Cer post col occ/man sup adj at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$85.00
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.
$85.00
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.
$5.95 with Superior Health Plan vs $2,672.26 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 | STARKids | $5.95 | ↓ -93% |
| Superior Health Plan | STARHealth | $5.95 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $5.95 | ↓ -93% |
| Superior Health Plan | STARPLUS | $5.95 | ↓ -93% |
| Superior Health Plan | CHIP | $5.95 | ↓ -93% |
| Cigna | IFP | $11.47 | ↓ -87% |
| Cigna | QHP | $11.90 | ↓ -86% |
| United | OptionsPPO | $16.91 | ↓ -80% |
| Unicare | CHIP | $20.40 | ↓ -76% |
| BCBS | MyBlueHealth | $21.00 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $21.00 | ↓ -75% |
| Cigna | LocalPlus | $22.44 | ↓ -74% |
| Cigna | NewBusiness | $22.44 | ↓ -74% |
| Cigna | OpenAccessPlus | $25.07 | ↓ -71% |
| Cigna | NetworkBenefit | $25.07 | ↓ -71% |
| Cigna | HMO | $25.07 | ↓ -71% |
| BCBS | BlueEssentialsAccess | $27.11 | ↓ -68% |
| BCBS | BlueEssentials | $27.11 | ↓ -68% |
| BCBS | EPOSOA | $28.48 | ↓ -66% |
| Healthcare Highways | CityofPlano | $28.73 | ↓ -66% |
| BCBS | PPO | $29.75 | ↓ -65% |
| Cigna | AllOther | $31.70 | ↓ -63% |
| BCBS | Traditional | $37.74 | ↓ -56% |
| City of McKinney | COMM | $38.25 | ↓ -55% |
| National ChoiceCare | WCOMP | $42.50 | ↓ -50% |
| Aetna | ASA | $44.80 | ↓ -47% |
| PC Texas Partners | WCOMP | $46.75 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $46.75 | ↓ -45% |
| Aetna | WCOMP | $46.75 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $46.75 | ↓ -45% |
| Averde Health, Inc | PPO | $49.30 | ↓ -42% |
| USC Health Services | COMM | $51.00 | ↓ -40% |
| Jostens | WCOMP | $59.50 | ↓ -30% |
| Mega Life | MGMCRPPO | $59.50 | ↓ -30% |
| Aetna Coventry First Health | COMM | $61.80 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $63.75 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $63.75 | ↓ -25% |
| USA Managed Care | COMM | $68.00 | ↓ -20% |
| Galaxy Health Network | PPO | $72.25 | ↓ -15% |
| Unicare | MCD | $85.00 | ↑ +0% |
| National Healthcare Solutions | COMM | $85.00 | ↑ +0% |
| Independent Medical Systems | COMM | $85.00 | ↑ +0% |
| Humana | Tricare | $458.81 | ↑ +440% |
| BCBS | MGMCRHMO | $463.73 | ↑ +446% |
| BCBS | MCRPPO | $463.73 | ↑ +446% |
| WellMed | MGMCR | $470.63 | ↑ +454% |
| TriWest Health Alliance | FEDERAL | $473.00 | ↑ +456% |
| Devoted Health | SNP | $473.00 | ↑ +456% |
| Devoted Health | HMO | $473.00 | ↑ +456% |
| Devoted Health | POS | $473.00 | ↑ +456% |
| Devoted Health | MCR | $473.00 | ↑ +456% |
| Devoted Health | MME | $473.00 | ↑ +456% |
| Humana | MGMCR | $473.00 | ↑ +456% |
| Amerigroup | DualEligible | $473.00 | ↑ +456% |
| Mutual of Omaha | MGMCR | $473.00 | ↑ +456% |
| Devoted Health | PPO | $473.00 | ↑ +456% |
| United | MGMCR | $475.36 | ↑ +459% |
| Aetna | MCR | $477.02 | ↑ +461% |
| Care N Care | MGMCR | $477.73 | ↑ +462% |
| Cigna Healthspring | MGMCR | $482.46 | ↑ +468% |
| Integranet | MGMCR | $487.19 | ↑ +473% |
| WellCare | MGMCR | $487.19 | ↑ +473% |
| Superior Health Plan | MGMCRPFFS | $496.65 | ↑ +484% |
| Superior Health Plan | MGMCRHMO | $496.65 | ↑ +484% |
| Superior Health Plan | MGMCRPPO | $496.65 | ↑ +484% |
| American Health Plan of Texas, Inc. | MGMCR | $496.65 | ↑ +484% |
| ProCare Advantge | MCR | $496.65 | ↑ +484% |
| Superior Health Plan | MGMCRSNP | $496.65 | ↑ +484% |
| Superior Health Plan | MGMCRPOS | $496.65 | ↑ +484% |
| Superior Health Plan | MGMCRDualEligible | $496.65 | ↑ +484% |
| Texas Independent Health Plan | MGMCR | $501.38 | ↑ +490% |
| Provider Partners Health Plan | MCR | $501.38 | ↑ +490% |
| Molina | MMP | $515.57 | ↑ +507% |
| Molina | MME | $515.57 | ↑ +507% |
| Molina | MCR | $515.57 | ↑ +507% |
| Imperial Insurance Company | MCR | $520.30 | ↑ +512% |
| Universal Healthcare Group | MCR | $567.60 | ↑ +568% |
| Verda Health Plan | MGMCR | $614.90 | ↑ +623% |
| Bravo Health | MCRPFFS | $709.50 | ↑ +735% |
| Bravo Health | MCRSNP | $709.50 | ↑ +735% |
| Bravo Health | MCRPPO | $709.50 | ↑ +735% |
| Bravo Health | MCRPOS | $709.50 | ↑ +735% |
| Bravo Health | MCRHMO | $709.50 | ↑ +735% |
| Superior | ValueHMO | $846.67 | ↑ +896% |
| USA Managed Care | WORKERSCOMP | $898.70 | ↑ +957% |
| Corvel Corporation | WORKERSCOMP | $936.54 | ↑ +1002% |
| Superior | EPO | $1,059.52 | ↑ +1146% |
| Superior | HMO | $1,059.52 | ↑ +1146% |
| Molina Healthcare | HIX | $1,239.26 | ↑ +1358% |
| Humana | COMM | $2,672.26 | ↑ +3044% |
Visitor-reported prices
Comments
Cer post col occ/man sup adj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $291.48 | $60.00 – $437.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $291.48 | $58.30 – $388.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $291.48 | $93.57 – $437.22 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $291.48 | $150.60 – $437.22 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $291.48 | $97.16 – $437.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $291.48 | $58.30 – $388.64 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $291.48 | $72.87 – $437.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $291.48 | $53.44 – $437.22 |