Autgrft implnt knee w/scope 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.
$2,362.54 with TEXAS HEALTH NETWORK vs $44,269.00 with Cigna — 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 |
|---|---|---|---|
| TEXAS HEALTH NETWORK | MCD | $2,362.54 | — |
| Superior Health Plan | STARHealth | $2,369.00 | — |
| Superior Health Plan | CHIP | $2,369.00 | — |
| Superior Health Plan | STARKids | $2,369.00 | — |
| Superior Health Plan | STARPLUS | $2,369.00 | — |
| Superior Health Plan | MCDSTAR | $2,369.00 | — |
| United | STARKids | $2,398.52 | — |
| United | STAR | $2,398.52 | — |
| Cook Childrens Health Plan | STAR | $2,398.52 | — |
| United | CHIP | $2,398.52 | — |
| United | STARPerinate | $2,398.52 | — |
| Parkland Community Health Plan | MCD | $2,398.52 | — |
| Cook Childrens Health Plan | CHIP | $2,398.52 | — |
| United | STARPLUS | $2,398.52 | — |
| Amerigroup | MGMCD | $2,518.45 | — |
| Cigna Healthspring | MGMCD | $2,518.45 | — |
| Amerigroup | CHIP | $2,518.45 | — |
| Molina | STARKIDS | $2,638.37 | — |
| Molina | MCDSTAR | $2,638.37 | — |
| Molina | CHIP | $2,638.37 | — |
| Molina | STAR+PLUS | $2,638.37 | — |
| Aetna Better Health | CHIP | $2,878.22 | — |
| Aetna Better Health | MCD | $2,878.22 | — |
| Humana | MGMCD | $2,998.15 | — |
| Fidelis SecureCare | MGMCR | $4,250.00 | — |
| Aetna | QHPHIX | $4,845.00 | — |
| Aetna | NewBusiness | $6,639.00 | — |
| Aetna | COMM | $7,094.00 | — |
| Aetna | Meritain | $7,094.00 | — |
| Humana | COMM | $7,113.00 | — |
| WellMed | MGMCR | $7,325.73 | — |
| BCBS | BluePremier | $7,417.62 | — |
| Oscar | HIX | $8,024.00 | — |
| Aetna | OON | $8,345.00 | — |
| Healthcare Highways | NarrowNetwork | $8,517.00 | — |
| Curative Administrators | COMM | $8,778.00 | — |
| Evry Health | COMM | $9,417.00 | — |
| United | SmallGroup | $10,912.00 | — |
| United | NarrowNetworkIndivExchange | $12,851.00 | — |
| BCBS | MyBlueHealth | $13,160.29 | — |
| BCBS | BlueAdvantageHMO | $13,160.29 | — |
| BCBS | BlueEssentialsAccess | $14,057.58 | — |
| BCBS | BlueEssentials | $14,057.58 | — |
| BCBS | EPOSOA | $14,775.42 | — |
| BCBS | PPO | $15,433.43 | — |
| United | AllPayerAppendix | $16,960.00 | — |
| Cigna | LocalPlus | $31,321.00 | — |
| Cigna | NewBusiness | $31,352.00 | — |
| Cigna | NetworkBenefit | $34,995.00 | — |
| Cigna | OpenAccessPlus | $34,995.00 | — |
| Cigna | HMO | $34,995.00 | — |
| Cigna | AllOther | $44,269.00 | — |
Visitor-reported prices
Comments
Autgrft implnt knee w/scope at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $6,049.51 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $6,351.99 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $6,049.51 | $85.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $6,049.51 | $2,398.52 – $17,722.46 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $6,351.99 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $6,049.51 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $6,049.51 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $6,351.99 | $71.00 – $17,722.46 |