Clot factor xiii fibrin stab at MEDICAL CITY LEWISVILLE HOSPITAL

1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

$1,173.95

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$1,173.95

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$9.80 with Cook Childrens Health Plan vs $1,173.95 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 →

Payer
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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
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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
Cook Childrens Health Plan CHIP $9.80 ↓ -99%
Cook Childrens Health Plan STAR $9.80 ↓ -99%
TEXAS HEALTH NETWORK MCD $13.52 ↓ -99%
United CHIP $13.73 ↓ -99%
Amerigroup CHIP $13.73 ↓ -99%
Amerigroup MGMCD $13.73 ↓ -99%
United STARPerinate $13.73 ↓ -99%
Parkland Community Health Plan MCD $13.73 ↓ -99%
United STARPLUS $13.73 ↓ -99%
United STARKids $13.73 ↓ -99%
United STAR $13.73 ↓ -99%
Cigna Healthspring MGMCD $14.42 ↓ -99%
Aetna Better Health CHIP $14.83 ↓ -99%
Aetna Better Health MCD $14.83 ↓ -99%
Molina STAR+PLUS $15.10 ↓ -99%
Molina CHIP $15.10 ↓ -99%
Molina MCDSTAR $15.10 ↓ -99%
Molina STARKIDS $15.10 ↓ -99%
WellMed MGMCR $16.26 ↓ -99%
Mutual of Omaha MGMCR $16.34 ↓ -99%
Devoted Health SNP $16.34 ↓ -99%
Devoted Health HMO $16.34 ↓ -99%
Devoted Health POS $16.34 ↓ -99%
Devoted Health MCR $16.34 ↓ -99%
Devoted Health MME $16.34 ↓ -99%
Devoted Health PPO $16.34 ↓ -99%
Humana MGMCR $16.34 ↓ -99%
United AllPayerAppendix $16.34 ↓ -99%
BCBS MGMCRHMO $16.34 ↓ -99%
United NarrowNetworkIndivExchange $16.34 ↓ -99%
United SmallGroup $16.34 ↓ -99%
BCBS MCRPPO $16.34 ↓ -99%
TriWest Health Alliance FEDERAL $16.34 ↓ -99%
Amerigroup DualEligible $16.34 ↓ -99%
United MGMCR $16.42 ↓ -99%
Aetna MCR $16.48 ↓ -99%
Care N Care MGMCR $16.50 ↓ -99%
Cigna Healthspring MGMCR $16.67 ↓ -99%
Integranet MGMCR $16.83 ↓ -99%
WellCare MGMCR $16.83 ↓ -99%
Humana Tricare $17.15 ↓ -99%
Superior Health Plan MGMCRDualEligible $17.16 ↓ -99%
American Health Plan of Texas, Inc. MGMCR $17.16 ↓ -99%
Superior Health Plan MGMCRSNP $17.16 ↓ -99%
ProCare Advantge MCR $17.16 ↓ -99%
Humana MGMCD $17.16 ↓ -99%
Superior Health Plan MGMCRPPO $17.16 ↓ -99%
Superior Health Plan MGMCRPOS $17.16 ↓ -99%
Superior Health Plan MGMCRPFFS $17.16 ↓ -99%
Superior Health Plan MGMCRHMO $17.16 ↓ -99%
Texas Independent Health Plan MGMCR $17.32 ↓ -99%
Provider Partners Health Plan MCR $17.32 ↓ -99%
Molina MME $17.81 ↓ -98%
Molina MCR $17.81 ↓ -98%
Molina MMP $17.81 ↓ -98%
Imperial Insurance Company MCR $17.97 ↓ -98%
Universal Healthcare Group MCR $19.61 ↓ -98%
Aetna QHPHIX $20.78 ↓ -98%
Verda Health Plan MGMCR $21.24 ↓ -98%
Bravo Health MCRPFFS $24.51 ↓ -98%
Bravo Health MCRHMO $24.51 ↓ -98%
Bravo Health MCRPOS $24.51 ↓ -98%
Bravo Health MCRPPO $24.51 ↓ -98%
Bravo Health MCRSNP $24.51 ↓ -98%
BCBS BluePremier $27.78 ↓ -98%
BCBS MyBlueHealth $28.59 ↓ -98%
BCBS BlueAdvantageHMO $28.59 ↓ -98%
Aetna NewBusiness $28.62 ↓ -98%
Superior ValueHMO $29.25 ↓ -98%
Aetna Meritain $30.48 ↓ -97%
Aetna COMM $30.48 ↓ -97%
USA Managed Care WORKERSCOMP $31.05 ↓ -97%
Corvel Corporation WORKERSCOMP $32.35 ↓ -97%
Aetna OON $35.87 ↓ -97%
Superior EPO $36.60 ↓ -97%
Superior HMO $36.60 ↓ -97%
BCBS BlueEssentialsAccess $40.36 ↓ -97%
BCBS BlueEssentials $40.36 ↓ -97%
BCBS EPOSOA $42.32 ↓ -96%
Oscar HIX $42.48 ↓ -96%
Molina Healthcare HIX $42.81 ↓ -96%
BCBS PPO $44.28 ↓ -96%
Cigna LocalPlus $61.97 ↓ -95%
Cigna NewBusiness $62.03 ↓ -95%
Cigna NetworkBenefit $69.22 ↓ -94%
Cigna HMO $69.22 ↓ -94%
Cigna OpenAccessPlus $69.22 ↓ -94%
Superior Health Plan CHIP $82.18 ↓ -93%
Superior Health Plan STARHealth $82.18 ↓ -93%
Superior Health Plan MCDSTAR $82.18 ↓ -93%
Superior Health Plan STARPLUS $82.18 ↓ -93%
Superior Health Plan STARKids $82.18 ↓ -93%
Cigna AllOther $87.60 ↓ -93%
Cigna IFP $158.48 ↓ -87%
Cigna QHP $164.35 ↓ -86%
Humana COMM $181.50 ↓ -85%
United OptionsPPO $233.62 ↓ -80%
Unicare CHIP $281.75 ↓ -76%
Healthcare Highways NarrowNetwork $287.62 ↓ -75%
Evry Health COMM $302.88 ↓ -74%
Healthcare Highways CityofPlano $396.80 ↓ -66%
BCBS Traditional $521.23 ↓ -56%
City of McKinney COMM $528.28 ↓ -55%
Fidelis SecureCare MGMCR $528.28 ↓ -55%
National ChoiceCare WCOMP $586.98 ↓ -50%
Aetna ASA $618.67 ↓ -47%
Rockport Health Group WORKERSCOMP $645.67 ↓ -45%
Aetna WCOMP $645.67 ↓ -45%
PC Texas Partners WCOMP $645.67 ↓ -45%
Physicians Coop of TX MGMCR $645.67 ↓ -45%
Averde Health, Inc PPO $680.89 ↓ -42%
USC Health Services COMM $704.37 ↓ -40%
Coastal Comp Health Networks WCOMP $821.76 ↓ -30%
Mega Life MGMCRPPO $821.76 ↓ -30%
Jostens WCOMP $821.76 ↓ -30%
Multiplan PHCS PrimaryNetwork $821.76 ↓ -30%
Aetna Coventry First Health COMM $853.46 ↓ -27%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $880.46 ↓ -25%
HealthSmart Preferred Care PPO $880.46 ↓ -25%
USA Managed Care COMM $939.16 ↓ -20%
Galaxy Health Network PPO $997.86 ↓ -15%
Unicare MCD $1,173.95 ↑ +0%
National Healthcare Solutions COMM $1,173.95 ↑ +0%
Independent Medical Systems COMM $1,173.95 ↑ +0%
Curative Administrators COMM not published by hospital

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Clot factor xiii fibrin stab at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $146.47 $10.00 – $183.09
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $199.57 $12.00 – $299.35
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $193.75 $12.00 – $242.19
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $146.47 $10.00 – $183.09
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $199.57 $12.00 – $299.35
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $199.57 $8.00 – $299.35
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $193.75 $12.00 – $290.63
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $146.47 $10.00 – $183.09

All Texas hospitals for this procedure →