Afo tibial fracture soft 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$53.97 with Superior Health Plan vs $3,677.22 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 | CHIP | $53.97 | — |
| Superior Health Plan | STARHealth | $53.97 | — |
| Superior Health Plan | MCDSTAR | $53.97 | — |
| Superior Health Plan | STARPLUS | $53.97 | — |
| Superior Health Plan | STARKids | $53.97 | — |
| Cigna | IFP | $104.08 | — |
| Cigna | QHP | $107.94 | — |
| United | OptionsPPO | $153.43 | — |
| Unicare | CHIP | $185.04 | — |
| BCBS | MyBlueHealth | $190.44 | — |
| BCBS | BlueAdvantageHMO | $190.44 | — |
| Cigna | NewBusiness | $203.54 | — |
| Cigna | LocalPlus | $203.54 | — |
| Cigna | NetworkBenefit | $227.44 | — |
| Cigna | HMO | $227.44 | — |
| Cigna | OpenAccessPlus | $227.44 | — |
| BCBS | BlueEssentialsAccess | $245.95 | — |
| BCBS | BlueEssentials | $245.95 | — |
| BCBS | EPOSOA | $258.29 | — |
| Healthcare Highways | CityofPlano | $260.60 | — |
| BCBS | PPO | $269.85 | — |
| Cigna | AllOther | $287.58 | — |
| BCBS | Traditional | $342.32 | — |
| City of McKinney | COMM | $346.95 | — |
| National ChoiceCare | WCOMP | $385.50 | — |
| Aetna | ASA | $406.32 | — |
| PC Texas Partners | WCOMP | $424.05 | — |
| Physicians Coop of TX | MGMCR | $424.05 | — |
| Aetna | WCOMP | $424.05 | — |
| Rockport Health Group | WORKERSCOMP | $424.05 | — |
| Averde Health, Inc | PPO | $447.18 | — |
| USC Health Services | COMM | $462.60 | — |
| Jostens | WCOMP | $539.70 | — |
| Mega Life | MGMCRPPO | $539.70 | — |
| Aetna Coventry First Health | COMM | $560.52 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $578.25 | — |
| HealthSmart Preferred Care | PPO | $578.25 | — |
| USA Managed Care | COMM | $616.80 | — |
| Humana | Tricare | $631.34 | — |
| BCBS | MGMCRHMO | $638.11 | — |
| BCBS | MCRPPO | $638.11 | — |
| WellMed | MGMCR | $647.62 | — |
| Devoted Health | PPO | $650.87 | — |
| Devoted Health | SNP | $650.87 | — |
| Devoted Health | HMO | $650.87 | — |
| Devoted Health | POS | $650.87 | — |
| Devoted Health | MCR | $650.87 | — |
| Devoted Health | MME | $650.87 | — |
| Humana | MGMCR | $650.87 | — |
| Amerigroup | DualEligible | $650.87 | — |
| Mutual of Omaha | MGMCR | $650.87 | — |
| TriWest Health Alliance | FEDERAL | $650.87 | — |
| United | MGMCR | $654.12 | — |
| Galaxy Health Network | PPO | $655.35 | — |
| Aetna | MCR | $656.40 | — |
| Care N Care | MGMCR | $657.38 | — |
| Cigna Healthspring | MGMCR | $663.89 | — |
| Integranet | MGMCR | $670.40 | — |
| WellCare | MGMCR | $670.40 | — |
| Superior Health Plan | MGMCRPOS | $683.41 | — |
| Superior Health Plan | MGMCRSNP | $683.41 | — |
| Superior Health Plan | MGMCRHMO | $683.41 | — |
| Superior Health Plan | MGMCRPPO | $683.41 | — |
| Superior Health Plan | MGMCRDualEligible | $683.41 | — |
| Superior Health Plan | MGMCRPFFS | $683.41 | — |
| American Health Plan of Texas, Inc. | MGMCR | $683.41 | — |
| ProCare Advantge | MCR | $683.41 | — |
| Provider Partners Health Plan | MCR | $689.92 | — |
| Texas Independent Health Plan | MGMCR | $689.92 | — |
| Molina | MME | $709.45 | — |
| Molina | MCR | $709.45 | — |
| Molina | MMP | $709.45 | — |
| Imperial Insurance Company | MCR | $715.96 | — |
| Unicare | MCD | $771.00 | — |
| National Healthcare Solutions | COMM | $771.00 | — |
| Independent Medical Systems | COMM | $771.00 | — |
| Universal Healthcare Group | MCR | $781.04 | — |
| Verda Health Plan | MGMCR | $846.13 | — |
| Bravo Health | MCRPPO | $976.31 | — |
| Bravo Health | MCRPOS | $976.31 | — |
| Bravo Health | MCRHMO | $976.31 | — |
| Bravo Health | MCRSNP | $976.31 | — |
| Bravo Health | MCRPFFS | $976.31 | — |
| Superior | ValueHMO | $1,165.06 | — |
| USA Managed Care | WORKERSCOMP | $1,236.65 | — |
| Corvel Corporation | WORKERSCOMP | $1,288.72 | — |
| Superior | HMO | $1,457.95 | — |
| Superior | EPO | $1,457.95 | — |
| Molina Healthcare | HIX | $1,705.28 | — |
| Humana | COMM | $3,677.22 | — |
Visitor-reported prices
Comments
Afo tibial fracture soft at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health Memorial Lufkin | Lufkin | $113.09 | $51.98 – $311.85 |
| Texas Health Presbyterian Hospital Allen | Allen | $1,060.02 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $1,060.02 | not published |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $1,060.02 | not published |
| Texas Health Arlington Memorial Hospital | Arlington | $1,060.02 | not published |
| Texas Health Presbyterian Hospital Denton | Denton | $1,060.02 | not published |
| St. Luke's Health Memorial Livingston | Livingston | $113.09 | $51.98 – $311.85 |
| Texas Health Presbyterian Hospital Plano | Plano | $1,060.02 | not published |