CT Scan of Abdomen and Pelvis (with contrast) 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.
$307.40 with TEXAS HEALTH NETWORK vs $17,973.45 with Unicare — 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 | $307.40 | — |
| Cook Childrens Health Plan | STAR | $312.08 | — |
| Amerigroup | MGMCD | $312.08 | — |
| Amerigroup | CHIP | $312.08 | — |
| Parkland Community Health Plan | MCD | $312.08 | — |
| Cook Childrens Health Plan | CHIP | $312.08 | — |
| United | STARPerinate | $312.08 | — |
| United | STARPLUS | $312.08 | — |
| United | STARKids | $312.08 | — |
| United | STAR | $312.08 | — |
| United | CHIP | $312.08 | — |
| Cigna Healthspring | MGMCD | $327.68 | — |
| Aetna Better Health | MCD | $337.05 | — |
| Aetna Better Health | CHIP | $337.05 | — |
| United | NarrowNetworkIndivExchange | $341.20 | — |
| United | SmallGroup | $341.20 | — |
| Molina | STARKIDS | $343.29 | — |
| Molina | CHIP | $343.29 | — |
| Molina | STAR+PLUS | $343.29 | — |
| Molina | MCDSTAR | $343.29 | — |
| Humana | MGMCD | $390.10 | — |
| BCBS | BlueAdvantageHMO | $481.13 | — |
| BCBS | MyBlueHealth | $481.13 | — |
| BCBS | BluePremier | $538.41 | — |
| Aetna | QHPHIX | $584.00 | — |
| Aetna | NewBusiness | $800.00 | — |
| United | AllPayerAppendix | $828.27 | — |
| Aetna | Meritain | $856.00 | — |
| Aetna | COMM | $856.00 | — |
| Humana | COMM | $885.70 | — |
| Aetna | OON | $1,006.00 | — |
| Superior Health Plan | STARHealth | $1,258.14 | — |
| Superior Health Plan | STARPLUS | $1,258.14 | — |
| Superior Health Plan | CHIP | $1,258.14 | — |
| Superior Health Plan | MCDSTAR | $1,258.14 | — |
| Superior Health Plan | STARKids | $1,258.14 | — |
| BCBS | BlueEssentials | $1,485.40 | — |
| BCBS | BlueEssentialsAccess | $1,485.40 | — |
| BCBS | EPOSOA | $1,557.95 | — |
| BCBS | PPO | $1,630.50 | — |
| Cigna | IFP | $2,426.42 | — |
| Cigna | QHP | $2,516.28 | — |
| United | OptionsPPO | $3,576.72 | — |
| Unicare | CHIP | $4,313.63 | — |
| Healthcare Highways | CityofPlano | $6,075.03 | — |
| BCBS | Traditional | $7,980.21 | — |
| City of McKinney | COMM | $8,088.05 | — |
| Fidelis SecureCare | MGMCR | $8,088.05 | — |
| National ChoiceCare | WCOMP | $8,986.73 | — |
| Aetna | ASA | $9,472.01 | — |
| Physicians Coop of TX | MGMCR | $9,885.40 | — |
| Aetna | WCOMP | $9,885.40 | — |
| PC Texas Partners | WCOMP | $9,885.40 | — |
| Rockport Health Group | WORKERSCOMP | $9,885.40 | — |
| Averde Health, Inc | PPO | $10,424.60 | — |
| USC Health Services | COMM | $10,784.07 | — |
| Jostens | WCOMP | $12,581.42 | — |
| Coastal Comp Health Networks | WCOMP | $12,581.42 | — |
| Mega Life | MGMCRPPO | $12,581.42 | — |
| Aetna Coventry First Health | COMM | $13,066.70 | — |
| HealthSmart Preferred Care | PPO | $13,480.09 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $13,480.09 | — |
| USA Managed Care | COMM | $14,378.76 | — |
| Galaxy Health Network | PPO | $15,277.43 | — |
| National Healthcare Solutions | COMM | $17,973.45 | — |
| Independent Medical Systems | COMM | $17,973.45 | — |
| Unicare | MCD | $17,973.45 | — |
Visitor-reported prices
Comments
CT Scan of Abdomen and Pelvis (with contrast) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $7,414.63 | $1,779.42 – $1,779.42 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,890.61 | $312.08 – $4,863.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,806.96 | $494.01 – $5,710.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,842.06 | $312.08 – $4,802.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,890.61 | $312.08 – $4,863.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,806.96 | $332.94 – $5,710.45 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,806.96 | $312.08 – $5,710.45 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,842.06 | $312.08 – $5,763.09 |