Arthrd ant toral/xoral c1-c2 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$2,369.00 with Superior Health Plan vs $60,442.00 with Cigna — 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 |
|---|---|---|---|
| Superior Health Plan | STARHealth | $2,369.00 | — |
| Superior Health Plan | MCDSTAR | $2,369.00 | — |
| Superior Health Plan | STARPLUS | $2,369.00 | — |
| Superior Health Plan | STARKids | $2,369.00 | — |
| Superior Health Plan | CHIP | $2,369.00 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| BCBS | BluePremier | $2,545.01 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Aetna | Meritain | $3,682.00 | — |
| Aetna | COMM | $3,682.00 | — |
| Fidelis SecureCare | MGMCR | $4,250.00 | — |
| Aetna | OON | $4,332.00 | — |
| Healthcare Highways | NarrowNetwork | $8,517.00 | — |
| Humana | COMM | $13,890.91 | — |
| Verda Health Plan | MGMCR | $19,500.00 | — |
| BCBS | BlueEssentialsAccess | $26,332.68 | — |
| BCBS | BlueEssentials | $26,332.68 | — |
| BCBS | EPOSOA | $27,646.23 | — |
| BCBS | BlueAdvantageHMO | $28,385.11 | — |
| BCBS | MyBlueHealth | $28,385.11 | — |
| BCBS | PPO | $28,939.26 | — |
| Curative Administrators | COMM | $30,723.00 | — |
| Evry Health | COMM | $31,148.00 | — |
| Oscar | HIX | $36,720.00 | — |
| United | SmallGroup | $42,177.00 | — |
| Cigna | LocalPlus | $42,763.00 | — |
| Cigna | NewBusiness | $42,806.00 | — |
| Cigna | OpenAccessPlus | $47,780.00 | — |
| Cigna | NetworkBenefit | $47,780.00 | — |
| Cigna | HMO | $47,780.00 | — |
| United | NarrowNetworkIndivExchange | $49,205.00 | — |
| United | AllPayerAppendix | $60,180.00 | — |
| Cigna | AllOther | $60,442.00 | — |
| WellMed | MGMCR | not published by hospital | — |
Visitor-reported prices
Comments
Arthrd ant toral/xoral c1-c2 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | not published | $2,565.54 – $4,826.69 |
| CHRISTUS Children's Hospital | San Antonio | not published | $3,381.00 – $3,381.00 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $18,820.78 – $18,820.78 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $18,820.78 – $18,820.78 |
| Covenant Children's Hospital | Lubbock | not published | $2,458.64 – $7,334.00 |
| HCA HOUSTON CONROE | CONROE | not published | $18,820.78 – $18,820.78 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $18,820.78 – $18,820.78 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $18,820.78 – $18,820.78 |