Afo molded to patient plasti at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$1,442.00
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.
$1,442.00
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.
$100.94 with Superior Health Plan vs $3,287.34 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 | $100.94 | ↓ -93% |
| Superior Health Plan | STARHealth | $100.94 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $100.94 | ↓ -93% |
| Superior Health Plan | STARPLUS | $100.94 | ↓ -93% |
| Superior Health Plan | STARKids | $100.94 | ↓ -93% |
| Cigna | IFP | $194.67 | ↓ -87% |
| Cigna | QHP | $201.88 | ↓ -86% |
| United | OptionsPPO | $286.96 | ↓ -80% |
| Unicare | CHIP | $346.08 | ↓ -76% |
| BCBS | MyBlueHealth | $356.17 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $356.17 | ↓ -75% |
| Cigna | NewBusiness | $380.69 | ↓ -74% |
| Cigna | LocalPlus | $380.69 | ↓ -74% |
| Cigna | HMO | $425.39 | ↓ -71% |
| Cigna | NetworkBenefit | $425.39 | ↓ -71% |
| Cigna | OpenAccessPlus | $425.39 | ↓ -71% |
| BCBS | BlueEssentials | $460.00 | ↓ -68% |
| BCBS | BlueEssentialsAccess | $460.00 | ↓ -68% |
| BCBS | EPOSOA | $483.07 | ↓ -67% |
| Healthcare Highways | CityofPlano | $487.40 | ↓ -66% |
| BCBS | PPO | $504.70 | ↓ -65% |
| Cigna | AllOther | $537.87 | ↓ -63% |
| Humana | Tricare | $564.42 | ↓ -61% |
| BCBS | MCRPPO | $570.47 | ↓ -60% |
| BCBS | MGMCRHMO | $570.47 | ↓ -60% |
| WellMed | MGMCR | $578.97 | ↓ -60% |
| Mutual of Omaha | MGMCR | $581.88 | ↓ -60% |
| Devoted Health | POS | $581.88 | ↓ -60% |
| Devoted Health | HMO | $581.88 | ↓ -60% |
| TriWest Health Alliance | FEDERAL | $581.88 | ↓ -60% |
| Amerigroup | DualEligible | $581.88 | ↓ -60% |
| Devoted Health | SNP | $581.88 | ↓ -60% |
| Devoted Health | MME | $581.88 | ↓ -60% |
| Humana | MGMCR | $581.88 | ↓ -60% |
| Devoted Health | MCR | $581.88 | ↓ -60% |
| Devoted Health | PPO | $581.88 | ↓ -60% |
| United | MGMCR | $584.79 | ↓ -59% |
| Aetna | MCR | $586.83 | ↓ -59% |
| Care N Care | MGMCR | $587.70 | ↓ -59% |
| Cigna Healthspring | MGMCR | $593.52 | ↓ -59% |
| Integranet | MGMCR | $599.34 | ↓ -58% |
| WellCare | MGMCR | $599.34 | ↓ -58% |
| Superior Health Plan | MGMCRPOS | $610.97 | ↓ -58% |
| Superior Health Plan | MGMCRHMO | $610.97 | ↓ -58% |
| Superior Health Plan | MGMCRPPO | $610.97 | ↓ -58% |
| Superior Health Plan | MGMCRDualEligible | $610.97 | ↓ -58% |
| Superior Health Plan | MGMCRPFFS | $610.97 | ↓ -58% |
| Superior Health Plan | MGMCRSNP | $610.97 | ↓ -58% |
| American Health Plan of Texas, Inc. | MGMCR | $610.97 | ↓ -58% |
| ProCare Advantge | MCR | $610.97 | ↓ -58% |
| Provider Partners Health Plan | MCR | $616.79 | ↓ -57% |
| Texas Independent Health Plan | MGMCR | $616.79 | ↓ -57% |
| Molina | MCR | $634.25 | ↓ -56% |
| Molina | MME | $634.25 | ↓ -56% |
| Molina | MMP | $634.25 | ↓ -56% |
| Imperial Insurance Company | MCR | $640.07 | ↓ -56% |
| BCBS | Traditional | $640.25 | ↓ -56% |
| City of McKinney | COMM | $648.90 | ↓ -55% |
| Universal Healthcare Group | MCR | $698.26 | ↓ -52% |
| National ChoiceCare | WCOMP | $721.00 | ↓ -50% |
| Verda Health Plan | MGMCR | $756.44 | ↓ -48% |
| Aetna | ASA | $759.93 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $793.10 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $793.10 | ↓ -45% |
| Aetna | WCOMP | $793.10 | ↓ -45% |
| PC Texas Partners | WCOMP | $793.10 | ↓ -45% |
| Averde Health, Inc | PPO | $836.36 | ↓ -42% |
| USC Health Services | COMM | $865.20 | ↓ -40% |
| Bravo Health | MCRPPO | $872.82 | ↓ -39% |
| Bravo Health | MCRPFFS | $872.82 | ↓ -39% |
| Bravo Health | MCRSNP | $872.82 | ↓ -39% |
| Bravo Health | MCRHMO | $872.82 | ↓ -39% |
| Bravo Health | MCRPOS | $872.82 | ↓ -39% |
| Mega Life | MGMCRPPO | $1,009.40 | ↓ -30% |
| Jostens | WCOMP | $1,009.40 | ↓ -30% |
| Superior | ValueHMO | $1,041.57 | ↓ -28% |
| Aetna Coventry First Health | COMM | $1,048.33 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,081.50 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $1,081.50 | ↓ -25% |
| USA Managed Care | WORKERSCOMP | $1,105.57 | ↓ -23% |
| Corvel Corporation | WORKERSCOMP | $1,152.12 | ↓ -20% |
| USA Managed Care | COMM | $1,153.60 | ↓ -20% |
| Galaxy Health Network | PPO | $1,225.70 | ↓ -15% |
| Superior | HMO | $1,303.41 | ↓ -10% |
| Superior | EPO | $1,303.41 | ↓ -10% |
| Unicare | MCD | $1,442.00 | ↑ +0% |
| Independent Medical Systems | COMM | $1,442.00 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,442.00 | ↑ +0% |
| Molina Healthcare | HIX | $1,524.53 | ↑ +6% |
| Humana | COMM | $3,287.34 | ↑ +128% |
Visitor-reported prices
Comments
Afo molded to patient plasti at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $113.98 | $32.29 – $151.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $443.40 | $91.27 – $665.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $443.40 | $88.68 – $591.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $113.98 | $30.39 – $151.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $443.40 | $142.33 – $665.10 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $443.40 | $229.09 – $665.10 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $443.40 | $147.80 – $665.10 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $113.98 | $30.39 – $151.97 |