Cardiology hrt trnspl mrna 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.
$1,944.00 with Cook Childrens Health Plan vs $29,154.49 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 |
|---|---|---|---|
| Cook Childrens Health Plan | CHIP | $1,944.00 | — |
| Cook Childrens Health Plan | STAR | $1,944.00 | — |
| WellMed | MGMCR | $3,223.80 | — |
| Devoted Health | POS | $3,240.00 | — |
| Devoted Health | MCR | $3,240.00 | — |
| Devoted Health | MME | $3,240.00 | — |
| Devoted Health | PPO | $3,240.00 | — |
| Mutual of Omaha | MGMCR | $3,240.00 | — |
| BCBS | MCRPPO | $3,240.00 | — |
| Humana | MGMCR | $3,240.00 | — |
| BCBS | MGMCRHMO | $3,240.00 | — |
| Amerigroup | DualEligible | $3,240.00 | — |
| TriWest Health Alliance | FEDERAL | $3,240.00 | — |
| United | AllPayerAppendix | $3,240.00 | — |
| Devoted Health | SNP | $3,240.00 | — |
| Devoted Health | HMO | $3,240.00 | — |
| United | SmallGroup | $3,240.00 | — |
| United | NarrowNetworkIndivExchange | $3,240.00 | — |
| United | MGMCR | $3,256.20 | — |
| Aetna | MCR | $3,267.54 | — |
| Care N Care | MGMCR | $3,272.40 | — |
| Cigna Healthspring | MGMCR | $3,304.80 | — |
| WellCare | MGMCR | $3,337.20 | — |
| Integranet | MGMCR | $3,337.20 | — |
| Humana | Tricare | $3,401.45 | — |
| Superior Health Plan | MGMCRPPO | $3,402.00 | — |
| Superior Health Plan | MGMCRHMO | $3,402.00 | — |
| Superior Health Plan | MGMCRPFFS | $3,402.00 | — |
| Superior Health Plan | MGMCRPOS | $3,402.00 | — |
| Superior Health Plan | MGMCRSNP | $3,402.00 | — |
| Superior Health Plan | MGMCRDualEligible | $3,402.00 | — |
| American Health Plan of Texas, Inc. | MGMCR | $3,402.00 | — |
| ProCare Advantge | MCR | $3,402.00 | — |
| Provider Partners Health Plan | MCR | $3,434.40 | — |
| Texas Independent Health Plan | MGMCR | $3,434.40 | — |
| Molina | MCR | $3,531.60 | — |
| Molina | MME | $3,531.60 | — |
| Molina | MMP | $3,531.60 | — |
| Imperial Insurance Company | MCR | $3,564.00 | — |
| Universal Healthcare Group | MCR | $3,888.00 | — |
| Aetna | QHPHIX | $4,121.28 | — |
| Verda Health Plan | MGMCR | $4,212.00 | — |
| Bravo Health | MCRPFFS | $4,860.00 | — |
| Bravo Health | MCRHMO | $4,860.00 | — |
| Bravo Health | MCRPOS | $4,860.00 | — |
| Bravo Health | MCRPPO | $4,860.00 | — |
| Bravo Health | MCRSNP | $4,860.00 | — |
| BCBS | BluePremier | $5,508.00 | — |
| BCBS | BlueAdvantageHMO | $5,670.00 | — |
| BCBS | MyBlueHealth | $5,670.00 | — |
| Aetna | NewBusiness | $5,676.48 | — |
| Superior | ValueHMO | $5,799.60 | — |
| Aetna | Meritain | $6,045.84 | — |
| Aetna | COMM | $6,045.84 | — |
| USA Managed Care | WORKERSCOMP | $6,156.00 | — |
| Corvel Corporation | WORKERSCOMP | $6,415.20 | — |
| Aetna | OON | $7,115.04 | — |
| Superior | HMO | $7,257.60 | — |
| Superior | EPO | $7,257.60 | — |
| BCBS | BlueEssentialsAccess | $8,002.80 | — |
| BCBS | BlueEssentials | $8,002.80 | — |
| BCBS | EPOSOA | $8,391.60 | — |
| Oscar | HIX | $8,424.00 | — |
| Molina Healthcare | HIX | $8,488.80 | — |
| BCBS | PPO | $8,780.40 | — |
| Cigna | LocalPlus | $12,345.70 | — |
| Cigna | NewBusiness | $12,358.01 | — |
| Cigna | HMO | $13,789.26 | — |
| Cigna | OpenAccessPlus | $13,789.26 | — |
| Cigna | NetworkBenefit | $13,789.26 | — |
| Cigna | AllOther | $17,452.03 | — |
| Humana | COMM | $29,154.49 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Cardiology hrt trnspl mrna at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $357.79 | $35.00 – $7,776.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $357.79 | $35.00 – $7,776.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $357.79 | $35.00 – $7,776.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $357.79 | $35.00 – $7,776.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $357.79 | $35.00 – $7,776.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $357.79 | $35.00 – $7,776.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $357.79 | $35.00 – $7,776.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $357.79 | $35.00 – $6,966.00 |