Coch imp ext proc/contr rplc at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$13,128.00
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.
$13,128.00
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.
$918.96 with Superior Health Plan vs $57,469.18 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 | $918.96 | ↓ -93% |
| Superior Health Plan | STARHealth | $918.96 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $918.96 | ↓ -93% |
| Superior Health Plan | CHIP | $918.96 | ↓ -93% |
| Superior Health Plan | STARKids | $918.96 | ↓ -93% |
| Cigna | IFP | $1,772.28 | ↓ -87% |
| Cigna | QHP | $1,837.92 | ↓ -86% |
| United | OptionsPPO | $2,612.47 | ↓ -80% |
| Unicare | CHIP | $3,150.72 | ↓ -76% |
| BCBS | MyBlueHealth | $3,242.62 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $3,242.62 | ↓ -75% |
| Cigna | LocalPlus | $3,465.79 | ↓ -74% |
| Cigna | NewBusiness | $3,465.79 | ↓ -74% |
| Cigna | NetworkBenefit | $3,872.76 | ↓ -71% |
| Cigna | HMO | $3,872.76 | ↓ -71% |
| Cigna | OpenAccessPlus | $3,872.76 | ↓ -71% |
| BCBS | BlueEssentials | $4,187.83 | ↓ -68% |
| BCBS | BlueEssentialsAccess | $4,187.83 | ↓ -68% |
| BCBS | EPOSOA | $4,397.88 | ↓ -67% |
| Healthcare Highways | CityofPlano | $4,437.26 | ↓ -66% |
| BCBS | PPO | $4,594.80 | ↓ -65% |
| Cigna | AllOther | $4,896.74 | ↓ -63% |
| BCBS | Traditional | $5,828.83 | ↓ -56% |
| City of McKinney | COMM | $5,907.60 | ↓ -55% |
| National ChoiceCare | WCOMP | $6,564.00 | ↓ -50% |
| Aetna | ASA | $6,918.46 | ↓ -47% |
| Aetna | WCOMP | $7,220.40 | ↓ -45% |
| PC Texas Partners | WCOMP | $7,220.40 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $7,220.40 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $7,220.40 | ↓ -45% |
| Averde Health, Inc | PPO | $7,614.24 | ↓ -42% |
| USC Health Services | COMM | $7,876.80 | ↓ -40% |
| Jostens | WCOMP | $9,189.60 | ↓ -30% |
| Mega Life | MGMCRPPO | $9,189.60 | ↓ -30% |
| Aetna Coventry First Health | COMM | $9,544.06 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $9,846.00 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $9,846.00 | ↓ -25% |
| Humana | Tricare | $9,867.13 | ↓ -25% |
| BCBS | MCRPPO | $9,972.82 | ↓ -24% |
| BCBS | MGMCRHMO | $9,972.82 | ↓ -24% |
| WellMed | MGMCR | $10,121.44 | ↓ -23% |
| Devoted Health | PPO | $10,172.30 | ↓ -23% |
| Devoted Health | SNP | $10,172.30 | ↓ -23% |
| Devoted Health | HMO | $10,172.30 | ↓ -23% |
| Devoted Health | POS | $10,172.30 | ↓ -23% |
| Devoted Health | MCR | $10,172.30 | ↓ -23% |
| Devoted Health | MME | $10,172.30 | ↓ -23% |
| Humana | MGMCR | $10,172.30 | ↓ -23% |
| Amerigroup | DualEligible | $10,172.30 | ↓ -23% |
| Mutual of Omaha | MGMCR | $10,172.30 | ↓ -23% |
| TriWest Health Alliance | FEDERAL | $10,172.30 | ↓ -23% |
| United | MGMCR | $10,223.16 | ↓ -22% |
| Aetna | MCR | $10,258.76 | ↓ -22% |
| Care N Care | MGMCR | $10,274.02 | ↓ -22% |
| Cigna Healthspring | MGMCR | $10,375.75 | ↓ -21% |
| WellCare | MGMCR | $10,477.47 | ↓ -20% |
| Integranet | MGMCR | $10,477.47 | ↓ -20% |
| USA Managed Care | COMM | $10,502.40 | ↓ -20% |
| Superior Health Plan | MGMCRPFFS | $10,680.91 | ↓ -19% |
| Superior Health Plan | MGMCRSNP | $10,680.91 | ↓ -19% |
| Superior Health Plan | MGMCRHMO | $10,680.91 | ↓ -19% |
| Superior Health Plan | MGMCRPPO | $10,680.91 | ↓ -19% |
| Superior Health Plan | MGMCRDualEligible | $10,680.91 | ↓ -19% |
| American Health Plan of Texas, Inc. | MGMCR | $10,680.91 | ↓ -19% |
| ProCare Advantge | MCR | $10,680.91 | ↓ -19% |
| Superior Health Plan | MGMCRPOS | $10,680.91 | ↓ -19% |
| Provider Partners Health Plan | MCR | $10,782.64 | ↓ -18% |
| Texas Independent Health Plan | MGMCR | $10,782.64 | ↓ -18% |
| Molina | MCR | $11,087.81 | ↓ -16% |
| Molina | MME | $11,087.81 | ↓ -16% |
| Molina | MMP | $11,087.81 | ↓ -16% |
| Galaxy Health Network | PPO | $11,158.80 | ↓ -15% |
| Imperial Insurance Company | MCR | $11,189.53 | ↓ -15% |
| Universal Healthcare Group | MCR | $12,206.76 | ↓ -7% |
| Unicare | MCD | $13,128.00 | ↑ +0% |
| National Healthcare Solutions | COMM | $13,128.00 | ↑ +0% |
| Independent Medical Systems | COMM | $13,128.00 | ↑ +0% |
| Verda Health Plan | MGMCR | $13,223.99 | ↑ +1% |
| Bravo Health | MCRPFFS | $15,258.45 | ↑ +16% |
| Bravo Health | MCRSNP | $15,258.45 | ↑ +16% |
| Bravo Health | MCRPPO | $15,258.45 | ↑ +16% |
| Bravo Health | MCRPOS | $15,258.45 | ↑ +16% |
| Bravo Health | MCRHMO | $15,258.45 | ↑ +16% |
| Superior | ValueHMO | $18,208.42 | ↑ +39% |
| USA Managed Care | WORKERSCOMP | $19,327.37 | ↑ +47% |
| Corvel Corporation | WORKERSCOMP | $20,141.15 | ↑ +53% |
| Superior | EPO | $22,785.95 | ↑ +74% |
| Superior | HMO | $22,785.95 | ↑ +74% |
| Molina Healthcare | HIX | $26,651.43 | ↑ +103% |
| Humana | COMM | $57,469.18 | ↑ +338% |
Visitor-reported prices
Comments
Coch imp ext proc/contr rplc at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $20,146.35 | $5,140.34 – $36,313.20 |
| St. Joseph Health College Station Hospital | College Station | $20,146.35 | $8,069.60 – $34,295.80 |
| St. Joseph Health Grimes Hospital | Navasota | $20,146.35 | $8,069.60 – $44,786.28 |
| St. Joseph Health Burleson Hospital | Caldwell | $20,146.35 | $8,069.60 – $36,313.20 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle | $17,034.00 | $9,867.13 – $26,651.43 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK | $38,232.00 | $9,867.13 – $26,651.43 |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford | $38,232.00 | $9,972.82 – $57,469.18 |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH | $19,680.00 | $9,867.13 – $26,651.43 |