Contrast x-ray of knee joint 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.
$109.28 with TEXAS HEALTH NETWORK vs $2,996.06 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 |
|---|---|---|---|
| TEXAS HEALTH NETWORK | MCD | $109.28 | — |
| Amerigroup | CHIP | $110.94 | — |
| United | STARPerinate | $110.94 | — |
| Amerigroup | MGMCD | $110.94 | — |
| Parkland Community Health Plan | MCD | $110.94 | — |
| United | STARPLUS | $110.94 | — |
| United | STARKids | $110.94 | — |
| United | STAR | $110.94 | — |
| Cook Childrens Health Plan | CHIP | $110.94 | — |
| United | CHIP | $110.94 | — |
| Cook Childrens Health Plan | STAR | $110.94 | — |
| Cigna Healthspring | MGMCD | $116.49 | — |
| Aetna Better Health | CHIP | $119.82 | — |
| Aetna Better Health | MCD | $119.82 | — |
| Molina | STARKIDS | $122.03 | — |
| Molina | MCDSTAR | $122.03 | — |
| Molina | CHIP | $122.03 | — |
| Molina | STAR+PLUS | $122.03 | — |
| Humana | MGMCD | $138.68 | — |
| Aetna | QHPHIX | $204.31 | — |
| Superior Health Plan | CHIP | $209.72 | — |
| Superior Health Plan | MCDSTAR | $209.72 | — |
| Superior Health Plan | STARPLUS | $209.72 | — |
| Superior Health Plan | STARKids | $209.72 | — |
| Superior Health Plan | STARHealth | $209.72 | — |
| Aetna | NewBusiness | $280.13 | — |
| Aetna | Meritain | $300.09 | — |
| Aetna | COMM | $300.09 | — |
| Aetna | OON | $351.96 | — |
| Humana | COMM | $354.44 | — |
| Cigna | LocalPlus | $379.36 | — |
| Cigna | NewBusiness | $379.74 | — |
| Cigna | IFP | $404.47 | — |
| Cigna | QHP | $419.45 | — |
| Cigna | NetworkBenefit | $423.72 | — |
| Cigna | HMO | $423.72 | — |
| Cigna | OpenAccessPlus | $423.72 | — |
| BCBS | BlueAdvantageHMO | $500.22 | — |
| BCBS | MyBlueHealth | $500.22 | — |
| BCBS | BluePremier | $519.32 | — |
| Cigna | AllOther | $536.27 | — |
| United | OptionsPPO | $596.22 | — |
| United | NarrowNetworkIndivExchange | $616.10 | — |
| United | SmallGroup | $616.10 | — |
| Unicare | CHIP | $719.05 | — |
| Healthcare Highways | NarrowNetwork | $734.03 | — |
| Evry Health | COMM | $772.98 | — |
| United | AllPayerAppendix | $828.27 | — |
| Healthcare Highways | CityofPlano | $1,012.67 | — |
| Curative Administrators | COMM | $1,198.42 | — |
| BCBS | Traditional | $1,330.25 | — |
| Fidelis SecureCare | MGMCR | $1,348.23 | — |
| City of McKinney | COMM | $1,348.23 | — |
| BCBS | BlueEssentialsAccess | $1,485.40 | — |
| BCBS | BlueEssentials | $1,485.40 | — |
| National ChoiceCare | WCOMP | $1,498.03 | — |
| BCBS | EPOSOA | $1,557.95 | — |
| Aetna | ASA | $1,578.92 | — |
| BCBS | PPO | $1,630.50 | — |
| PC Texas Partners | WCOMP | $1,647.83 | — |
| Rockport Health Group | WORKERSCOMP | $1,647.83 | — |
| Physicians Coop of TX | MGMCR | $1,647.83 | — |
| Aetna | WCOMP | $1,647.83 | — |
| Averde Health, Inc | PPO | $1,737.71 | — |
| USC Health Services | COMM | $1,797.64 | — |
| Multiplan PHCS | PrimaryNetwork | $2,097.24 | — |
| Coastal Comp Health Networks | WCOMP | $2,097.24 | — |
| Jostens | WCOMP | $2,097.24 | — |
| Mega Life | MGMCRPPO | $2,097.24 | — |
| Aetna Coventry First Health | COMM | $2,178.14 | — |
| HealthSmart Preferred Care | PPO | $2,247.05 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $2,247.05 | — |
| USA Managed Care | COMM | $2,396.85 | — |
| Galaxy Health Network | PPO | $2,546.65 | — |
| Unicare | MCD | $2,996.06 | — |
| Independent Medical Systems | COMM | $2,996.06 | — |
| National Healthcare Solutions | COMM | $2,996.06 | — |
Visitor-reported prices
Comments
Contrast x-ray of knee joint at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $495.60 | $110.94 – $952.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $923.65 | $190.12 – $1,385.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $942.13 | $110.94 – $1,177.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $495.60 | $110.94 – $952.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $923.65 | $118.71 – $1,385.48 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $923.65 | $110.94 – $1,385.48 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $942.13 | $110.94 – $1,413.19 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $495.60 | $110.94 – $952.69 |