Compatibility test incubate 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.
$41.55 with Aetna vs $1,207.31 with Unicare — 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 |
|---|---|---|---|
| Aetna | QHPHIX | $41.55 | — |
| Aetna | NewBusiness | $57.23 | — |
| Aetna | Meritain | $60.96 | — |
| Aetna | COMM | $60.96 | — |
| Aetna | OON | $71.74 | — |
| Superior Health Plan | STARPLUS | $84.51 | — |
| Superior Health Plan | STARHealth | $84.51 | — |
| Superior Health Plan | STARKids | $84.51 | — |
| Superior Health Plan | MCDSTAR | $84.51 | — |
| Superior Health Plan | CHIP | $84.51 | — |
| Cigna | LocalPlus | $117.52 | — |
| Cigna | NewBusiness | $117.64 | — |
| Cigna | OpenAccessPlus | $131.26 | — |
| Cigna | NetworkBenefit | $131.26 | — |
| Cigna | HMO | $131.26 | — |
| United | NarrowNetworkIndivExchange | $149.16 | — |
| United | SmallGroup | $149.16 | — |
| United | AllPayerAppendix | $149.16 | — |
| Cigna | IFP | $162.99 | — |
| Cigna | AllOther | $166.13 | — |
| Cigna | QHP | $169.02 | — |
| United | OptionsPPO | $240.25 | — |
| BCBS | BluePremier | $243.95 | — |
| Oscar | HIX | $251.12 | — |
| BCBS | MyBlueHealth | $251.13 | — |
| BCBS | BlueAdvantageHMO | $251.13 | — |
| Humana | COMM | $282.55 | — |
| Unicare | CHIP | $289.75 | — |
| Healthcare Highways | NarrowNetwork | $295.79 | — |
| Evry Health | COMM | $311.49 | — |
| BCBS | BlueEssentialsAccess | $354.45 | — |
| BCBS | BlueEssentials | $354.45 | — |
| BCBS | EPOSOA | $371.66 | — |
| BCBS | PPO | $388.88 | — |
| Healthcare Highways | CityofPlano | $408.07 | — |
| BCBS | Traditional | $536.05 | — |
| City of McKinney | COMM | $543.29 | — |
| Fidelis SecureCare | MGMCR | $543.29 | — |
| National ChoiceCare | WCOMP | $603.65 | — |
| Aetna | ASA | $636.25 | — |
| Aetna | WCOMP | $664.02 | — |
| PC Texas Partners | WCOMP | $664.02 | — |
| Physicians Coop of TX | MGMCR | $664.02 | — |
| Rockport Health Group | WORKERSCOMP | $664.02 | — |
| Averde Health, Inc | PPO | $700.24 | — |
| USC Health Services | COMM | $724.39 | — |
| Coastal Comp Health Networks | WCOMP | $845.12 | — |
| Multiplan PHCS | PrimaryNetwork | $845.12 | — |
| Jostens | WCOMP | $845.12 | — |
| Mega Life | MGMCRPPO | $845.12 | — |
| Aetna Coventry First Health | COMM | $877.71 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $905.48 | — |
| HealthSmart Preferred Care | PPO | $905.48 | — |
| USA Managed Care | COMM | $965.85 | — |
| Galaxy Health Network | PPO | $1,026.21 | — |
| Independent Medical Systems | COMM | $1,207.31 | — |
| National Healthcare Solutions | COMM | $1,207.31 | — |
| Unicare | MCD | $1,207.31 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Compatibility test incubate at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $647.07 | $120.02 – $339.75 |
| HCA HOUSTON MEDICAL CENTER | Houston | $957.45 | $120.02 – $339.75 |
| HCA HOUSTON CONROE | CONROE | $554.35 | $120.02 – $339.75 |
| HCA HOUSTON KINGWOOD | HUMBLE | $1,040.20 | $120.02 – $339.75 |
| HCA HOUSTON NORTHWEST | SPRING | $869.82 | $120.02 – $339.75 |
| St. Luke's Health - Patients Medical Center | Pasadena | $48.83 | $76.00 – $193.77 |
| Baylor St Luke's Medical Center | Houston | $133.70 | $36.95 – $382.00 |
| St. Joseph Health Madison Hospital | Madisonville | $100.45 | $11.50 – $516.60 |