Brace fx hum ovr shldr sm at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$1,129.00
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.
$1,129.00
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.
$79.03 with Superior Health Plan vs $2,338.62 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 | $79.03 | ↓ -93% |
| Superior Health Plan | STARHealth | $79.03 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $79.03 | ↓ -93% |
| Superior Health Plan | STARPLUS | $79.03 | ↓ -93% |
| Superior Health Plan | STARKids | $79.03 | ↓ -93% |
| Cigna | IFP | $152.41 | ↓ -87% |
| Cigna | QHP | $158.06 | ↓ -86% |
| United | OptionsPPO | $224.67 | ↓ -80% |
| Unicare | CHIP | $270.96 | ↓ -76% |
| BCBS | MyBlueHealth | $278.86 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $278.86 | ↓ -75% |
| Cigna | NewBusiness | $298.06 | ↓ -74% |
| Cigna | LocalPlus | $298.06 | ↓ -74% |
| Cigna | HMO | $333.06 | ↓ -70% |
| Cigna | NetworkBenefit | $333.06 | ↓ -70% |
| Cigna | OpenAccessPlus | $333.06 | ↓ -70% |
| BCBS | BlueEssentials | $360.15 | ↓ -68% |
| BCBS | BlueEssentialsAccess | $360.15 | ↓ -68% |
| BCBS | EPOSOA | $378.21 | ↓ -67% |
| Healthcare Highways | CityofPlano | $381.60 | ↓ -66% |
| BCBS | PPO | $395.15 | ↓ -65% |
| Humana | Tricare | $401.52 | ↓ -64% |
| BCBS | MCRPPO | $405.82 | ↓ -64% |
| BCBS | MGMCRHMO | $405.82 | ↓ -64% |
| WellMed | MGMCR | $411.87 | ↓ -64% |
| Devoted Health | PPO | $413.94 | ↓ -63% |
| Mutual of Omaha | MGMCR | $413.94 | ↓ -63% |
| Devoted Health | SNP | $413.94 | ↓ -63% |
| Devoted Health | MCR | $413.94 | ↓ -63% |
| Devoted Health | POS | $413.94 | ↓ -63% |
| Devoted Health | HMO | $413.94 | ↓ -63% |
| Devoted Health | MME | $413.94 | ↓ -63% |
| Humana | MGMCR | $413.94 | ↓ -63% |
| TriWest Health Alliance | FEDERAL | $413.94 | ↓ -63% |
| Amerigroup | DualEligible | $413.94 | ↓ -63% |
| United | MGMCR | $416.01 | ↓ -63% |
| Aetna | MCR | $417.46 | ↓ -63% |
| Care N Care | MGMCR | $418.08 | ↓ -63% |
| Cigna | AllOther | $421.12 | ↓ -63% |
| Cigna Healthspring | MGMCR | $422.22 | ↓ -63% |
| Integranet | MGMCR | $426.36 | ↓ -62% |
| WellCare | MGMCR | $426.36 | ↓ -62% |
| Superior Health Plan | MGMCRPOS | $434.64 | ↓ -62% |
| Superior Health Plan | MGMCRHMO | $434.64 | ↓ -62% |
| Superior Health Plan | MGMCRPPO | $434.64 | ↓ -62% |
| Superior Health Plan | MGMCRDualEligible | $434.64 | ↓ -62% |
| Superior Health Plan | MGMCRPFFS | $434.64 | ↓ -62% |
| Superior Health Plan | MGMCRSNP | $434.64 | ↓ -62% |
| American Health Plan of Texas, Inc. | MGMCR | $434.64 | ↓ -62% |
| ProCare Advantge | MCR | $434.64 | ↓ -62% |
| Provider Partners Health Plan | MCR | $438.78 | ↓ -61% |
| Texas Independent Health Plan | MGMCR | $438.78 | ↓ -61% |
| Molina | MMP | $451.19 | ↓ -60% |
| Molina | MCR | $451.19 | ↓ -60% |
| Molina | MME | $451.19 | ↓ -60% |
| Imperial Insurance Company | MCR | $455.33 | ↓ -60% |
| Universal Healthcare Group | MCR | $496.73 | ↓ -56% |
| BCBS | Traditional | $501.28 | ↓ -56% |
| City of McKinney | COMM | $508.05 | ↓ -55% |
| Verda Health Plan | MGMCR | $538.12 | ↓ -52% |
| National ChoiceCare | WCOMP | $564.50 | ↓ -50% |
| Aetna | ASA | $594.98 | ↓ -47% |
| Bravo Health | MCRPOS | $620.91 | ↓ -45% |
| Bravo Health | MCRPFFS | $620.91 | ↓ -45% |
| Bravo Health | MCRSNP | $620.91 | ↓ -45% |
| Bravo Health | MCRHMO | $620.91 | ↓ -45% |
| Bravo Health | MCRPPO | $620.91 | ↓ -45% |
| PC Texas Partners | WCOMP | $620.95 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $620.95 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $620.95 | ↓ -45% |
| Aetna | WCOMP | $620.95 | ↓ -45% |
| Averde Health, Inc | PPO | $654.82 | ↓ -42% |
| USC Health Services | COMM | $677.40 | ↓ -40% |
| Superior | ValueHMO | $740.95 | ↓ -34% |
| USA Managed Care | WORKERSCOMP | $786.49 | ↓ -30% |
| Mega Life | MGMCRPPO | $790.30 | ↓ -30% |
| Jostens | WCOMP | $790.30 | ↓ -30% |
| Corvel Corporation | WORKERSCOMP | $819.60 | ↓ -27% |
| Aetna Coventry First Health | COMM | $820.78 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $846.75 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $846.75 | ↓ -25% |
| USA Managed Care | COMM | $903.20 | ↓ -20% |
| Superior | HMO | $927.23 | ↓ -18% |
| Superior | EPO | $927.23 | ↓ -18% |
| Galaxy Health Network | PPO | $959.65 | ↓ -15% |
| Molina Healthcare | HIX | $1,084.52 | ↓ -4% |
| Unicare | MCD | $1,129.00 | ↑ +0% |
| Independent Medical Systems | COMM | $1,129.00 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,129.00 | ↑ +0% |
| Humana | COMM | $2,338.62 | ↑ +107% |
Visitor-reported prices
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Brace fx hum ovr shldr sm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $229.02 | $23.49 – $171.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $229.02 | $22.83 – $152.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $229.02 | $36.64 – $171.21 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $229.02 | $58.97 – $171.21 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $229.02 | $38.05 – $171.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $229.02 | $22.83 – $152.18 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $229.02 | $28.53 – $171.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $229.02 | $20.93 – $171.21 |