Amifostine at MEDICAL CITY LEWISVILLE HOSPITAL

1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

$10,877.51

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$10,877.51

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$722.52 with United vs $10,877.51 with Independent Medical Systems — 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 →

Payer
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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
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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
United AllPayerAppendix $722.52 ↓ -93%
United SmallGroup $722.52 ↓ -93%
United NarrowNetworkIndivExchange $722.52 ↓ -93%
Superior Health Plan CHIP $761.43 ↓ -93%
Superior Health Plan STARKids $761.43 ↓ -93%
Superior Health Plan STARPLUS $761.43 ↓ -93%
Superior Health Plan MCDSTAR $761.43 ↓ -93%
Superior Health Plan STARHealth $761.43 ↓ -93%
Cigna IFP $1,468.46 ↓ -87%
Aetna QHPHIX $1,468.46 ↓ -87%
Cigna QHP $1,522.85 ↓ -86%
United OptionsPPO $2,164.62 ↓ -80%
Aetna NewBusiness $2,164.62 ↓ -80%
Aetna COMM $2,316.91 ↓ -79%
Aetna Meritain $2,316.91 ↓ -79%
Unicare CHIP $2,610.60 ↓ -76%
Aetna OON $2,730.26 ↓ -75%
Healthcare Highways CityofPlano $3,676.60 ↓ -66%
BCBS BlueAdvantageHMO $3,807.25 ↓ -65%
BCBS MyBlueHealth $3,807.25 ↓ -65%
BCBS BluePremier $4,502.48 ↓ -59%
BCBS Traditional $4,829.61 ↓ -56%
City of McKinney COMM $4,894.88 ↓ -55%
National ChoiceCare WCOMP $5,438.76 ↓ -50%
BCBS BlueEssentials $5,572.93 ↓ -49%
BCBS BlueEssentialsAccess $5,572.93 ↓ -49%
Aetna ASA $5,732.45 ↓ -47%
BCBS EPOSOA $5,848.81 ↓ -46%
Physicians Coop of TX MGMCR $5,982.63 ↓ -45%
PC Texas Partners WCOMP $5,982.63 ↓ -45%
Aetna WCOMP $5,982.63 ↓ -45%
Rockport Health Group WORKERSCOMP $5,982.63 ↓ -45%
BCBS PPO $6,124.70 ↓ -44%
Averde Health, Inc PPO $6,308.96 ↓ -42%
USC Health Services COMM $6,526.51 ↓ -40%
Cigna LocalPlus $6,612.77 ↓ -39%
Cigna NewBusiness $6,619.33 ↓ -39%
Humana COMM $6,963.48 ↓ -36%
Cigna NetworkBenefit $7,387.60 ↓ -32%
Cigna HMO $7,387.60 ↓ -32%
Cigna OpenAccessPlus $7,387.60 ↓ -32%
Coastal Comp Health Networks WCOMP $7,614.26 ↓ -30%
Mega Life MGMCRPPO $7,614.26 ↓ -30%
Jostens WCOMP $7,614.26 ↓ -30%
Aetna Coventry First Health COMM $7,907.95 ↓ -27%
HealthSmart Preferred Care PPO $8,158.13 ↓ -25%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $8,158.13 ↓ -25%
USA Managed Care COMM $8,702.01 ↓ -20%
Galaxy Health Network PPO $9,245.88 ↓ -15%
Cigna AllOther $9,345.97 ↓ -14%
Unicare MCD $10,877.51 ↑ +0%
National Healthcare Solutions COMM $10,877.51 ↑ +0%
Independent Medical Systems COMM $10,877.51 ↑ +0%

Visitor-reported prices

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Amifostine at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON CONROE CONROE $6,433.81 $722.52 – $9,481.01
HCA HOUSTON NORTHWEST SPRING $4,269.99 $722.52 – $9,481.01
Texas Health Presbyterian Hospital Allen Allen $2,121.39 $1,440.13 – $1,440.13
Texas Health Presbyterian Hospital Flower Mound Flower Mound $2,121.39 $2,260.07 – $2,260.07
Texas Health Harris Methodist Hospital Alliance Fort Worth $2,121.39 $1,440.13 – $1,440.13
Texas Health Arlington Memorial Hospital Arlington $2,121.39 $1,440.13 – $1,440.13
Texas Health Presbyterian Hospital Denton Denton $2,121.39 $1,440.13 – $1,440.13
Texas Health Presbyterian Hospital Plano Plano $2,121.39 $1,440.13 – $1,440.13

All Texas hospitals for this procedure →