Carotid Artery Ultrasound (Duplex) 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.
$188.59 with TEXAS HEALTH NETWORK vs $3,111.26 with Independent Medical Systems — 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 |
|---|---|---|---|
| TEXAS HEALTH NETWORK | MCD | $188.59 | — |
| Amerigroup | MGMCD | $191.46 | — |
| Parkland Community Health Plan | MCD | $191.46 | — |
| Cook Childrens Health Plan | STAR | $191.46 | — |
| Cook Childrens Health Plan | CHIP | $191.46 | — |
| United | CHIP | $191.46 | — |
| United | STAR | $191.46 | — |
| United | STARKids | $191.46 | — |
| United | STARPLUS | $191.46 | — |
| United | STARPerinate | $191.46 | — |
| Amerigroup | CHIP | $191.46 | — |
| Cigna Healthspring | MGMCD | $201.03 | — |
| Aetna Better Health | MCD | $206.78 | — |
| Aetna Better Health | CHIP | $206.78 | — |
| Molina | STAR+PLUS | $210.61 | — |
| Molina | STARKIDS | $210.61 | — |
| Molina | MCDSTAR | $210.61 | — |
| Molina | CHIP | $210.61 | — |
| Superior Health Plan | STARKids | $217.79 | — |
| Superior Health Plan | MCDSTAR | $217.79 | — |
| Superior Health Plan | STARHealth | $217.79 | — |
| Superior Health Plan | CHIP | $217.79 | — |
| Superior Health Plan | STARPLUS | $217.79 | — |
| Humana | MGMCD | $239.33 | — |
| BCBS | BluePremier | $387.84 | — |
| Aetna | QHPHIX | $420.02 | — |
| Cigna | IFP | $420.02 | — |
| Cigna | QHP | $435.58 | — |
| BCBS | BlueAdvantageHMO | $451.94 | — |
| BCBS | MyBlueHealth | $451.94 | — |
| Cigna | LocalPlus | $592.95 | — |
| Cigna | NewBusiness | $593.54 | — |
| United | OptionsPPO | $619.14 | — |
| Aetna | NewBusiness | $619.14 | — |
| Oscar | HIX | $647.14 | — |
| Cigna | NetworkBenefit | $662.28 | — |
| Cigna | HMO | $662.28 | — |
| Cigna | OpenAccessPlus | $662.28 | — |
| Aetna | COMM | $662.70 | — |
| Aetna | Meritain | $662.70 | — |
| Unicare | CHIP | $746.70 | — |
| Healthcare Highways | NarrowNetwork | $762.26 | — |
| Aetna | OON | $780.93 | — |
| BCBS | BlueEssentials | $800.34 | — |
| BCBS | BlueEssentialsAccess | $800.34 | — |
| Evry Health | COMM | $802.71 | — |
| Cigna | AllOther | $838.20 | — |
| BCBS | EPOSOA | $839.78 | — |
| BCBS | PPO | $879.22 | — |
| Healthcare Highways | CityofPlano | $1,051.61 | — |
| Humana | COMM | $1,127.42 | — |
| Curative Administrators | COMM | $1,244.50 | — |
| BCBS | Traditional | $1,381.40 | — |
| City of McKinney | COMM | $1,400.07 | — |
| Fidelis SecureCare | MGMCR | $1,400.07 | — |
| National ChoiceCare | WCOMP | $1,555.63 | — |
| Aetna | ASA | $1,639.63 | — |
| Aetna | WCOMP | $1,711.19 | — |
| PC Texas Partners | WCOMP | $1,711.19 | — |
| Physicians Coop of TX | MGMCR | $1,711.19 | — |
| Rockport Health Group | WORKERSCOMP | $1,711.19 | — |
| Averde Health, Inc | PPO | $1,804.53 | — |
| USC Health Services | COMM | $1,866.76 | — |
| Coastal Comp Health Networks | WCOMP | $2,177.88 | — |
| Jostens | WCOMP | $2,177.88 | — |
| Mega Life | MGMCRPPO | $2,177.88 | — |
| Multiplan PHCS | PrimaryNetwork | $2,177.88 | — |
| Aetna Coventry First Health | COMM | $2,261.89 | — |
| HealthSmart Preferred Care | PPO | $2,333.45 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $2,333.45 | — |
| USA Managed Care | COMM | $2,489.01 | — |
| Galaxy Health Network | PPO | $2,644.57 | — |
| Unicare | MCD | $3,111.26 | — |
| National Healthcare Solutions | COMM | $3,111.26 | — |
| Independent Medical Systems | COMM | $3,111.26 | — |
Visitor-reported prices
Comments
Carotid Artery Ultrasound (Duplex) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,602.58 | $632.71 – $632.71 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,375.99 | $187.79 – $1,719.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,224.72 | $252.09 – $1,837.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,224.72 | $187.79 – $1,530.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,375.99 | $187.79 – $1,719.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,224.72 | $200.94 – $1,837.08 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,224.72 | $187.79 – $1,837.08 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,224.72 | $187.79 – $1,837.08 |