Blood Transfusion 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.
$30.27 with TEXAS HEALTH NETWORK vs $2,226.93 with Independent Medical Systems — 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 |
|---|---|---|---|
| TEXAS HEALTH NETWORK | MCD | $30.27 | — |
| Cook Childrens Health Plan | CHIP | $30.73 | — |
| United | STAR | $30.73 | — |
| Cook Childrens Health Plan | STAR | $30.73 | — |
| United | STARPLUS | $30.73 | — |
| United | STARPerinate | $30.73 | — |
| Parkland Community Health Plan | MCD | $30.73 | — |
| United | STARKids | $30.73 | — |
| United | CHIP | $30.73 | — |
| Amerigroup | MGMCD | $32.27 | — |
| Amerigroup | CHIP | $32.27 | — |
| Cigna Healthspring | MGMCD | $32.27 | — |
| Molina | STAR+PLUS | $33.80 | — |
| Molina | STARKIDS | $33.80 | — |
| Molina | CHIP | $33.80 | — |
| Molina | MCDSTAR | $33.80 | — |
| Aetna Better Health | MCD | $36.88 | — |
| Aetna Better Health | CHIP | $36.88 | — |
| Humana | MGMCD | $38.41 | — |
| Superior Health Plan | STARKids | $155.89 | — |
| Superior Health Plan | STARPLUS | $155.89 | — |
| Superior Health Plan | CHIP | $155.89 | — |
| Superior Health Plan | MCDSTAR | $155.89 | — |
| Superior Health Plan | STARHealth | $155.89 | — |
| BCBS | BlueAdvantageHMO | $214.26 | — |
| BCBS | BlueEssentials | $214.26 | — |
| BCBS | BlueEssentialsAccess | $214.26 | — |
| BCBS | MyBlueHealth | $214.26 | — |
| BCBS | EPOSOA | $225.11 | — |
| BCBS | PPO | $235.62 | — |
| Cigna | IFP | $300.64 | — |
| Cigna | QHP | $311.77 | — |
| United | OptionsPPO | $429.80 | — |
| Aetna | NewBusiness | $436.48 | — |
| WellMed | MGMCR | $445.40 | — |
| Oscar | HIX | $463.20 | — |
| Aetna | Meritain | $465.43 | — |
| Aetna | COMM | $465.43 | — |
| Unicare | CHIP | $534.46 | — |
| Healthcare Highways | NarrowNetwork | $545.60 | — |
| Aetna | OON | $550.05 | — |
| Evry Health | COMM | $574.55 | — |
| Cigna | NewBusiness | $587.91 | — |
| Cigna | LocalPlus | $587.91 | — |
| Cigna | HMO | $656.94 | — |
| Cigna | OpenAccessPlus | $656.94 | — |
| Cigna | NetworkBenefit | $656.94 | — |
| Healthcare Highways | CityofPlano | $752.70 | — |
| Cigna | AllOther | $830.64 | — |
| Curative Administrators | COMM | $890.77 | — |
| BCBS | Traditional | $921.95 | — |
| Fidelis SecureCare | MGMCR | $1,002.12 | — |
| City of McKinney | COMM | $1,002.12 | — |
| United | GlobalBenefitPlan | $1,002.12 | — |
| National ChoiceCare | WCOMP | $1,113.46 | — |
| Aetna | ASA | $1,124.60 | — |
| Aetna | WCOMP | $1,224.81 | — |
| PC Texas Partners | WCOMP | $1,224.81 | — |
| Physicians Coop of TX | MGMCR | $1,224.81 | — |
| Rockport Health Group | WORKERSCOMP | $1,224.81 | — |
| Aetna Coventry First Health | COMM | $1,276.03 | — |
| Averde Health, Inc | PPO | $1,291.62 | — |
| USC Health Services | COMM | $1,336.16 | — |
| Coastal Comp Health Networks | WCOMP | $1,558.85 | — |
| Mega Life | MGMCRPPO | $1,558.85 | — |
| Jostens | WCOMP | $1,558.85 | — |
| United | SmallGroup | $1,580.00 | — |
| HealthSmart Preferred Care | PPO | $1,670.20 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,670.20 | — |
| Multiplan | PHCSPrimaryNetwork | $1,670.20 | — |
| United | NarrowNetworkIndivExchange | $1,743.00 | — |
| USA Managed Care | COMM | $1,781.54 | — |
| Multiplan | ComplementaryNetwork | $1,892.89 | — |
| United | AllPayerAppendix | $2,174.00 | — |
| National Healthcare Solutions | COMM | $2,226.93 | — |
| Unicare | MCD | $2,226.93 | — |
| Independent Medical Systems | COMM | $2,226.93 | — |
Visitor-reported prices
Comments
Blood Transfusion at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $3,775.85 | $43.76 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,098.91 | $30.73 – $1,373.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,085.62 | $32.88 – $1,628.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,098.56 | $30.73 – $1,373.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,098.91 | $30.73 – $1,373.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,085.62 | $32.88 – $1,628.42 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,085.62 | $30.73 – $1,628.42 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,098.56 | $30.73 – $1,647.84 |