Collection of venous blood by venipuncture 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.
$3.00 with United vs $4,332.00 with Aetna — 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 |
|---|---|---|---|
| United | SmallGroup | $3.00 | — |
| United | AllPayerAppendix | $3.00 | — |
| United | NarrowNetworkIndivExchange | $3.00 | — |
| Cook Childrens Health Plan | STAR | $5.30 | — |
| Cook Childrens Health Plan | CHIP | $5.30 | — |
| Humana | Tricare | $8.82 | — |
| BCBS | MCRPPO | $9.09 | — |
| BCBS | MGMCRHMO | $9.09 | — |
| Devoted Health | SNP | $9.34 | — |
| Devoted Health | MME | $9.34 | — |
| Devoted Health | PPO | $9.34 | — |
| Humana | MGMCR | $9.34 | — |
| Devoted Health | HMO | $9.34 | — |
| TriWest Health Alliance | FEDERAL | $9.34 | — |
| Mutual of Omaha | MGMCR | $9.34 | — |
| Amerigroup | DualEligible | $9.34 | — |
| Devoted Health | POS | $9.34 | — |
| Devoted Health | MCR | $9.34 | — |
| United | MGMCR | $9.39 | — |
| Aetna | MCR | $9.42 | — |
| Care N Care | MGMCR | $9.43 | — |
| Cigna Healthspring | MGMCR | $9.53 | — |
| WellCare | MGMCR | $9.62 | — |
| Integranet | MGMCR | $9.62 | — |
| Superior Health Plan | MGMCRPFFS | $9.81 | — |
| American Health Plan of Texas, Inc. | MGMCR | $9.81 | — |
| Superior Health Plan | MGMCRPOS | $9.81 | — |
| Superior Health Plan | MGMCRSNP | $9.81 | — |
| ProCare Advantge | MCR | $9.81 | — |
| Superior Health Plan | MGMCRHMO | $9.81 | — |
| Superior Health Plan | MGMCRPPO | $9.81 | — |
| Superior Health Plan | MGMCRDualEligible | $9.81 | — |
| Provider Partners Health Plan | MCR | $9.90 | — |
| Texas Independent Health Plan | MGMCR | $9.90 | — |
| Molina | MMP | $10.18 | — |
| Molina | MCR | $10.18 | — |
| Molina | MME | $10.18 | — |
| Imperial Insurance Company | MCR | $10.27 | — |
| Superior Health Plan | STARKids | $11.21 | — |
| Superior Health Plan | CHIP | $11.21 | — |
| Superior Health Plan | STARHealth | $11.21 | — |
| Superior Health Plan | MCDSTAR | $11.21 | — |
| Superior Health Plan | STARPLUS | $11.21 | — |
| Universal Healthcare Group | MCR | $11.21 | — |
| Verda Health Plan | MGMCR | $12.14 | — |
| Bravo Health | MCRPOS | $14.01 | — |
| Bravo Health | MCRPFFS | $14.01 | — |
| Bravo Health | MCRSNP | $14.01 | — |
| Bravo Health | MCRPPO | $14.01 | — |
| Bravo Health | MCRHMO | $14.01 | — |
| Superior | ValueHMO | $16.72 | — |
| USA Managed Care | WORKERSCOMP | $17.75 | — |
| Corvel Corporation | WORKERSCOMP | $18.49 | — |
| Superior | EPO | $20.92 | — |
| Superior | HMO | $20.92 | — |
| Cigna | IFP | $21.61 | — |
| Cigna | LocalPlus | $22.34 | — |
| Cigna | NewBusiness | $22.36 | — |
| Cigna | QHP | $22.41 | — |
| Oscar | HIX | $24.28 | — |
| Molina Healthcare | HIX | $24.47 | — |
| Cigna | HMO | $24.95 | — |
| Cigna | NetworkBenefit | $24.95 | — |
| Cigna | OpenAccessPlus | $24.95 | — |
| Cigna | AllOther | $31.58 | — |
| United | OptionsPPO | $31.86 | — |
| Unicare | CHIP | $38.42 | — |
| Healthcare Highways | NarrowNetwork | $39.22 | — |
| BCBS | BlueAdvantageHMO | $39.54 | — |
| BCBS | MyBlueHealth | $39.54 | — |
| Evry Health | COMM | $41.30 | — |
| BCBS | BluePremier | $46.75 | — |
| BCBS | BlueEssentialsAccess | $51.07 | — |
| BCBS | BlueEssentials | $51.07 | — |
| BCBS | EPOSOA | $53.63 | — |
| Healthcare Highways | CityofPlano | $54.11 | — |
| BCBS | PPO | $56.03 | — |
| Curative Administrators | COMM | $64.04 | — |
| BCBS | Traditional | $71.08 | — |
| City of McKinney | COMM | $72.04 | — |
| Fidelis SecureCare | MGMCR | $72.04 | — |
| National ChoiceCare | WCOMP | $80.05 | — |
| Aetna | ASA | $84.37 | — |
| Rockport Health Group | WORKERSCOMP | $88.05 | — |
| Aetna | WCOMP | $88.05 | — |
| PC Texas Partners | WCOMP | $88.05 | — |
| Physicians Coop of TX | MGMCR | $88.05 | — |
| Averde Health, Inc | PPO | $92.85 | — |
| USC Health Services | COMM | $96.05 | — |
| Jostens | WCOMP | $112.06 | — |
| Mega Life | MGMCRPPO | $112.06 | — |
| Multiplan PHCS | PrimaryNetwork | $112.06 | — |
| Coastal Comp Health Networks | WCOMP | $112.06 | — |
| Aetna Coventry First Health | COMM | $116.39 | — |
| HealthSmart Preferred Care | PPO | $120.07 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $120.07 | — |
| USA Managed Care | COMM | $128.07 | — |
| Galaxy Health Network | PPO | $136.08 | — |
| Unicare | MCD | $160.09 | — |
| Independent Medical Systems | COMM | $160.09 | — |
| National Healthcare Solutions | COMM | $160.09 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Aetna | Meritain | $3,682.00 | — |
| Aetna | COMM | $3,682.00 | — |
| Aetna | OON | $4,332.00 | — |
| WellMed | MGMCR | not published by hospital | — |
Visitor-reported prices
Comments
Collection of venous blood by venipuncture at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $67.16 | $8.18 – $8.18 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $28.65 | $8.12 – $35.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $25.87 | $5.32 – $38.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $32.66 | $6.05 – $37.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $28.65 | $7.64 – $35.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $25.87 | $8.30 – $38.80 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $25.87 | $8.00 – $38.80 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $32.66 | $8.87 – $45.37 |