |
| Mega Life | MGMCRPPO | $56.92 | — |
| Multiplan PHCS | PrimaryNetwork | $56.92 | — |
| Coastal Comp Health Networks | WCOMP | $56.92 | — |
| Jostens | WCOMP | $56.92 | — |
| Aetna Coventry First Health | COMM | $59.11 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $60.98 | — |
| HealthSmart Preferred Care | PPO | $60.98 | — |
| BCBS | BlueEssentialsAccess | $63.16 | — |
| BCBS | BlueEssentials | $63.16 | — |
| USA Managed Care | COMM | $65.05 | — |
| BCBS | EPOSOA | $66.28 | — |
| Galaxy Health Network | PPO | $69.11 | — |
| BCBS | PPO | $69.39 | — |
| Unicare | MCD | $81.31 | — |
| National Healthcare Solutions | COMM | $81.31 | — |
| Independent Medical Systems | COMM | $81.31 | — |
| Humana | COMM | $88.99 | — |
Visitor-reported prices
Comments
Administration immunization each additional vaccine at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $34.95 | $49.93 – $49.93 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $53.42 | $15.14 – $75.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $48.02 | $9.88 – $72.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $43.55 | $8.71 – $54.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $53.42 | $14.25 – $75.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $48.02 | $15.42 – $72.04 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $48.02 | $24.81 – $72.04 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $43.55 | $14.52 – $65.33 |