_afb org id by sequencing rflx ast-sendout at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$461.44
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.
$461.44
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.
$32.30 with Superior Health Plan vs $1,281.54 with Humana — 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 |
|---|---|---|---|
| Superior Health Plan | STARHealth | $32.30 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $32.30 | ↓ -93% |
| Superior Health Plan | STARPLUS | $32.30 | ↓ -93% |
| Superior Health Plan | STARKids | $32.30 | ↓ -93% |
| Superior Health Plan | CHIP | $32.30 | ↓ -93% |
| Cigna | IFP | $62.29 | ↓ -87% |
| Cigna | QHP | $64.60 | ↓ -86% |
| Cook Childrens Health Plan | STAR | $69.22 | ↓ -85% |
| Cook Childrens Health Plan | CHIP | $69.22 | ↓ -85% |
| United | OptionsPPO | $91.83 | ↓ -80% |
| TEXAS HEALTH NETWORK | MCD | $95.45 | ↓ -79% |
| United | STARPerinate | $96.90 | ↓ -79% |
| United | CHIP | $96.90 | ↓ -79% |
| United | STAR | $96.90 | ↓ -79% |
| United | STARKids | $96.90 | ↓ -79% |
| United | STARPLUS | $96.90 | ↓ -79% |
| Parkland Community Health Plan | MCD | $96.90 | ↓ -79% |
| Amerigroup | MGMCD | $96.90 | ↓ -79% |
| Amerigroup | CHIP | $96.90 | ↓ -79% |
| Cigna Healthspring | MGMCD | $101.75 | ↓ -78% |
| Aetna Better Health | CHIP | $104.65 | ↓ -77% |
| Aetna Better Health | MCD | $104.65 | ↓ -77% |
| Molina | MCDSTAR | $106.59 | ↓ -77% |
| Molina | CHIP | $106.59 | ↓ -77% |
| Molina | STAR+PLUS | $106.59 | ↓ -77% |
| Molina | STARKIDS | $106.59 | ↓ -77% |
| Unicare | CHIP | $110.75 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $113.05 | ↓ -76% |
| WellMed | MGMCR | $114.78 | ↓ -75% |
| BCBS | MGMCRHMO | $115.36 | ↓ -75% |
| Humana | MGMCR | $115.36 | ↓ -75% |
| United | SmallGroup | $115.36 | ↓ -75% |
| United | AllPayerAppendix | $115.36 | ↓ -75% |
| Devoted Health | MME | $115.36 | ↓ -75% |
| Devoted Health | MCR | $115.36 | ↓ -75% |
| Devoted Health | SNP | $115.36 | ↓ -75% |
| United | NarrowNetworkIndivExchange | $115.36 | ↓ -75% |
| Devoted Health | POS | $115.36 | ↓ -75% |
| Devoted Health | HMO | $115.36 | ↓ -75% |
| Devoted Health | PPO | $115.36 | ↓ -75% |
| TriWest Health Alliance | FEDERAL | $115.36 | ↓ -75% |
| BCBS | MCRPPO | $115.36 | ↓ -75% |
| Amerigroup | DualEligible | $115.36 | ↓ -75% |
| Mutual of Omaha | MGMCR | $115.36 | ↓ -75% |
| United | MGMCR | $115.94 | ↓ -75% |
| Aetna | MCR | $116.34 | ↓ -75% |
| Care N Care | MGMCR | $116.51 | ↓ -75% |
| Cigna Healthspring | MGMCR | $117.67 | ↓ -74% |
| WellCare | MGMCR | $118.82 | ↓ -74% |
| Integranet | MGMCR | $118.82 | ↓ -74% |
| Evry Health | COMM | $119.05 | ↓ -74% |
| Humana | Tricare | $121.10 | ↓ -74% |
| Superior Health Plan | MGMCRHMO | $121.13 | ↓ -74% |
| Humana | MGMCD | $121.13 | ↓ -74% |
| Superior Health Plan | MGMCRSNP | $121.13 | ↓ -74% |
| Superior Health Plan | MGMCRPOS | $121.13 | ↓ -74% |
| Superior Health Plan | MGMCRPFFS | $121.13 | ↓ -74% |
| Superior Health Plan | MGMCRDualEligible | $121.13 | ↓ -74% |
| Superior Health Plan | MGMCRPPO | $121.13 | ↓ -74% |
| ProCare Advantge | MCR | $121.13 | ↓ -74% |
| American Health Plan of Texas, Inc. | MGMCR | $121.13 | ↓ -74% |
| Texas Independent Health Plan | MGMCR | $122.28 | ↓ -74% |
| Provider Partners Health Plan | MCR | $122.28 | ↓ -74% |
| Molina | MME | $125.74 | ↓ -73% |
| Molina | MCR | $125.74 | ↓ -73% |
| Molina | MMP | $125.74 | ↓ -73% |
| Imperial Insurance Company | MCR | $126.90 | ↓ -72% |
| Universal Healthcare Group | MCR | $138.43 | ↓ -70% |
| Aetna | QHPHIX | $146.75 | ↓ -68% |
| Verda Health Plan | MGMCR | $149.97 | ↓ -67% |
| Healthcare Highways | CityofPlano | $155.97 | ↓ -66% |
| Bravo Health | MCRPPO | $173.04 | ↓ -63% |
| Bravo Health | MCRHMO | $173.04 | ↓ -63% |
| Bravo Health | MCRPFFS | $173.04 | ↓ -63% |
| Bravo Health | MCRSNP | $173.04 | ↓ -63% |
| Bravo Health | MCRPOS | $173.04 | ↓ -63% |
| BCBS | BluePremier | $196.11 | ↓ -58% |
| BCBS | BlueAdvantageHMO | $201.88 | ↓ -56% |
| BCBS | MyBlueHealth | $201.88 | ↓ -56% |
| Aetna | NewBusiness | $202.12 | ↓ -56% |
| BCBS | Traditional | $204.88 | ↓ -56% |
| Superior | ValueHMO | $206.49 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $207.65 | ↓ -55% |
| City of McKinney | COMM | $207.65 | ↓ -55% |
| Aetna | COMM | $215.27 | ↓ -53% |
| Aetna | Meritain | $215.27 | ↓ -53% |
| USA Managed Care | WORKERSCOMP | $219.18 | ↓ -53% |
| Corvel Corporation | WORKERSCOMP | $228.41 | ↓ -51% |
| National ChoiceCare | WCOMP | $230.72 | ↓ -50% |
| Aetna | ASA | $243.18 | ↓ -47% |
| Aetna | OON | $253.35 | ↓ -45% |
| Aetna | WCOMP | $253.79 | ↓ -45% |
| PC Texas Partners | WCOMP | $253.79 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $253.79 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $253.79 | ↓ -45% |
| Superior | EPO | $258.41 | ↓ -44% |
| Superior | HMO | $258.41 | ↓ -44% |
| Averde Health, Inc | PPO | $267.64 | ↓ -42% |
| USC Health Services | COMM | $276.86 | ↓ -40% |
| BCBS | BlueEssentials | $284.94 | ↓ -38% |
| BCBS | BlueEssentialsAccess | $284.94 | ↓ -38% |
| BCBS | EPOSOA | $298.78 | ↓ -35% |
| Oscar | HIX | $299.94 | ↓ -35% |
| Molina Healthcare | HIX | $302.24 | ↓ -35% |
| BCBS | PPO | $312.63 | ↓ -32% |
| Mega Life | MGMCRPPO | $323.01 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $323.01 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $323.01 | ↓ -30% |
| Jostens | WCOMP | $323.01 | ↓ -30% |
| Aetna Coventry First Health | COMM | $335.47 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $346.08 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $346.08 | ↓ -25% |
| USA Managed Care | COMM | $369.15 | ↓ -20% |
| Galaxy Health Network | PPO | $392.22 | ↓ -15% |
| Cigna | LocalPlus | $439.04 | ↓ -5% |
| Cigna | NewBusiness | $439.48 | ↓ -5% |
| Unicare | MCD | $461.44 | ↑ +0% |
| National Healthcare Solutions | COMM | $461.44 | ↑ +0% |
| Independent Medical Systems | COMM | $461.44 | ↑ +0% |
| Cigna | HMO | $490.38 | ↑ +6% |
| Cigna | OpenAccessPlus | $490.38 | ↑ +6% |
| Cigna | NetworkBenefit | $490.38 | ↑ +6% |
| Cigna | AllOther | $620.64 | ↑ +35% |
| Humana | COMM | $1,281.54 | ↑ +178% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
_afb org id by sequencing rflx ast-sendout at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $473.33 | $10.00 – $591.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $473.33 | $12.00 – $709.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $459.54 | $12.00 – $574.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $473.33 | $10.00 – $591.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $473.33 | $12.00 – $709.99 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $473.33 | $8.00 – $709.99 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $459.54 | $12.00 – $689.31 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $473.33 | $10.00 – $591.66 |