Cllr miami j sm 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.
$11.90 with Superior Health Plan vs $1,783.42 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 | $11.90 | — |
| Superior Health Plan | STARHealth | $11.90 | — |
| Superior Health Plan | MCDSTAR | $11.90 | — |
| Superior Health Plan | STARPLUS | $11.90 | — |
| Superior Health Plan | CHIP | $11.90 | — |
| Cigna | IFP | $22.95 | — |
| Cigna | QHP | $23.80 | — |
| United | OptionsPPO | $33.83 | — |
| Unicare | CHIP | $40.80 | — |
| BCBS | MyBlueHealth | $41.99 | — |
| BCBS | BlueAdvantageHMO | $41.99 | — |
| Cigna | LocalPlus | $44.88 | — |
| Cigna | NewBusiness | $44.88 | — |
| Cigna | OpenAccessPlus | $50.15 | — |
| Cigna | NetworkBenefit | $50.15 | — |
| Cigna | HMO | $50.15 | — |
| BCBS | BlueEssentialsAccess | $54.23 | — |
| BCBS | BlueEssentials | $54.23 | — |
| BCBS | EPOSOA | $56.95 | — |
| Healthcare Highways | CityofPlano | $57.46 | — |
| BCBS | PPO | $59.50 | — |
| Cigna | AllOther | $63.41 | — |
| BCBS | Traditional | $75.48 | — |
| City of McKinney | COMM | $76.50 | — |
| National ChoiceCare | WCOMP | $85.00 | — |
| Aetna | ASA | $89.59 | — |
| PC Texas Partners | WCOMP | $93.50 | — |
| Physicians Coop of TX | MGMCR | $93.50 | — |
| Aetna | WCOMP | $93.50 | — |
| Rockport Health Group | WORKERSCOMP | $93.50 | — |
| Averde Health, Inc | PPO | $98.60 | — |
| USC Health Services | COMM | $102.00 | — |
| Jostens | WCOMP | $119.00 | — |
| Mega Life | MGMCRPPO | $119.00 | — |
| Aetna Coventry First Health | COMM | $123.59 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $127.50 | — |
| HealthSmart Preferred Care | PPO | $127.50 | — |
| USA Managed Care | COMM | $136.00 | — |
| Galaxy Health Network | PPO | $144.50 | — |
| Unicare | MCD | $170.00 | — |
| National Healthcare Solutions | COMM | $170.00 | — |
| Independent Medical Systems | COMM | $170.00 | — |
| Humana | Tricare | $306.20 | — |
| BCBS | MGMCRHMO | $309.48 | — |
| BCBS | MCRPPO | $309.48 | — |
| WellMed | MGMCR | $314.09 | — |
| TriWest Health Alliance | FEDERAL | $315.67 | — |
| Devoted Health | SNP | $315.67 | — |
| Devoted Health | HMO | $315.67 | — |
| Devoted Health | POS | $315.67 | — |
| Devoted Health | MCR | $315.67 | — |
| Devoted Health | MME | $315.67 | — |
| Humana | MGMCR | $315.67 | — |
| Amerigroup | DualEligible | $315.67 | — |
| Mutual of Omaha | MGMCR | $315.67 | — |
| Devoted Health | PPO | $315.67 | — |
| United | MGMCR | $317.25 | — |
| Aetna | MCR | $318.35 | — |
| Care N Care | MGMCR | $318.83 | — |
| Cigna Healthspring | MGMCR | $321.98 | — |
| Integranet | MGMCR | $325.14 | — |
| WellCare | MGMCR | $325.14 | — |
| Superior Health Plan | MGMCRPFFS | $331.45 | — |
| Superior Health Plan | MGMCRHMO | $331.45 | — |
| Superior Health Plan | MGMCRPPO | $331.45 | — |
| American Health Plan of Texas, Inc. | MGMCR | $331.45 | — |
| ProCare Advantge | MCR | $331.45 | — |
| Superior Health Plan | MGMCRSNP | $331.45 | — |
| Superior Health Plan | MGMCRPOS | $331.45 | — |
| Superior Health Plan | MGMCRDualEligible | $331.45 | — |
| Texas Independent Health Plan | MGMCR | $334.61 | — |
| Provider Partners Health Plan | MCR | $334.61 | — |
| Molina | MMP | $344.08 | — |
| Molina | MME | $344.08 | — |
| Molina | MCR | $344.08 | — |
| Imperial Insurance Company | MCR | $347.24 | — |
| Universal Healthcare Group | MCR | $378.80 | — |
| Verda Health Plan | MGMCR | $410.37 | — |
| Bravo Health | MCRPFFS | $473.50 | — |
| Bravo Health | MCRSNP | $473.50 | — |
| Bravo Health | MCRPPO | $473.50 | — |
| Bravo Health | MCRPOS | $473.50 | — |
| Bravo Health | MCRHMO | $473.50 | — |
| Superior | ValueHMO | $565.05 | — |
| USA Managed Care | WORKERSCOMP | $599.77 | — |
| Corvel Corporation | WORKERSCOMP | $625.03 | — |
| Superior | EPO | $707.10 | — |
| Superior | HMO | $707.10 | — |
| Molina Healthcare | HIX | $827.06 | — |
| Humana | COMM | $1,783.42 | — |
Visitor-reported prices
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Cllr miami j sm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $648.79 | $14.65 – $919.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $240.60 | $21.75 – $158.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $240.60 | $21.14 – $140.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $648.79 | $13.79 – $919.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $240.60 | $33.92 – $158.53 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $240.60 | $54.60 – $158.53 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $240.60 | $35.23 – $158.53 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $648.79 | $13.79 – $919.12 |