CT heart w/evaluation of calcium without contrast at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$140.27
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.
?
What you pay up front if you don't use insurance.
$140.27
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.
?
The hospital's undiscounted list price — almost no one pays this.
$9.82 with Superior Health Plan vs $1,006.00 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Superior Health Plan | MCDSTAR | $9.82 | ↓ -93% |
| Superior Health Plan | STARHealth | $9.82 | ↓ -93% |
| Superior Health Plan | CHIP | $9.82 | ↓ -93% |
| Superior Health Plan | STARKids | $9.82 | ↓ -93% |
| Superior Health Plan | STARPLUS | $9.82 | ↓ -93% |
| Cigna | IFP | $18.94 | ↓ -86% |
| Cigna | QHP | $19.64 | ↓ -86% |
| United | OptionsPPO | $27.91 | ↓ -80% |
| Unicare | CHIP | $33.66 | ↓ -76% |
| Healthcare Highways | CityofPlano | $47.41 | ↓ -66% |
| BCBS | Traditional | $62.28 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $63.12 | ↓ -55% |
| City of McKinney | COMM | $63.12 | ↓ -55% |
| National ChoiceCare | WCOMP | $70.14 | ↓ -50% |
| Aetna | ASA | $73.92 | ↓ -47% |
| Aetna | WCOMP | $77.15 | ↓ -45% |
| PC Texas Partners | WCOMP | $77.15 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $77.15 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $77.15 | ↓ -45% |
| Averde Health, Inc | PPO | $81.36 | ↓ -42% |
| United | SmallGroup | $83.86 | ↓ -40% |
| United | NarrowNetworkIndivExchange | $83.86 | ↓ -40% |
| USC Health Services | COMM | $84.16 | ↓ -40% |
| TEXAS HEALTH NETWORK | MCD | $85.28 | ↓ -39% |
| Cook Childrens Health Plan | STAR | $86.58 | ↓ -38% |
| United | CHIP | $86.58 | ↓ -38% |
| United | STAR | $86.58 | ↓ -38% |
| United | STARKids | $86.58 | ↓ -38% |
| United | STARPLUS | $86.58 | ↓ -38% |
| United | STARPerinate | $86.58 | ↓ -38% |
| Amerigroup | CHIP | $86.58 | ↓ -38% |
| Amerigroup | MGMCD | $86.58 | ↓ -38% |
| Parkland Community Health Plan | MCD | $86.58 | ↓ -38% |
| Cook Childrens Health Plan | CHIP | $86.58 | ↓ -38% |
| Cigna Healthspring | MGMCD | $90.91 | ↓ -35% |
| Aetna Better Health | MCD | $93.51 | ↓ -33% |
| Aetna Better Health | CHIP | $93.51 | ↓ -33% |
| Molina | STAR+PLUS | $95.24 | ↓ -32% |
| Molina | CHIP | $95.24 | ↓ -32% |
| Molina | STARKIDS | $95.24 | ↓ -32% |
| Molina | MCDSTAR | $95.24 | ↓ -32% |
| Mega Life | MGMCRPPO | $98.19 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $98.19 | ↓ -30% |
| Jostens | WCOMP | $98.19 | ↓ -30% |
| Aetna Coventry First Health | COMM | $101.98 | ↓ -27% |
| BCBS | MyBlueHealth | $104.55 | ↓ -25% |
| BCBS | BlueAdvantageHMO | $104.55 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $105.20 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $105.20 | ↓ -25% |
| Humana | MGMCD | $108.22 | ↓ -23% |
| BCBS | BluePremier | $108.54 | ↓ -23% |
| USA Managed Care | COMM | $112.22 | ↓ -20% |
| Galaxy Health Network | PPO | $119.23 | ↓ -15% |
| Unicare | MCD | $140.27 | ↑ +0% |
| National Healthcare Solutions | COMM | $140.27 | ↑ +0% |
| Independent Medical Systems | COMM | $140.27 | ↑ +0% |
| United | AllPayerAppendix | $182.03 | ↑ +30% |
| Humana | COMM | $298.89 | ↑ +113% |
| BCBS | BlueEssentialsAccess | $310.46 | ↑ +121% |
| BCBS | BlueEssentials | $310.46 | ↑ +121% |
| BCBS | EPOSOA | $325.62 | ↑ +132% |
| BCBS | PPO | $340.79 | ↑ +143% |
| Aetna | QHPHIX | $584.00 | ↑ +316% |
| Aetna | NewBusiness | $800.00 | ↑ +470% |
| Aetna | COMM | $856.00 | ↑ +510% |
| Aetna | Meritain | $856.00 | ↑ +510% |
| Aetna | OON | $1,006.00 | ↑ +617% |
Visitor-reported prices
Comments
CT heart w/evaluation of calcium without contrast at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $79.00 | $47.40 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $217.63 | $44.79 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $218.90 | $83.05 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $79.00 | $61.88 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $217.63 | $83.05 – $1,841.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $217.63 | $86.58 – $2,181.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $218.90 | $83.05 – $1,841.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $79.00 | $61.88 – $1,841.00 |