Antipsychotics nos 4-6 at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$483.58
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.
$483.58
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.
$0.02 with Aetna vs $483.58 with National Healthcare Solutions — 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 |
|---|---|---|---|
| Aetna | QHPHIX | $0.02 | ↓ -100% |
| Aetna | NewBusiness | $0.03 | ↓ -100% |
| Aetna | Meritain | $0.03 | ↓ -100% |
| Aetna | COMM | $0.03 | ↓ -100% |
| Aetna | OON | $0.04 | ↓ -100% |
| TEXAS HEALTH NETWORK | MCD | $26.75 | ↓ -94% |
| United | STARKids | $27.16 | ↓ -94% |
| United | CHIP | $27.16 | ↓ -94% |
| Cook Childrens Health Plan | STAR | $27.16 | ↓ -94% |
| Amerigroup | MGMCD | $27.16 | ↓ -94% |
| Amerigroup | CHIP | $27.16 | ↓ -94% |
| Cook Childrens Health Plan | CHIP | $27.16 | ↓ -94% |
| United | STAR | $27.16 | ↓ -94% |
| Parkland Community Health Plan | MCD | $27.16 | ↓ -94% |
| United | STARPerinate | $27.16 | ↓ -94% |
| United | STARPLUS | $27.16 | ↓ -94% |
| Cigna Healthspring | MGMCD | $28.52 | ↓ -94% |
| Aetna Better Health | CHIP | $29.33 | ↓ -94% |
| Aetna Better Health | MCD | $29.33 | ↓ -94% |
| Molina | MCDSTAR | $29.88 | ↓ -94% |
| Molina | STAR+PLUS | $29.88 | ↓ -94% |
| Molina | STARKIDS | $29.88 | ↓ -94% |
| Molina | CHIP | $29.88 | ↓ -94% |
| Superior Health Plan | STARKids | $33.85 | ↓ -93% |
| Superior Health Plan | CHIP | $33.85 | ↓ -93% |
| Superior Health Plan | STARHealth | $33.85 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $33.85 | ↓ -93% |
| Superior Health Plan | STARPLUS | $33.85 | ↓ -93% |
| Humana | MGMCD | $33.95 | ↓ -93% |
| Cigna | IFP | $65.28 | ↓ -87% |
| Cigna | QHP | $67.70 | ↓ -86% |
| Imperial Insurance Company | MCR | $91.88 | ↓ -81% |
| United | OptionsPPO | $96.23 | ↓ -80% |
| Oscar | HIX | $100.58 | ↓ -79% |
| Unicare | CHIP | $116.06 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $118.48 | ↓ -75% |
| BCBS | MyBlueHealth | $119.44 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $119.44 | ↓ -75% |
| Evry Health | COMM | $124.76 | ↓ -74% |
| Cigna | NewBusiness | $127.67 | ↓ -74% |
| Cigna | LocalPlus | $127.67 | ↓ -74% |
| BCBS | BluePremier | $141.21 | ↓ -71% |
| Cigna | NetworkBenefit | $142.66 | ↓ -70% |
| Cigna | HMO | $142.66 | ↓ -70% |
| Cigna | OpenAccessPlus | $142.66 | ↓ -70% |
| BCBS | BlueEssentials | $154.26 | ↓ -68% |
| BCBS | BlueEssentialsAccess | $154.26 | ↓ -68% |
| BCBS | EPOSOA | $162.00 | ↓ -66% |
| Healthcare Highways | CityofPlano | $163.45 | ↓ -66% |
| BCBS | PPO | $169.25 | ↓ -65% |
| Cigna | AllOther | $180.38 | ↓ -63% |
| BCBS | Traditional | $214.71 | ↓ -56% |
| City of McKinney | COMM | $217.61 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $217.61 | ↓ -55% |
| National ChoiceCare | WCOMP | $241.79 | ↓ -50% |
| Aetna | ASA | $254.85 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $265.97 | ↓ -45% |
| PC Texas Partners | WCOMP | $265.97 | ↓ -45% |
| Aetna | WCOMP | $265.97 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $265.97 | ↓ -45% |
| Humana | COMM | $273.46 | ↓ -43% |
| Averde Health, Inc | PPO | $280.48 | ↓ -42% |
| USC Health Services | COMM | $290.15 | ↓ -40% |
| Multiplan PHCS | PrimaryNetwork | $338.51 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $338.51 | ↓ -30% |
| Jostens | WCOMP | $338.51 | ↓ -30% |
| Mega Life | MGMCRPPO | $338.51 | ↓ -30% |
| Aetna Coventry First Health | COMM | $351.56 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $362.69 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $362.69 | ↓ -25% |
| USA Managed Care | COMM | $386.86 | ↓ -20% |
| Galaxy Health Network | PPO | $411.04 | ↓ -15% |
| Unicare | MCD | $483.58 | ↑ +0% |
| Independent Medical Systems | COMM | $483.58 | ↑ +0% |
| National Healthcare Solutions | COMM | $483.58 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Antipsychotics nos 4-6 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHRISTUS Children's Hospital | San Antonio | not published | $27.16 – $33.95 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $0.05 – $33.95 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $0.05 – $33.95 |
| HCA HOUSTON CONROE | CONROE | not published | $0.05 – $33.95 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $0.05 – $33.95 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $0.05 – $33.95 |
| HCA HOUSTON PEARLAND | Pearland | not published | $0.05 – $33.95 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $0.05 – $33.95 |