Connect omega .5mm 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.
$309.42 with Cigna vs $2,292.00 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 |
|---|---|---|---|
| Cigna | IFP | $309.42 | — |
| Cigna | QHP | $320.88 | — |
| Humana | Tricare | $357.44 | — |
| BCBS | MGMCRHMO | $361.27 | — |
| BCBS | MCRPPO | $361.27 | — |
| WellMed | MGMCR | $366.66 | — |
| Devoted Health | SNP | $368.50 | — |
| Humana | MGMCR | $368.50 | — |
| Amerigroup | DualEligible | $368.50 | — |
| Devoted Health | PPO | $368.50 | — |
| Devoted Health | HMO | $368.50 | — |
| Devoted Health | POS | $368.50 | — |
| Devoted Health | MCR | $368.50 | — |
| Devoted Health | MME | $368.50 | — |
| TriWest Health Alliance | FEDERAL | $368.50 | — |
| Mutual of Omaha | MGMCR | $368.50 | — |
| United | MGMCR | $370.34 | — |
| Aetna | MCR | $371.63 | — |
| Care N Care | MGMCR | $372.19 | — |
| Cigna Healthspring | MGMCR | $375.87 | — |
| WellCare | MGMCR | $379.56 | — |
| Integranet | MGMCR | $379.56 | — |
| Superior Health Plan | MGMCRHMO | $386.93 | — |
| Superior Health Plan | MGMCRDualEligible | $386.93 | — |
| Superior Health Plan | MGMCRPPO | $386.93 | — |
| Superior Health Plan | MGMCRPFFS | $386.93 | — |
| Superior Health Plan | MGMCRPOS | $386.93 | — |
| Superior Health Plan | MGMCRSNP | $386.93 | — |
| ProCare Advantge | MCR | $386.93 | — |
| American Health Plan of Texas, Inc. | MGMCR | $386.93 | — |
| Provider Partners Health Plan | MCR | $390.61 | — |
| Texas Independent Health Plan | MGMCR | $390.61 | — |
| Molina | MCR | $401.67 | — |
| Molina | MME | $401.67 | — |
| Molina | MMP | $401.67 | — |
| Imperial Insurance Company | MCR | $405.35 | — |
| Universal Healthcare Group | MCR | $442.20 | — |
| United | OptionsPPO | $456.11 | — |
| Verda Health Plan | MGMCR | $479.05 | — |
| Unicare | CHIP | $550.08 | — |
| Bravo Health | MCRPFFS | $552.75 | — |
| Bravo Health | MCRHMO | $552.75 | — |
| Bravo Health | MCRPOS | $552.75 | — |
| Bravo Health | MCRPPO | $552.75 | — |
| Bravo Health | MCRSNP | $552.75 | — |
| BCBS | MyBlueHealth | $566.12 | — |
| BCBS | BlueAdvantageHMO | $566.12 | — |
| Cigna | NewBusiness | $605.09 | — |
| Cigna | LocalPlus | $605.09 | — |
| Superior | ValueHMO | $659.62 | — |
| Cigna | HMO | $676.14 | — |
| Cigna | NetworkBenefit | $676.14 | — |
| Cigna | OpenAccessPlus | $676.14 | — |
| USA Managed Care | WORKERSCOMP | $700.15 | — |
| Corvel Corporation | WORKERSCOMP | $729.63 | — |
| BCBS | BlueEssentialsAccess | $731.15 | — |
| BCBS | BlueEssentials | $731.15 | — |
| BCBS | EPOSOA | $767.82 | — |
| Healthcare Highways | CityofPlano | $774.70 | — |
| BCBS | PPO | $802.20 | — |
| Superior | EPO | $825.44 | — |
| Superior | HMO | $825.44 | — |
| Cigna | AllOther | $854.92 | — |
| Molina Healthcare | HIX | $965.47 | — |
| BCBS | Traditional | $1,017.65 | — |
| City of McKinney | COMM | $1,031.40 | — |
| National ChoiceCare | WCOMP | $1,146.00 | — |
| Aetna | ASA | $1,207.88 | — |
| Physicians Coop of TX | MGMCR | $1,260.60 | — |
| Aetna | WCOMP | $1,260.60 | — |
| PC Texas Partners | WCOMP | $1,260.60 | — |
| Rockport Health Group | WORKERSCOMP | $1,260.60 | — |
| Averde Health, Inc | PPO | $1,329.36 | — |
| USC Health Services | COMM | $1,375.20 | — |
| Jostens | WCOMP | $1,604.40 | — |
| Mega Life | MGMCRPPO | $1,604.40 | — |
| Aetna Coventry First Health | COMM | $1,666.28 | — |
| HealthSmart Preferred Care | PPO | $1,719.00 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,719.00 | — |
| USA Managed Care | COMM | $1,833.60 | — |
| Galaxy Health Network | PPO | $1,948.20 | — |
| Humana | COMM | $2,081.87 | — |
| Unicare | MCD | $2,292.00 | — |
| Independent Medical Systems | COMM | $2,292.00 | — |
| National Healthcare Solutions | COMM | $2,292.00 | — |
Visitor-reported prices
Comments
Connect omega .5mm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,447.28 | $113.08 – $587.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,447.28 | $82.15 – $598.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,447.28 | $79.82 – $532.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,447.28 | $106.43 – $532.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,447.28 | $128.12 – $598.67 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,447.28 | $206.21 – $598.67 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,447.28 | $133.04 – $598.67 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,447.28 | $106.43 – $532.15 |