Consultation/report referred slides prepared elsewhere at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$536.76
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.
$536.76
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.
$33.84 with United vs $536.76 with Independent Medical Systems — 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 | NarrowNetworkIndivExchange | $33.84 | ↓ -94% |
| United | SmallGroup | $33.84 | ↓ -94% |
| United | AllPayerAppendix | $33.84 | ↓ -94% |
| Superior Health Plan | CHIP | $37.57 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $37.57 | ↓ -93% |
| Superior Health Plan | STARPLUS | $37.57 | ↓ -93% |
| Superior Health Plan | STARKids | $37.57 | ↓ -93% |
| Superior Health Plan | STARHealth | $37.57 | ↓ -93% |
| BCBS | BluePremier | $56.83 | ↓ -89% |
| BCBS | MyBlueHealth | $58.50 | ↓ -89% |
| BCBS | BlueAdvantageHMO | $58.50 | ↓ -89% |
| Cigna | IFP | $72.46 | ↓ -87% |
| Cigna | QHP | $75.15 | ↓ -86% |
| BCBS | BlueEssentials | $82.57 | ↓ -85% |
| BCBS | BlueEssentialsAccess | $82.57 | ↓ -85% |
| BCBS | EPOSOA | $86.58 | ↓ -84% |
| BCBS | PPO | $90.60 | ↓ -83% |
| United | OptionsPPO | $106.82 | ↓ -80% |
| Aetna | QHPHIX | $107.63 | ↓ -80% |
| Oscar | HIX | $111.65 | ↓ -79% |
| Unicare | CHIP | $128.82 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $131.51 | ↓ -75% |
| Evry Health | COMM | $138.48 | ↓ -74% |
| Aetna | NewBusiness | $148.25 | ↓ -72% |
| Aetna | Meritain | $157.89 | ↓ -71% |
| Aetna | COMM | $157.89 | ↓ -71% |
| Humana | COMM | $166.34 | ↓ -69% |
| Healthcare Highways | CityofPlano | $181.42 | ↓ -66% |
| Aetna | OON | $185.82 | ↓ -65% |
| Cigna | LocalPlus | $216.47 | ↓ -60% |
| Cigna | NewBusiness | $216.69 | ↓ -60% |
| BCBS | Traditional | $238.32 | ↓ -56% |
| City of McKinney | COMM | $241.54 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $241.54 | ↓ -55% |
| Cigna | OpenAccessPlus | $241.79 | ↓ -55% |
| Cigna | NetworkBenefit | $241.79 | ↓ -55% |
| Cigna | HMO | $241.79 | ↓ -55% |
| National ChoiceCare | WCOMP | $268.38 | ↓ -50% |
| Aetna | ASA | $282.87 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $295.22 | ↓ -45% |
| Aetna | WCOMP | $295.22 | ↓ -45% |
| PC Texas Partners | WCOMP | $295.22 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $295.22 | ↓ -45% |
| Cigna | AllOther | $306.01 | ↓ -43% |
| Averde Health, Inc | PPO | $311.32 | ↓ -42% |
| USC Health Services | COMM | $322.06 | ↓ -40% |
| Multiplan PHCS | PrimaryNetwork | $375.73 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $375.73 | ↓ -30% |
| Jostens | WCOMP | $375.73 | ↓ -30% |
| Mega Life | MGMCRPPO | $375.73 | ↓ -30% |
| Aetna Coventry First Health | COMM | $390.22 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $402.57 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $402.57 | ↓ -25% |
| USA Managed Care | COMM | $429.41 | ↓ -20% |
| Galaxy Health Network | PPO | $456.25 | ↓ -15% |
| Unicare | MCD | $536.76 | ↑ +0% |
| National Healthcare Solutions | COMM | $536.76 | ↑ +0% |
| Independent Medical Systems | COMM | $536.76 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Consultation/report referred slides prepared elsewhere at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $171.65 | $10.00 – $214.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $151.88 | $12.00 – $227.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $147.46 | $12.00 – $184.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $171.65 | $10.00 – $214.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $151.88 | $12.00 – $227.82 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $151.88 | $8.00 – $227.82 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $147.46 | $12.00 – $221.18 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $171.65 | $10.00 – $214.57 |