Arterial blood draw/perc 36620 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.
$288.90 with Superior Health Plan vs $12,897.00 with Oscar — 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 | STARKids | $288.90 | — |
| Superior Health Plan | MCDSTAR | $288.90 | — |
| Superior Health Plan | STARPLUS | $288.90 | — |
| Superior Health Plan | CHIP | $288.90 | — |
| Superior Health Plan | STARHealth | $288.90 | — |
| Humana | COMM | $319.84 | — |
| Cigna | IFP | $557.17 | — |
| Cigna | QHP | $577.81 | — |
| Imperial Insurance Company | MCR | $784.17 | — |
| United | OptionsPPO | $821.31 | — |
| Unicare | CHIP | $990.53 | — |
| BCBS | BlueAdvantageHMO | $1,019.42 | — |
| BCBS | MyBlueHealth | $1,019.42 | — |
| Cigna | LocalPlus | $1,089.58 | — |
| Cigna | NewBusiness | $1,089.58 | — |
| BCBS | BluePremier | $1,205.14 | — |
| Cigna | NetworkBenefit | $1,217.52 | — |
| Cigna | OpenAccessPlus | $1,217.52 | — |
| Cigna | HMO | $1,217.52 | — |
| BCBS | BlueEssentials | $1,316.57 | — |
| BCBS | BlueEssentialsAccess | $1,316.57 | — |
| BCBS | EPOSOA | $1,382.61 | — |
| Healthcare Highways | CityofPlano | $1,394.99 | — |
| BCBS | PPO | $1,444.52 | — |
| Cigna | AllOther | $1,539.44 | — |
| Curative Administrators | COMM | $1,672.00 | — |
| BCBS | Traditional | $1,832.47 | — |
| City of McKinney | COMM | $1,857.24 | — |
| Fidelis SecureCare | MGMCR | $1,995.00 | — |
| National ChoiceCare | WCOMP | $2,063.59 | — |
| Healthcare Highways | NarrowNetwork | $2,069.00 | — |
| Aetna | ASA | $2,175.03 | — |
| Aetna | WCOMP | $2,269.95 | — |
| Rockport Health Group | WORKERSCOMP | $2,269.95 | — |
| Physicians Coop of TX | MGMCR | $2,269.95 | — |
| PC Texas Partners | WCOMP | $2,269.95 | — |
| Evry Health | COMM | $2,287.00 | — |
| Averde Health, Inc | PPO | $2,393.77 | — |
| USC Health Services | COMM | $2,476.31 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| Mega Life | MGMCRPPO | $2,889.03 | — |
| Multiplan PHCS | PrimaryNetwork | $2,889.03 | — |
| Coastal Comp Health Networks | WCOMP | $2,889.03 | — |
| Jostens | WCOMP | $2,889.03 | — |
| Aetna Coventry First Health | COMM | $3,000.47 | — |
| HealthSmart Preferred Care | PPO | $3,095.39 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3,095.39 | — |
| USA Managed Care | COMM | $3,301.75 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Galaxy Health Network | PPO | $3,508.11 | — |
| Aetna | Meritain | $3,682.00 | — |
| Aetna | COMM | $3,682.00 | — |
| National Healthcare Solutions | COMM | $4,127.19 | — |
| Unicare | MCD | $4,127.19 | — |
| Independent Medical Systems | COMM | $4,127.19 | — |
| Aetna | OON | $4,332.00 | — |
| United | SmallGroup | $7,850.00 | — |
| United | NarrowNetworkIndivExchange | $8,016.00 | — |
| United | AllPayerAppendix | $11,220.00 | — |
| Oscar | HIX | $12,897.00 | — |
| WellMed | MGMCR | not published by hospital | — |
Visitor-reported prices
Comments
Arterial blood draw/perc 36620 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $696.03 | $197.21 – $986.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $850.87 | $71.00 – $1,276.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $828.44 | $71.00 – $1,035.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $696.03 | $185.61 – $986.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $850.87 | $85.00 – $1,276.31 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $850.87 | $439.62 – $1,276.31 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $828.44 | $71.00 – $1,242.66 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $696.03 | $185.61 – $986.04 |