Complement fixation each 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.
$6.01 with Cook Childrens Health Plan vs $431.89 with National Healthcare Solutions — 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 |
|---|---|---|---|
| Cook Childrens Health Plan | CHIP | $6.01 | — |
| Cook Childrens Health Plan | STAR | $6.01 | — |
| TEXAS HEALTH NETWORK | MCD | $8.28 | — |
| United | CHIP | $8.41 | — |
| Amerigroup | CHIP | $8.41 | — |
| Amerigroup | MGMCD | $8.41 | — |
| United | STARPerinate | $8.41 | — |
| Parkland Community Health Plan | MCD | $8.41 | — |
| United | STARPLUS | $8.41 | — |
| United | STARKids | $8.41 | — |
| United | STAR | $8.41 | — |
| Cigna Healthspring | MGMCD | $8.83 | — |
| Aetna Better Health | CHIP | $9.08 | — |
| Aetna Better Health | MCD | $9.08 | — |
| Molina | STAR+PLUS | $9.25 | — |
| Molina | CHIP | $9.25 | — |
| Molina | MCDSTAR | $9.25 | — |
| Molina | STARKIDS | $9.25 | — |
| WellMed | MGMCR | $9.96 | — |
| Mutual of Omaha | MGMCR | $10.01 | — |
| Devoted Health | SNP | $10.01 | — |
| Devoted Health | HMO | $10.01 | — |
| Devoted Health | POS | $10.01 | — |
| Devoted Health | MCR | $10.01 | — |
| Devoted Health | MME | $10.01 | — |
| Devoted Health | PPO | $10.01 | — |
| Humana | MGMCR | $10.01 | — |
| United | AllPayerAppendix | $10.01 | — |
| BCBS | MGMCRHMO | $10.01 | — |
| United | NarrowNetworkIndivExchange | $10.01 | — |
| United | SmallGroup | $10.01 | — |
| BCBS | MCRPPO | $10.01 | — |
| TriWest Health Alliance | FEDERAL | $10.01 | — |
| Amerigroup | DualEligible | $10.01 | — |
| United | MGMCR | $10.06 | — |
| Aetna | MCR | $10.10 | — |
| Care N Care | MGMCR | $10.11 | — |
| Cigna Healthspring | MGMCR | $10.21 | — |
| WellCare | MGMCR | $10.31 | — |
| Integranet | MGMCR | $10.31 | — |
| Superior Health Plan | MGMCRDualEligible | $10.51 | — |
| American Health Plan of Texas, Inc. | MGMCR | $10.51 | — |
| Superior Health Plan | MGMCRSNP | $10.51 | — |
| Humana | Tricare | $10.51 | — |
| ProCare Advantge | MCR | $10.51 | — |
| Humana | MGMCD | $10.51 | — |
| Superior Health Plan | MGMCRPPO | $10.51 | — |
| Superior Health Plan | MGMCRPOS | $10.51 | — |
| Superior Health Plan | MGMCRPFFS | $10.51 | — |
| Superior Health Plan | MGMCRHMO | $10.51 | — |
| Texas Independent Health Plan | MGMCR | $10.61 | — |
| Provider Partners Health Plan | MCR | $10.61 | — |
| Molina | MME | $10.91 | — |
| Molina | MCR | $10.91 | — |
| Molina | MMP | $10.91 | — |
| Imperial Insurance Company | MCR | $11.01 | — |
| Universal Healthcare Group | MCR | $12.01 | — |
| Aetna | QHPHIX | $12.74 | — |
| Verda Health Plan | MGMCR | $13.01 | — |
| Bravo Health | MCRPFFS | $15.02 | — |
| Bravo Health | MCRHMO | $15.02 | — |
| Bravo Health | MCRPOS | $15.02 | — |
| Bravo Health | MCRPPO | $15.02 | — |
| Bravo Health | MCRSNP | $15.02 | — |
| BCBS | BluePremier | $17.02 | — |
| BCBS | MyBlueHealth | $17.52 | — |
| BCBS | BlueAdvantageHMO | $17.52 | — |
| Aetna | NewBusiness | $17.55 | — |
| Superior | ValueHMO | $17.92 | — |
| Aetna | COMM | $18.69 | — |
| Aetna | Meritain | $18.69 | — |
| USA Managed Care | WORKERSCOMP | $19.02 | — |
| Corvel Corporation | WORKERSCOMP | $19.82 | — |
| Aetna | OON | $22.00 | — |
| Superior | HMO | $22.42 | — |
| Superior | EPO | $22.42 | — |
| BCBS | BlueEssentials | $24.72 | — |
| BCBS | BlueEssentialsAccess | $24.72 | — |
| BCBS | EPOSOA | $25.93 | — |
| Oscar | HIX | $26.03 | — |
| Molina Healthcare | HIX | $26.23 | — |
| BCBS | PPO | $27.13 | — |
| Superior Health Plan | CHIP | $30.23 | — |
| Superior Health Plan | STARHealth | $30.23 | — |
| Superior Health Plan | MCDSTAR | $30.23 | — |
| Superior Health Plan | STARPLUS | $30.23 | — |
| Superior Health Plan | STARKids | $30.23 | — |
| Cigna | LocalPlus | $38.75 | — |
| Cigna | NewBusiness | $38.78 | — |
| Cigna | HMO | $43.28 | — |
| Cigna | OpenAccessPlus | $43.28 | — |
| Cigna | NetworkBenefit | $43.28 | — |
| Cigna | AllOther | $54.77 | — |
| Cigna | IFP | $58.31 | — |
| Cigna | QHP | $60.46 | — |
| United | OptionsPPO | $85.95 | — |
| Unicare | CHIP | $103.65 | — |
| Healthcare Highways | NarrowNetwork | $105.81 | — |
| Humana | COMM | $111.22 | — |
| Evry Health | COMM | $111.43 | — |
| Healthcare Highways | CityofPlano | $145.98 | — |
| BCBS | Traditional | $191.76 | — |
| City of McKinney | COMM | $194.35 | — |
| Fidelis SecureCare | MGMCR | $194.35 | — |
| National ChoiceCare | WCOMP | $215.94 | — |
| Aetna | ASA | $227.61 | — |
| Physicians Coop of TX | MGMCR | $237.54 | — |
| Rockport Health Group | WORKERSCOMP | $237.54 | — |
| Aetna | WCOMP | $237.54 | — |
| PC Texas Partners | WCOMP | $237.54 | — |
| Averde Health, Inc | PPO | $250.50 | — |
| USC Health Services | COMM | $259.13 | — |
| Coastal Comp Health Networks | WCOMP | $302.32 | — |
| Jostens | WCOMP | $302.32 | — |
| Mega Life | MGMCRPPO | $302.32 | — |
| Multiplan PHCS | PrimaryNetwork | $302.32 | — |
| Aetna Coventry First Health | COMM | $313.98 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $323.92 | — |
| HealthSmart Preferred Care | PPO | $323.92 | — |
| USA Managed Care | COMM | $345.51 | — |
| Galaxy Health Network | PPO | $367.11 | — |
| Independent Medical Systems | COMM | $431.89 | — |
| Unicare | MCD | $431.89 | — |
| National Healthcare Solutions | COMM | $431.89 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Complement fixation each at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $106.80 | $12.00 – $160.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $106.80 | $8.41 – $133.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $106.80 | $9.00 – $160.20 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $106.80 | $8.00 – $160.20 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $106.80 | $8.41 – $160.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $106.80 | $8.41 – $133.50 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $106.80 | $8.41 – $160.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $106.80 | $8.41 – $160.20 |