Culture typing added method at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$30.96
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.
$30.96
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.
$2.17 with Superior Health Plan vs $69.65 with Humana — 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 |
|---|---|---|---|
| Superior Health Plan | STARHealth | $2.17 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $2.17 | ↓ -93% |
| Superior Health Plan | STARPLUS | $2.17 | ↓ -93% |
| Superior Health Plan | STARKids | $2.17 | ↓ -93% |
| Superior Health Plan | CHIP | $2.17 | ↓ -93% |
| Cigna | IFP | $4.18 | ↓ -86% |
| Cigna | QHP | $4.33 | ↓ -86% |
| Cook Childrens Health Plan | STAR | $4.64 | ↓ -85% |
| Cook Childrens Health Plan | CHIP | $4.64 | ↓ -85% |
| United | OptionsPPO | $6.16 | ↓ -80% |
| TEXAS HEALTH NETWORK | MCD | $6.40 | ↓ -79% |
| United | STARPerinate | $6.50 | ↓ -79% |
| United | CHIP | $6.50 | ↓ -79% |
| United | STAR | $6.50 | ↓ -79% |
| United | STARKids | $6.50 | ↓ -79% |
| United | STARPLUS | $6.50 | ↓ -79% |
| Parkland Community Health Plan | MCD | $6.50 | ↓ -79% |
| Amerigroup | MGMCD | $6.50 | ↓ -79% |
| Amerigroup | CHIP | $6.50 | ↓ -79% |
| Cigna Healthspring | MGMCD | $6.83 | ↓ -78% |
| Aetna Better Health | CHIP | $7.02 | ↓ -77% |
| Aetna Better Health | MCD | $7.02 | ↓ -77% |
| Molina | MCDSTAR | $7.15 | ↓ -77% |
| Molina | CHIP | $7.15 | ↓ -77% |
| Molina | STAR+PLUS | $7.15 | ↓ -77% |
| Molina | STARKIDS | $7.15 | ↓ -77% |
| Unicare | CHIP | $7.43 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $7.59 | ↓ -75% |
| WellMed | MGMCR | $7.70 | ↓ -75% |
| BCBS | MGMCRHMO | $7.74 | ↓ -75% |
| Humana | MGMCR | $7.74 | ↓ -75% |
| United | SmallGroup | $7.74 | ↓ -75% |
| United | AllPayerAppendix | $7.74 | ↓ -75% |
| Devoted Health | MME | $7.74 | ↓ -75% |
| Devoted Health | MCR | $7.74 | ↓ -75% |
| Devoted Health | SNP | $7.74 | ↓ -75% |
| United | NarrowNetworkIndivExchange | $7.74 | ↓ -75% |
| Devoted Health | POS | $7.74 | ↓ -75% |
| Devoted Health | HMO | $7.74 | ↓ -75% |
| Devoted Health | PPO | $7.74 | ↓ -75% |
| TriWest Health Alliance | FEDERAL | $7.74 | ↓ -75% |
| BCBS | MCRPPO | $7.74 | ↓ -75% |
| Amerigroup | DualEligible | $7.74 | ↓ -75% |
| Mutual of Omaha | MGMCR | $7.74 | ↓ -75% |
| United | MGMCR | $7.78 | ↓ -75% |
| Aetna | MCR | $7.81 | ↓ -75% |
| Care N Care | MGMCR | $7.82 | ↓ -75% |
| Cigna Healthspring | MGMCR | $7.89 | ↓ -75% |
| WellCare | MGMCR | $7.97 | ↓ -74% |
| Integranet | MGMCR | $7.97 | ↓ -74% |
| Evry Health | COMM | $7.99 | ↓ -74% |
| Superior Health Plan | MGMCRDualEligible | $8.13 | ↓ -74% |
| Superior Health Plan | MGMCRHMO | $8.13 | ↓ -74% |
| Superior Health Plan | MGMCRPPO | $8.13 | ↓ -74% |
| Superior Health Plan | MGMCRSNP | $8.13 | ↓ -74% |
| Superior Health Plan | MGMCRPOS | $8.13 | ↓ -74% |
| Humana | Tricare | $8.13 | ↓ -74% |
| Superior Health Plan | MGMCRPFFS | $8.13 | ↓ -74% |
| ProCare Advantge | MCR | $8.13 | ↓ -74% |
| Humana | MGMCD | $8.13 | ↓ -74% |
| American Health Plan of Texas, Inc. | MGMCR | $8.13 | ↓ -74% |
| Texas Independent Health Plan | MGMCR | $8.20 | ↓ -74% |
| Provider Partners Health Plan | MCR | $8.20 | ↓ -74% |
| Molina | MMP | $8.44 | ↓ -73% |
| Molina | MCR | $8.44 | ↓ -73% |
| Molina | MME | $8.44 | ↓ -73% |
| Imperial Insurance Company | MCR | $8.51 | ↓ -73% |
| Universal Healthcare Group | MCR | $9.29 | ↓ -70% |
| Aetna | QHPHIX | $9.84 | ↓ -68% |
| Verda Health Plan | MGMCR | $10.06 | ↓ -68% |
| Healthcare Highways | CityofPlano | $10.46 | ↓ -66% |
| Bravo Health | MCRHMO | $11.61 | ↓ -63% |
| Bravo Health | MCRPPO | $11.61 | ↓ -63% |
| Bravo Health | MCRSNP | $11.61 | ↓ -63% |
| Bravo Health | MCRPFFS | $11.61 | ↓ -63% |
| Bravo Health | MCRPOS | $11.61 | ↓ -63% |
| BCBS | BluePremier | $13.16 | ↓ -57% |
| BCBS | BlueAdvantageHMO | $13.54 | ↓ -56% |
| BCBS | MyBlueHealth | $13.54 | ↓ -56% |
| Aetna | NewBusiness | $13.55 | ↓ -56% |
| BCBS | Traditional | $13.75 | ↓ -56% |
| Superior | ValueHMO | $13.85 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $13.93 | ↓ -55% |
| City of McKinney | COMM | $13.93 | ↓ -55% |
| Aetna | COMM | $14.43 | ↓ -53% |
| Aetna | Meritain | $14.43 | ↓ -53% |
| USA Managed Care | WORKERSCOMP | $14.71 | ↓ -52% |
| Corvel Corporation | WORKERSCOMP | $15.33 | ↓ -50% |
| National ChoiceCare | WCOMP | $15.48 | ↓ -50% |
| Aetna | ASA | $16.32 | ↓ -47% |
| Aetna | OON | $16.98 | ↓ -45% |
| Aetna | WCOMP | $17.03 | ↓ -45% |
| PC Texas Partners | WCOMP | $17.03 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $17.03 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $17.03 | ↓ -45% |
| Superior | EPO | $17.34 | ↓ -44% |
| Superior | HMO | $17.34 | ↓ -44% |
| Averde Health, Inc | PPO | $17.96 | ↓ -42% |
| USC Health Services | COMM | $18.58 | ↓ -40% |
| BCBS | BlueEssentials | $19.12 | ↓ -38% |
| BCBS | BlueEssentialsAccess | $19.12 | ↓ -38% |
| BCBS | EPOSOA | $20.05 | ↓ -35% |
| Oscar | HIX | $20.12 | ↓ -35% |
| Molina Healthcare | HIX | $20.28 | ↓ -34% |
| BCBS | PPO | $20.98 | ↓ -32% |
| Mega Life | MGMCRPPO | $21.67 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $21.67 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $21.67 | ↓ -30% |
| Jostens | WCOMP | $21.67 | ↓ -30% |
| Aetna Coventry First Health | COMM | $22.51 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $23.22 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $23.22 | ↓ -25% |
| USA Managed Care | COMM | $24.77 | ↓ -20% |
| Galaxy Health Network | PPO | $26.32 | ↓ -15% |
| Cigna | LocalPlus | $29.68 | ↓ -4% |
| Cigna | NewBusiness | $29.71 | ↓ -4% |
| Unicare | MCD | $30.96 | ↑ +0% |
| National Healthcare Solutions | COMM | $30.96 | ↑ +0% |
| Independent Medical Systems | COMM | $30.96 | ↑ +0% |
| Cigna | HMO | $33.15 | ↑ +7% |
| Cigna | OpenAccessPlus | $33.15 | ↑ +7% |
| Cigna | NetworkBenefit | $33.15 | ↑ +7% |
| Cigna | AllOther | $41.96 | ↑ +36% |
| Humana | COMM | $69.65 | ↑ +125% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Culture typing added method at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $97.00 | $6.50 – $32.04 |
| HCA HOUSTON KINGWOOD | HUMBLE | $97.00 | $6.37 – $32.04 |
| Texas Health Presbyterian Hospital Allen | Allen | $154.95 | $6.50 – $21.17 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $154.95 | $6.50 – $21.17 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $154.95 | $6.50 – $21.17 |
| Texas Health Arlington Memorial Hospital | Arlington | $166.05 | $6.50 – $21.17 |
| Texas Health Presbyterian Hospital Denton | Denton | $154.95 | $6.50 – $21.17 |
| Texas Health Presbyterian Hospital Plano | Plano | $154.95 | $6.50 – $21.17 |