Brace knee support neoprene padded open patella med 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.
$20.72 with Superior Health Plan vs $694.41 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 | $20.72 | — |
| Superior Health Plan | STARHealth | $20.72 | — |
| Superior Health Plan | MCDSTAR | $20.72 | — |
| Superior Health Plan | STARPLUS | $20.72 | — |
| Superior Health Plan | STARKids | $20.72 | — |
| Cigna | IFP | $39.96 | — |
| Cigna | QHP | $41.44 | — |
| United | OptionsPPO | $58.90 | — |
| Unicare | CHIP | $71.04 | — |
| BCBS | MyBlueHealth | $73.11 | — |
| BCBS | BlueAdvantageHMO | $73.11 | — |
| Cigna | NewBusiness | $78.14 | — |
| Cigna | LocalPlus | $78.14 | — |
| Cigna | HMO | $87.32 | — |
| Cigna | NetworkBenefit | $87.32 | — |
| Cigna | OpenAccessPlus | $87.32 | — |
| BCBS | BlueEssentials | $94.42 | — |
| BCBS | BlueEssentialsAccess | $94.42 | — |
| BCBS | EPOSOA | $99.16 | — |
| Healthcare Highways | CityofPlano | $100.05 | — |
| BCBS | PPO | $103.60 | — |
| Cigna | AllOther | $110.41 | — |
| Humana | Tricare | $119.21 | — |
| BCBS | MCRPPO | $120.49 | — |
| BCBS | MGMCRHMO | $120.49 | — |
| WellMed | MGMCR | $122.29 | — |
| Mutual of Omaha | MGMCR | $122.90 | — |
| Devoted Health | POS | $122.90 | — |
| Devoted Health | HMO | $122.90 | — |
| TriWest Health Alliance | FEDERAL | $122.90 | — |
| Amerigroup | DualEligible | $122.90 | — |
| Devoted Health | SNP | $122.90 | — |
| Devoted Health | MME | $122.90 | — |
| Humana | MGMCR | $122.90 | — |
| Devoted Health | MCR | $122.90 | — |
| Devoted Health | PPO | $122.90 | — |
| United | MGMCR | $123.51 | — |
| Aetna | MCR | $123.94 | — |
| Care N Care | MGMCR | $124.13 | — |
| Cigna Healthspring | MGMCR | $125.36 | — |
| Integranet | MGMCR | $126.59 | — |
| WellCare | MGMCR | $126.59 | — |
| Superior Health Plan | MGMCRPOS | $129.05 | — |
| Superior Health Plan | MGMCRHMO | $129.05 | — |
| Superior Health Plan | MGMCRPPO | $129.05 | — |
| Superior Health Plan | MGMCRDualEligible | $129.05 | — |
| Superior Health Plan | MGMCRPFFS | $129.05 | — |
| Superior Health Plan | MGMCRSNP | $129.05 | — |
| American Health Plan of Texas, Inc. | MGMCR | $129.05 | — |
| ProCare Advantge | MCR | $129.05 | — |
| Texas Independent Health Plan | MGMCR | $130.27 | — |
| Provider Partners Health Plan | MCR | $130.27 | — |
| BCBS | Traditional | $131.42 | — |
| City of McKinney | COMM | $133.20 | — |
| Molina | MME | $133.96 | — |
| Molina | MMP | $133.96 | — |
| Molina | MCR | $133.96 | — |
| Imperial Insurance Company | MCR | $135.19 | — |
| Universal Healthcare Group | MCR | $147.48 | — |
| National ChoiceCare | WCOMP | $148.00 | — |
| Aetna | ASA | $155.99 | — |
| Verda Health Plan | MGMCR | $159.77 | — |
| Rockport Health Group | WORKERSCOMP | $162.80 | — |
| Physicians Coop of TX | MGMCR | $162.80 | — |
| PC Texas Partners | WCOMP | $162.80 | — |
| Aetna | WCOMP | $162.80 | — |
| Averde Health, Inc | PPO | $171.68 | — |
| USC Health Services | COMM | $177.60 | — |
| Bravo Health | MCRPPO | $184.35 | — |
| Bravo Health | MCRPFFS | $184.35 | — |
| Bravo Health | MCRSNP | $184.35 | — |
| Bravo Health | MCRHMO | $184.35 | — |
| Bravo Health | MCRPOS | $184.35 | — |
| Mega Life | MGMCRPPO | $207.20 | — |
| Jostens | WCOMP | $207.20 | — |
| Aetna Coventry First Health | COMM | $215.19 | — |
| Superior | ValueHMO | $219.99 | — |
| HealthSmart Preferred Care | PPO | $222.00 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $222.00 | — |
| USA Managed Care | WORKERSCOMP | $233.51 | — |
| USA Managed Care | COMM | $236.80 | — |
| Corvel Corporation | WORKERSCOMP | $243.34 | — |
| Galaxy Health Network | PPO | $251.60 | — |
| Superior | HMO | $275.30 | — |
| Superior | EPO | $275.30 | — |
| Unicare | MCD | $296.00 | — |
| Independent Medical Systems | COMM | $296.00 | — |
| National Healthcare Solutions | COMM | $296.00 | — |
| Molina Healthcare | HIX | $322.00 | — |
| Humana | COMM | $694.41 | — |
Visitor-reported prices
Comments
Brace knee support neoprene padded open patella med at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $436.18 | not published |
| St. Joseph Health Madison Hospital | Madisonville | $16.45 | $11.98 – $94.00 |
| St. Joseph Health College Station Hospital | College Station | $16.45 | $46.06 – $94.00 |
| Texas Health Presbyterian Hospital Allen | Allen | $200.15 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $200.15 | not published |
| St. Joseph Health Grimes Hospital | Navasota | $16.45 | $34.09 – $104.34 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $200.15 | not published |
| Texas Health Arlington Memorial Hospital | Arlington | $200.15 | not published |