Cyclosporine 250 mg/5 ml intravenous solution at MEDICAL CITY LEWISVILLE HOSPITAL

1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

$643.74

Cash price

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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.

$643.74

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$45.06 with Superior Health Plan vs $643.74 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 →

Payer
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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
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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 CHIP $45.06 ↓ -93%
Superior Health Plan STARHealth $45.06 ↓ -93%
Superior Health Plan MCDSTAR $45.06 ↓ -93%
Superior Health Plan STARPLUS $45.06 ↓ -93%
Superior Health Plan STARKids $45.06 ↓ -93%
Humana Tricare $69.26 ↓ -89%
Cigna IFP $86.90 ↓ -87%
Aetna QHPHIX $86.90 ↓ -87%
Cigna QHP $90.12 ↓ -86%
BCBS BlueAdvantageHMO $93.25 ↓ -86%
BCBS MyBlueHealth $93.25 ↓ -86%
BCBS BluePremier $110.28 ↓ -83%
United NarrowNetworkIndivExchange $121.57 ↓ -81%
United SmallGroup $121.57 ↓ -81%
United AllPayerAppendix $121.57 ↓ -81%
Aetna NewBusiness $128.10 ↓ -80%
United OptionsPPO $128.10 ↓ -80%
BCBS BlueEssentials $136.50 ↓ -79%
BCBS BlueEssentialsAccess $136.50 ↓ -79%
Aetna Meritain $137.12 ↓ -79%
Aetna COMM $137.12 ↓ -79%
BCBS EPOSOA $143.26 ↓ -78%
BCBS PPO $150.02 ↓ -77%
Unicare CHIP $154.50 ↓ -76%
Aetna OON $161.58 ↓ -75%
Healthcare Highways CityofPlano $217.58 ↓ -66%
BCBS Traditional $285.82 ↓ -56%
City of McKinney COMM $289.68 ↓ -55%
National ChoiceCare WCOMP $321.87 ↓ -50%
Humana COMM $328.07 ↓ -49%
Aetna ASA $339.25 ↓ -47%
Rockport Health Group WORKERSCOMP $354.06 ↓ -45%
Physicians Coop of TX MGMCR $354.06 ↓ -45%
PC Texas Partners WCOMP $354.06 ↓ -45%
Aetna WCOMP $354.06 ↓ -45%
Averde Health, Inc PPO $373.37 ↓ -42%
USC Health Services COMM $386.24 ↓ -40%
Cigna LocalPlus $439.85 ↓ -32%
Cigna NewBusiness $440.28 ↓ -32%
Jostens WCOMP $450.62 ↓ -30%
Mega Life MGMCRPPO $450.62 ↓ -30%
Coastal Comp Health Networks WCOMP $450.62 ↓ -30%
Aetna Coventry First Health COMM $468.00 ↓ -27%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $482.81 ↓ -25%
HealthSmart Preferred Care PPO $482.81 ↓ -25%
Cigna NetworkBenefit $491.38 ↓ -24%
Cigna OpenAccessPlus $491.38 ↓ -24%
Cigna HMO $491.38 ↓ -24%
USA Managed Care COMM $514.99 ↓ -20%
Galaxy Health Network PPO $547.18 ↓ -15%
Cigna AllOther $621.64 ↓ -3%
Independent Medical Systems COMM $643.74 ↑ +0%
National Healthcare Solutions COMM $643.74 ↑ +0%
Unicare MCD $643.74 ↑ +0%

Visitor-reported prices

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Cyclosporine 250 mg/5 ml intravenous solution at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $140.78 $39.89 – $199.44
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $140.78 $28.98 – $211.17
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $140.78 $28.16 – $175.97
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $140.78 $37.54 – $199.44
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $140.78 $45.19 – $211.17
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $140.78 $72.74 – $211.17
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $140.78 $46.93 – $211.17
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $140.78 $37.54 – $199.44

All Texas hospitals for this procedure →