Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr at MEDICAL CITY LEWISVILLE HOSPITAL

1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

$39.09

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$39.09

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.55 with Humana vs $39.09 with Unicare — 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 →

Payer
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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
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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
Humana Tricare $0.55 ↓ -99%
United NarrowNetworkIndivExchange $0.59 ↓ -98%
United AllPayerAppendix $0.59 ↓ -98%
United SmallGroup $0.59 ↓ -98%
BCBS MyBlueHealth $2.55 ↓ -93%
BCBS BlueAdvantageHMO $2.55 ↓ -93%
Superior Health Plan STARPLUS $2.74 ↓ -93%
Superior Health Plan STARHealth $2.74 ↓ -93%
Superior Health Plan MCDSTAR $2.74 ↓ -93%
Superior Health Plan CHIP $2.74 ↓ -93%
Superior Health Plan STARKids $2.74 ↓ -93%
BCBS BluePremier $3.02 ↓ -92%
Cigna LocalPlus $3.69 ↓ -91%
Cigna NewBusiness $3.69 ↓ -91%
BCBS BlueEssentials $3.74 ↓ -90%
BCBS BlueEssentialsAccess $3.74 ↓ -90%
BCBS EPOSOA $3.92 ↓ -90%
BCBS PPO $4.11 ↓ -89%
Cigna NetworkBenefit $4.12 ↓ -89%
Cigna HMO $4.12 ↓ -89%
Cigna OpenAccessPlus $4.12 ↓ -89%
Cigna AllOther $5.22 ↓ -87%
Cigna IFP $5.28 ↓ -86%
Aetna QHPHIX $5.28 ↓ -86%
Cigna QHP $5.47 ↓ -86%
Aetna NewBusiness $7.78 ↓ -80%
United OptionsPPO $7.78 ↓ -80%
Superior HMO $7.82 ↓ -80%
Superior EPO $7.82 ↓ -80%
Superior ValueHMO $7.82 ↓ -80%
Aetna Meritain $8.33 ↓ -79%
Aetna COMM $8.33 ↓ -79%
Unicare CHIP $9.38 ↓ -76%
Molina Healthcare HIX $9.77 ↓ -75%
Aetna OON $9.81 ↓ -75%
Healthcare Highways CityofPlano $13.21 ↓ -66%
BCBS Traditional $17.36 ↓ -56%
City of McKinney COMM $17.59 ↓ -55%
National ChoiceCare WCOMP $19.55 ↓ -50%
Aetna ASA $20.60 ↓ -47%
Physicians Coop of TX MGMCR $21.50 ↓ -45%
PC Texas Partners WCOMP $21.50 ↓ -45%
Rockport Health Group WORKERSCOMP $21.50 ↓ -45%
Aetna WCOMP $21.50 ↓ -45%
Averde Health, Inc PPO $22.67 ↓ -42%
USC Health Services COMM $23.45 ↓ -40%
Jostens WCOMP $27.36 ↓ -30%
Coastal Comp Health Networks WCOMP $27.36 ↓ -30%
Mega Life MGMCRPPO $27.36 ↓ -30%
Aetna Coventry First Health COMM $28.42 ↓ -27%
HealthSmart Preferred Care PPO $29.32 ↓ -25%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $29.32 ↓ -25%
USA Managed Care COMM $31.27 ↓ -20%
Galaxy Health Network PPO $33.23 ↓ -15%
National Healthcare Solutions COMM $39.09 ↑ +0%
Independent Medical Systems COMM $39.09 ↑ +0%
Unicare MCD $39.09 ↑ +0%

Visitor-reported prices

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Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $57.12 $2.85 – $2.85
Covenant Children's Hospital Lubbock $56.70 $2.13 – $2.77
St. Luke's Health Memorial Lufkin Lufkin $23.78 $5.46 – $33.42
St. Luke's Health Memorial Livingston Livingston $23.78 $5.46 – $33.42
Covenant Medical Center Lubbock $56.70 $2.13 – $2.77
St. Luke's Health Memorial San Augustine San Augustine $23.78 $5.46 – $33.42
Covenant Hospital Plainview Plainview $56.70 $2.75 – $2.75
Texas Health Hospital Mansfield Mansfield $51.77 $1.50 – $1.50

All Texas hospitals for this procedure →