Brace ankle stablizing lg 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.
$12.04 with Superior Health Plan vs $690.98 with Humana — 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 | CHIP | $12.04 | — |
| Superior Health Plan | STARHealth | $12.04 | — |
| Superior Health Plan | MCDSTAR | $12.04 | — |
| Superior Health Plan | STARPLUS | $12.04 | — |
| Superior Health Plan | STARKids | $12.04 | — |
| Cigna | IFP | $23.22 | — |
| Cigna | QHP | $24.08 | — |
| United | OptionsPPO | $34.23 | — |
| Unicare | CHIP | $41.28 | — |
| BCBS | BlueAdvantageHMO | $42.48 | — |
| BCBS | MyBlueHealth | $42.48 | — |
| Cigna | NewBusiness | $45.41 | — |
| Cigna | LocalPlus | $45.41 | — |
| Cigna | NetworkBenefit | $50.74 | — |
| Cigna | OpenAccessPlus | $50.74 | — |
| Cigna | HMO | $50.74 | — |
| BCBS | BlueEssentialsAccess | $54.87 | — |
| BCBS | BlueEssentials | $54.87 | — |
| BCBS | EPOSOA | $57.62 | — |
| Healthcare Highways | CityofPlano | $58.14 | — |
| BCBS | PPO | $60.20 | — |
| Cigna | AllOther | $64.16 | — |
| BCBS | Traditional | $76.37 | — |
| City of McKinney | COMM | $77.40 | — |
| National ChoiceCare | WCOMP | $86.00 | — |
| Aetna | ASA | $90.64 | — |
| Rockport Health Group | WORKERSCOMP | $94.60 | — |
| PC Texas Partners | WCOMP | $94.60 | — |
| Aetna | WCOMP | $94.60 | — |
| Physicians Coop of TX | MGMCR | $94.60 | — |
| Averde Health, Inc | PPO | $99.76 | — |
| USC Health Services | COMM | $103.20 | — |
| Humana | Tricare | $118.64 | — |
| BCBS | MCRPPO | $119.91 | — |
| BCBS | MGMCRHMO | $119.91 | — |
| Mega Life | MGMCRPPO | $120.40 | — |
| Jostens | WCOMP | $120.40 | — |
| WellMed | MGMCR | $121.70 | — |
| Devoted Health | PPO | $122.31 | — |
| Devoted Health | SNP | $122.31 | — |
| Devoted Health | HMO | $122.31 | — |
| Devoted Health | POS | $122.31 | — |
| Devoted Health | MCR | $122.31 | — |
| Devoted Health | MME | $122.31 | — |
| Humana | MGMCR | $122.31 | — |
| Amerigroup | DualEligible | $122.31 | — |
| Mutual of Omaha | MGMCR | $122.31 | — |
| TriWest Health Alliance | FEDERAL | $122.31 | — |
| United | MGMCR | $122.92 | — |
| Aetna | MCR | $123.35 | — |
| Care N Care | MGMCR | $123.53 | — |
| Cigna Healthspring | MGMCR | $124.76 | — |
| Aetna Coventry First Health | COMM | $125.04 | — |
| WellCare | MGMCR | $125.98 | — |
| Integranet | MGMCR | $125.98 | — |
| American Health Plan of Texas, Inc. | MGMCR | $128.43 | — |
| Superior Health Plan | MGMCRPFFS | $128.43 | — |
| Superior Health Plan | MGMCRHMO | $128.43 | — |
| ProCare Advantge | MCR | $128.43 | — |
| Superior Health Plan | MGMCRPOS | $128.43 | — |
| Superior Health Plan | MGMCRPPO | $128.43 | — |
| Superior Health Plan | MGMCRDualEligible | $128.43 | — |
| Superior Health Plan | MGMCRSNP | $128.43 | — |
| HealthSmart Preferred Care | PPO | $129.00 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $129.00 | — |
| Provider Partners Health Plan | MCR | $129.65 | — |
| Texas Independent Health Plan | MGMCR | $129.65 | — |
| Molina | MME | $133.32 | — |
| Molina | MMP | $133.32 | — |
| Molina | MCR | $133.32 | — |
| Imperial Insurance Company | MCR | $134.54 | — |
| USA Managed Care | COMM | $137.60 | — |
| Galaxy Health Network | PPO | $146.20 | — |
| Universal Healthcare Group | MCR | $146.77 | — |
| Verda Health Plan | MGMCR | $159.00 | — |
| Unicare | MCD | $172.00 | — |
| Independent Medical Systems | COMM | $172.00 | — |
| National Healthcare Solutions | COMM | $172.00 | — |
| Bravo Health | MCRSNP | $183.47 | — |
| Bravo Health | MCRPPO | $183.47 | — |
| Bravo Health | MCRHMO | $183.47 | — |
| Bravo Health | MCRPFFS | $183.47 | — |
| Bravo Health | MCRPOS | $183.47 | — |
| Superior | ValueHMO | $218.93 | — |
| USA Managed Care | WORKERSCOMP | $232.39 | — |
| Corvel Corporation | WORKERSCOMP | $242.17 | — |
| Superior | EPO | $273.97 | — |
| Superior | HMO | $273.97 | — |
| Molina Healthcare | HIX | $320.45 | — |
| Humana | COMM | $690.98 | — |
Visitor-reported prices
Comments
Brace ankle stablizing lg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $158.12 | $44.80 – $210.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $158.12 | $10.89 – $79.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $110.51 | $10.58 – $70.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $158.12 | $42.17 – $210.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $158.12 | $16.98 – $79.34 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $158.12 | $27.33 – $79.34 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $110.51 | $17.63 – $79.34 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $158.12 | $42.17 – $210.83 |