Cholesterol body fluid at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$458.58
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.
$458.58
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.
$32.10 with Superior Health Plan vs $458.58 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $32.10 | ↓ -93% |
| Superior Health Plan | STARHealth | $32.10 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $32.10 | ↓ -93% |
| Superior Health Plan | STARPLUS | $32.10 | ↓ -93% |
| Superior Health Plan | STARKids | $32.10 | ↓ -93% |
| Cigna | IFP | $61.91 | ↓ -86% |
| Aetna | QHPHIX | $61.91 | ↓ -86% |
| Cigna | QHP | $64.20 | ↓ -86% |
| Imperial Insurance Company | MCR | $87.13 | ↓ -81% |
| United | OptionsPPO | $91.26 | ↓ -80% |
| Aetna | NewBusiness | $91.26 | ↓ -80% |
| Cigna | LocalPlus | $92.21 | ↓ -80% |
| Cigna | NewBusiness | $92.30 | ↓ -80% |
| Oscar | HIX | $95.38 | ↓ -79% |
| Aetna | Meritain | $97.68 | ↓ -79% |
| Aetna | COMM | $97.68 | ↓ -79% |
| Cigna | HMO | $103.00 | ↓ -78% |
| Cigna | OpenAccessPlus | $103.00 | ↓ -78% |
| Cigna | NetworkBenefit | $103.00 | ↓ -78% |
| Unicare | CHIP | $110.06 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $112.35 | ↓ -76% |
| BCBS | BlueAdvantageHMO | $113.27 | ↓ -75% |
| BCBS | MyBlueHealth | $113.27 | ↓ -75% |
| Aetna | OON | $115.10 | ↓ -75% |
| Evry Health | COMM | $118.31 | ↓ -74% |
| Cigna | AllOther | $130.35 | ↓ -72% |
| BCBS | BluePremier | $133.91 | ↓ -71% |
| Humana | COMM | $142.11 | ↓ -69% |
| BCBS | BlueEssentials | $146.29 | ↓ -68% |
| BCBS | BlueEssentialsAccess | $146.29 | ↓ -68% |
| BCBS | EPOSOA | $153.62 | ↓ -67% |
| Healthcare Highways | CityofPlano | $155.00 | ↓ -66% |
| BCBS | PPO | $160.50 | ↓ -65% |
| BCBS | Traditional | $203.61 | ↓ -56% |
| City of McKinney | COMM | $206.36 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $206.36 | ↓ -55% |
| National ChoiceCare | WCOMP | $229.29 | ↓ -50% |
| Aetna | ASA | $241.67 | ↓ -47% |
| PC Texas Partners | WCOMP | $252.22 | ↓ -45% |
| Aetna | WCOMP | $252.22 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $252.22 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $252.22 | ↓ -45% |
| Averde Health, Inc | PPO | $265.98 | ↓ -42% |
| USC Health Services | COMM | $275.15 | ↓ -40% |
| Multiplan PHCS | PrimaryNetwork | $321.01 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $321.01 | ↓ -30% |
| Jostens | WCOMP | $321.01 | ↓ -30% |
| Mega Life | MGMCRPPO | $321.01 | ↓ -30% |
| Aetna Coventry First Health | COMM | $333.39 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $343.94 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $343.94 | ↓ -25% |
| USA Managed Care | COMM | $366.86 | ↓ -20% |
| Galaxy Health Network | PPO | $389.79 | ↓ -15% |
| National Healthcare Solutions | COMM | $458.58 | ↑ +0% |
| Unicare | MCD | $458.58 | ↑ +0% |
| Independent Medical Systems | COMM | $458.58 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Cholesterol body fluid at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON KINGWOOD | HUMBLE | $716.44 | $99.55 – $99.55 |
| HCA HOUSTON NORTHWEST | SPRING | $462.06 | $99.55 – $99.55 |
| St. Luke's Health - Patients Medical Center | Pasadena | $136.71 | $53.34 – $275.40 |
| St. Luke's Health Memorial Lufkin | Lufkin | $24.90 | $14.50 – $96.56 |
| HCA HOUSTON PEARLAND | Pearland | $523.04 | $99.55 – $99.55 |
| Texas Health Presbyterian Hospital Allen | Allen | $100.35 | $7.11 – $10.28 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $100.35 | $7.11 – $10.28 |
| HCA HOUSTON WEST | HOUSTON | $228.00 | $99.55 – $99.55 |