#cf-97variants at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$1,188.98
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.
$1,188.98
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.
$83.23 with Superior Health Plan vs $5,008.45 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 | STARPLUS | $83.23 | ↓ -93% |
| Superior Health Plan | CHIP | $83.23 | ↓ -93% |
| Superior Health Plan | STARHealth | $83.23 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $83.23 | ↓ -93% |
| Superior Health Plan | STARKids | $83.23 | ↓ -93% |
| Cigna | IFP | $160.51 | ↓ -87% |
| Cigna | QHP | $166.46 | ↓ -86% |
| United | OptionsPPO | $236.61 | ↓ -80% |
| Unicare | CHIP | $285.36 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $291.30 | ↓ -76% |
| Evry Health | COMM | $306.76 | ↓ -74% |
| Cook Childrens Health Plan | STAR | $333.96 | ↓ -72% |
| Cook Childrens Health Plan | CHIP | $333.96 | ↓ -72% |
| Healthcare Highways | CityofPlano | $401.88 | ↓ -66% |
| TEXAS HEALTH NETWORK | MCD | $460.53 | ↓ -61% |
| Amerigroup | MGMCD | $467.54 | ↓ -61% |
| Parkland Community Health Plan | MCD | $467.54 | ↓ -61% |
| United | STARPerinate | $467.54 | ↓ -61% |
| Amerigroup | CHIP | $467.54 | ↓ -61% |
| United | CHIP | $467.54 | ↓ -61% |
| United | STAR | $467.54 | ↓ -61% |
| United | STARKids | $467.54 | ↓ -61% |
| United | STARPLUS | $467.54 | ↓ -61% |
| Cigna Healthspring | MGMCD | $490.92 | ↓ -59% |
| Aetna Better Health | MCD | $504.94 | ↓ -58% |
| Aetna Better Health | CHIP | $504.94 | ↓ -58% |
| Molina | STAR+PLUS | $514.29 | ↓ -57% |
| Molina | CHIP | $514.29 | ↓ -57% |
| Molina | MCDSTAR | $514.29 | ↓ -57% |
| Molina | STARKIDS | $514.29 | ↓ -57% |
| BCBS | Traditional | $527.91 | ↓ -56% |
| City of McKinney | COMM | $535.04 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $535.04 | ↓ -55% |
| WellMed | MGMCR | $553.82 | ↓ -53% |
| Amerigroup | DualEligible | $556.60 | ↓ -53% |
| United | NarrowNetworkIndivExchange | $556.60 | ↓ -53% |
| Devoted Health | PPO | $556.60 | ↓ -53% |
| Devoted Health | SNP | $556.60 | ↓ -53% |
| Devoted Health | POS | $556.60 | ↓ -53% |
| Devoted Health | MCR | $556.60 | ↓ -53% |
| United | SmallGroup | $556.60 | ↓ -53% |
| United | AllPayerAppendix | $556.60 | ↓ -53% |
| Humana | MGMCR | $556.60 | ↓ -53% |
| Devoted Health | HMO | $556.60 | ↓ -53% |
| BCBS | MCRPPO | $556.60 | ↓ -53% |
| Devoted Health | MME | $556.60 | ↓ -53% |
| TriWest Health Alliance | FEDERAL | $556.60 | ↓ -53% |
| Mutual of Omaha | MGMCR | $556.60 | ↓ -53% |
| BCBS | MGMCRHMO | $556.60 | ↓ -53% |
| United | MGMCR | $559.38 | ↓ -53% |
| Aetna | MCR | $561.33 | ↓ -53% |
| Care N Care | MGMCR | $562.17 | ↓ -53% |
| Cigna Healthspring | MGMCR | $567.73 | ↓ -52% |
| Integranet | MGMCR | $573.30 | ↓ -52% |
| WellCare | MGMCR | $573.30 | ↓ -52% |
| Humana | Tricare | $584.34 | ↓ -51% |
| Humana | MGMCD | $584.43 | ↓ -51% |
| ProCare Advantge | MCR | $584.43 | ↓ -51% |
| Superior Health Plan | MGMCRSNP | $584.43 | ↓ -51% |
| Superior Health Plan | MGMCRPOS | $584.43 | ↓ -51% |
| Superior Health Plan | MGMCRPFFS | $584.43 | ↓ -51% |
| Superior Health Plan | MGMCRDualEligible | $584.43 | ↓ -51% |
| American Health Plan of Texas, Inc. | MGMCR | $584.43 | ↓ -51% |
| Superior Health Plan | MGMCRPPO | $584.43 | ↓ -51% |
| Superior Health Plan | MGMCRHMO | $584.43 | ↓ -51% |
| Texas Independent Health Plan | MGMCR | $590.00 | ↓ -50% |
| Provider Partners Health Plan | MCR | $590.00 | ↓ -50% |
| National ChoiceCare | WCOMP | $594.49 | ↓ -50% |
| Molina | MCR | $606.69 | ↓ -49% |
| Molina | MMP | $606.69 | ↓ -49% |
| Molina | MME | $606.69 | ↓ -49% |
| Imperial Insurance Company | MCR | $612.26 | ↓ -49% |
| Aetna | ASA | $626.59 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $653.94 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $653.94 | ↓ -45% |
| PC Texas Partners | WCOMP | $653.94 | ↓ -45% |
| Aetna | WCOMP | $653.94 | ↓ -45% |
| Universal Healthcare Group | MCR | $667.92 | ↓ -44% |
| Averde Health, Inc | PPO | $689.61 | ↓ -42% |
| Aetna | QHPHIX | $708.00 | ↓ -40% |
| USC Health Services | COMM | $713.39 | ↓ -40% |
| Verda Health Plan | MGMCR | $723.58 | ↓ -39% |
| Coastal Comp Health Networks | WCOMP | $832.29 | ↓ -30% |
| Mega Life | MGMCRPPO | $832.29 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $832.29 | ↓ -30% |
| Jostens | WCOMP | $832.29 | ↓ -30% |
| Bravo Health | MCRPOS | $834.90 | ↓ -30% |
| Bravo Health | MCRHMO | $834.90 | ↓ -30% |
| Bravo Health | MCRPPO | $834.90 | ↓ -30% |
| Bravo Health | MCRSNP | $834.90 | ↓ -30% |
| Bravo Health | MCRPFFS | $834.90 | ↓ -30% |
| Aetna Coventry First Health | COMM | $864.39 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $891.74 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $891.74 | ↓ -25% |
| BCBS | BluePremier | $946.22 | ↓ -20% |
| USA Managed Care | COMM | $951.18 | ↓ -20% |
| BCBS | MyBlueHealth | $974.05 | ↓ -18% |
| BCBS | BlueAdvantageHMO | $974.05 | ↓ -18% |
| Aetna | NewBusiness | $975.16 | ↓ -18% |
| Superior | ValueHMO | $996.31 | ↓ -16% |
| Galaxy Health Network | PPO | $1,010.63 | ↓ -15% |
| Aetna | Meritain | $1,038.62 | ↓ -13% |
| Aetna | COMM | $1,038.62 | ↓ -13% |
| USA Managed Care | WORKERSCOMP | $1,057.54 | ↓ -11% |
| Corvel Corporation | WORKERSCOMP | $1,102.07 | ↓ -7% |
| Unicare | MCD | $1,188.98 | ↑ +0% |
| Independent Medical Systems | COMM | $1,188.98 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,188.98 | ↑ +0% |
| Aetna | OON | $1,222.29 | ↑ +3% |
| Superior | HMO | $1,246.78 | ↑ +5% |
| Superior | EPO | $1,246.78 | ↑ +5% |
| BCBS | BlueEssentials | $1,374.80 | ↑ +16% |
| BCBS | BlueEssentialsAccess | $1,374.80 | ↑ +16% |
| BCBS | EPOSOA | $1,441.59 | ↑ +21% |
| Oscar | HIX | $1,447.16 | ↑ +22% |
| Molina Healthcare | HIX | $1,458.29 | ↑ +23% |
| BCBS | PPO | $1,508.39 | ↑ +27% |
| Cigna | LocalPlus | $2,121.54 | ↑ +78% |
| Cigna | NewBusiness | $2,123.65 | ↑ +79% |
| Cigna | HMO | $2,369.61 | ↑ +99% |
| Cigna | OpenAccessPlus | $2,369.61 | ↑ +99% |
| Cigna | NetworkBenefit | $2,369.61 | ↑ +99% |
| Cigna | AllOther | $2,999.03 | ↑ +152% |
| Humana | COMM | $5,008.45 | ↑ +321% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
#cf-97variants at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,220.78 | $10.00 – $1,335.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $855.82 | $12.00 – $1,335.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $687.08 | $12.00 – $1,335.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,220.78 | $10.00 – $1,335.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $855.82 | $12.00 – $1,335.84 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $855.82 | $8.00 – $1,335.84 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $687.08 | $12.00 – $1,335.84 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,220.78 | $10.00 – $1,335.84 |