Baclofen eval charges 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.
$19.57 with Superior Health Plan vs $279.62 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 |
|---|---|---|---|
| Superior Health Plan | MCDSTAR | $19.57 | — |
| Superior Health Plan | STARPLUS | $19.57 | — |
| Superior Health Plan | STARKids | $19.57 | — |
| Superior Health Plan | STARHealth | $19.57 | — |
| Superior Health Plan | CHIP | $19.57 | — |
| BCBS | MCRPPO | $28.41 | — |
| BCBS | MGMCRHMO | $28.41 | — |
| WellMed | MGMCR | $28.69 | — |
| Amerigroup | DualEligible | $28.84 | — |
| Devoted Health | SNP | $28.84 | — |
| Devoted Health | HMO | $28.84 | — |
| Devoted Health | POS | $28.84 | — |
| Devoted Health | MCR | $28.84 | — |
| Devoted Health | MME | $28.84 | — |
| Humana | MGMCR | $28.84 | — |
| TriWest Health Alliance | FEDERAL | $28.84 | — |
| Mutual of Omaha | MGMCR | $28.84 | — |
| Devoted Health | PPO | $28.84 | — |
| United | MGMCR | $28.98 | — |
| Aetna | MCR | $29.08 | — |
| Care N Care | MGMCR | $29.13 | — |
| Cigna Healthspring | MGMCR | $29.41 | — |
| WellCare | MGMCR | $29.70 | — |
| Integranet | MGMCR | $29.70 | — |
| Superior Health Plan | MGMCRPPO | $30.28 | — |
| Superior Health Plan | MGMCRHMO | $30.28 | — |
| Superior Health Plan | MGMCRDualEligible | $30.28 | — |
| Superior Health Plan | MGMCRPFFS | $30.28 | — |
| Superior Health Plan | MGMCRPOS | $30.28 | — |
| Superior Health Plan | MGMCRSNP | $30.28 | — |
| American Health Plan of Texas, Inc. | MGMCR | $30.28 | — |
| ProCare Advantge | MCR | $30.28 | — |
| Texas Independent Health Plan | MGMCR | $30.57 | — |
| Provider Partners Health Plan | MCR | $30.57 | — |
| Humana | Tricare | $31.31 | — |
| Molina | MME | $31.43 | — |
| Molina | MMP | $31.43 | — |
| Molina | MCR | $31.43 | — |
| Imperial Insurance Company | MCR | $31.72 | — |
| Universal Healthcare Group | MCR | $34.61 | — |
| Verda Health Plan | MGMCR | $37.49 | — |
| Aetna | QHPHIX | $37.75 | — |
| Cigna | IFP | $37.75 | — |
| Cigna | QHP | $39.15 | — |
| Bravo Health | MCRPOS | $43.26 | — |
| Bravo Health | MCRPFFS | $43.26 | — |
| Bravo Health | MCRSNP | $43.26 | — |
| Bravo Health | MCRPPO | $43.26 | — |
| Bravo Health | MCRHMO | $43.26 | — |
| Superior | ValueHMO | $51.62 | — |
| USA Managed Care | WORKERSCOMP | $54.79 | — |
| Aetna | NewBusiness | $55.64 | — |
| United | OptionsPPO | $55.64 | — |
| Corvel Corporation | WORKERSCOMP | $57.10 | — |
| Oscar | HIX | $58.16 | — |
| Aetna | Meritain | $59.56 | — |
| Aetna | COMM | $59.56 | — |
| Superior | HMO | $64.60 | — |
| Superior | EPO | $64.60 | — |
| Unicare | CHIP | $67.11 | — |
| Aetna | OON | $70.18 | — |
| Molina Healthcare | HIX | $75.56 | — |
| Healthcare Highways | NarrowNetwork | $75.85 | — |
| Evry Health | COMM | $79.87 | — |
| Cigna | NewBusiness | $81.73 | — |
| Cigna | LocalPlus | $81.73 | — |
| BCBS | BluePremier | $84.20 | — |
| Cigna | OpenAccessPlus | $91.33 | — |
| Cigna | HMO | $91.33 | — |
| Cigna | NetworkBenefit | $91.33 | — |
| Healthcare Highways | CityofPlano | $94.51 | — |
| BCBS | MyBlueHealth | $98.12 | — |
| BCBS | BlueAdvantageHMO | $98.12 | — |
| Cigna | AllOther | $115.48 | — |
| Curative Administrators | COMM | $123.84 | — |
| BCBS | Traditional | $124.15 | — |
| Fidelis SecureCare | MGMCR | $125.83 | — |
| City of McKinney | COMM | $125.83 | — |
| National ChoiceCare | WCOMP | $139.81 | — |
| Aetna | ASA | $147.36 | — |
| PC Texas Partners | WCOMP | $153.79 | — |
| Aetna | WCOMP | $153.79 | — |
| Rockport Health Group | WORKERSCOMP | $153.79 | — |
| Physicians Coop of TX | MGMCR | $153.79 | — |
| Averde Health, Inc | PPO | $162.18 | — |
| USC Health Services | COMM | $167.77 | — |
| BCBS | BlueEssentialsAccess | $173.76 | — |
| BCBS | BlueEssentials | $173.76 | — |
| BCBS | EPOSOA | $182.32 | — |
| BCBS | PPO | $190.89 | — |
| Coastal Comp Health Networks | WCOMP | $195.73 | — |
| Mega Life | MGMCRPPO | $195.73 | — |
| Multiplan PHCS | PrimaryNetwork | $195.73 | — |
| Jostens | WCOMP | $195.73 | — |
| Aetna Coventry First Health | COMM | $203.28 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $209.72 | — |
| HealthSmart Preferred Care | PPO | $209.72 | — |
| USA Managed Care | COMM | $223.70 | — |
| Galaxy Health Network | PPO | $237.68 | — |
| Humana | COMM | $264.90 | — |
| Unicare | MCD | $279.62 | — |
| Independent Medical Systems | COMM | $279.62 | — |
| National Healthcare Solutions | COMM | $279.62 | — |
Visitor-reported prices
Comments
Baclofen eval charges at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $112.05 | $31.75 – $158.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $100.64 | $20.71 – $150.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $109.37 | $21.87 – $149.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $112.05 | $29.88 – $158.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $100.64 | $32.30 – $150.96 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $100.64 | $52.00 – $253.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $109.37 | $36.46 – $164.06 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $112.05 | $29.88 – $158.74 |