Alprostadil for injection at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$950.52
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.
$950.52
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.
$0.66 with BCBS vs $950.52 with Unicare — 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 |
|---|---|---|---|
| BCBS | BlueAdvantageHMO | $0.66 | ↓ -100% |
| BCBS | MyBlueHealth | $0.66 | ↓ -100% |
| BCBS | BluePremier | $0.78 | ↓ -100% |
| United | NarrowNetworkIndivExchange | $0.79 | ↓ -100% |
| United | AllPayerAppendix | $0.79 | ↓ -100% |
| United | SmallGroup | $0.79 | ↓ -100% |
| BCBS | BlueEssentials | $0.96 | ↓ -100% |
| BCBS | BlueEssentialsAccess | $0.96 | ↓ -100% |
| BCBS | EPOSOA | $1.01 | ↓ -100% |
| BCBS | PPO | $1.05 | ↓ -100% |
| Humana | COMM | $60.31 | ↓ -94% |
| Cigna | LocalPlus | $63.41 | ↓ -93% |
| Cigna | NewBusiness | $63.48 | ↓ -93% |
| Superior Health Plan | STARHealth | $66.54 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $66.54 | ↓ -93% |
| Superior Health Plan | STARPLUS | $66.54 | ↓ -93% |
| Superior Health Plan | STARKids | $66.54 | ↓ -93% |
| Superior Health Plan | CHIP | $66.54 | ↓ -93% |
| Cigna | OpenAccessPlus | $70.84 | ↓ -93% |
| Cigna | HMO | $70.84 | ↓ -93% |
| Cigna | NetworkBenefit | $70.84 | ↓ -93% |
| Cigna | AllOther | $89.62 | ↓ -91% |
| Aetna | QHPHIX | $128.32 | ↓ -87% |
| Cigna | IFP | $128.32 | ↓ -87% |
| Cigna | QHP | $133.07 | ↓ -86% |
| United | OptionsPPO | $189.15 | ↓ -80% |
| Aetna | NewBusiness | $189.15 | ↓ -80% |
| Aetna | Meritain | $202.46 | ↓ -79% |
| Aetna | COMM | $202.46 | ↓ -79% |
| Unicare | CHIP | $228.12 | ↓ -76% |
| Aetna | OON | $238.58 | ↓ -75% |
| Healthcare Highways | CityofPlano | $321.28 | ↓ -66% |
| BCBS | Traditional | $422.03 | ↓ -56% |
| City of McKinney | COMM | $427.73 | ↓ -55% |
| National ChoiceCare | WCOMP | $475.26 | ↓ -50% |
| Aetna | ASA | $500.92 | ↓ -47% |
| PC Texas Partners | WCOMP | $522.79 | ↓ -45% |
| Aetna | WCOMP | $522.79 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $522.79 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $522.79 | ↓ -45% |
| Averde Health, Inc | PPO | $551.30 | ↓ -42% |
| USC Health Services | COMM | $570.31 | ↓ -40% |
| Mega Life | MGMCRPPO | $665.36 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $665.36 | ↓ -30% |
| Jostens | WCOMP | $665.36 | ↓ -30% |
| Aetna Coventry First Health | COMM | $691.03 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $712.89 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $712.89 | ↓ -25% |
| USA Managed Care | COMM | $760.42 | ↓ -20% |
| Galaxy Health Network | PPO | $807.94 | ↓ -15% |
| Independent Medical Systems | COMM | $950.52 | ↑ +0% |
| National Healthcare Solutions | COMM | $950.52 | ↑ +0% |
| Unicare | MCD | $950.52 | ↑ +0% |
Visitor-reported prices
Comments
Alprostadil for injection at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $460.40 | $117.50 – $587.52 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $460.40 | $85.36 – $622.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $460.40 | $82.94 – $518.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $460.40 | $110.59 – $587.52 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $460.40 | $133.13 – $622.08 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $460.40 | $214.27 – $622.08 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $460.40 | $138.24 – $622.08 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $460.40 | $110.59 – $587.52 |