Cystogram >= 3 views supervision & interpretation 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

not published by hospital

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.

not published by hospital

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.

$40.82 with TEXAS HEALTH NETWORK vs $1,655.95 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
TEXAS HEALTH NETWORK MCD $40.82
Cook Childrens Health Plan CHIP $41.44
United STARKids $41.44
Amerigroup MGMCD $41.44
Amerigroup CHIP $41.44
Cook Childrens Health Plan STAR $41.44
United CHIP $41.44
Parkland Community Health Plan MCD $41.44
United STARPerinate $41.44
United STAR $41.44
United STARPLUS $41.44
Aetna QHPHIX $43.14
Cigna Healthspring MGMCD $43.51
Aetna Better Health CHIP $44.76
Aetna Better Health MCD $44.76
Molina STARKIDS $45.58
Molina CHIP $45.58
Molina STAR+PLUS $45.58
Molina MCDSTAR $45.58
Humana MGMCD $51.80
Aetna NewBusiness $59.14
Aetna COMM $63.36
Aetna Meritain $63.36
Aetna OON $74.31
Humana COMM $88.07
Cigna LocalPlus $101.76
Cigna NewBusiness $101.86
Cigna OpenAccessPlus $113.66
Cigna NetworkBenefit $113.66
Cigna HMO $113.66
Superior Health Plan MCDSTAR $115.92
Superior Health Plan STARPLUS $115.92
Superior Health Plan STARKids $115.92
Superior Health Plan CHIP $115.92
Superior Health Plan STARHealth $115.92
Cigna AllOther $143.85
Cigna IFP $223.55
Cigna QHP $231.83
United OptionsPPO $329.53
United SmallGroup $341.20
United NarrowNetworkIndivExchange $341.20
Unicare CHIP $397.43
Healthcare Highways NarrowNetwork $405.71
Evry Health COMM $427.24
BCBS BlueAdvantageHMO $500.22
BCBS MyBlueHealth $500.22
BCBS BluePremier $519.32
Healthcare Highways CityofPlano $559.71
Curative Administrators COMM $662.38
BCBS Traditional $735.24
Fidelis SecureCare MGMCR $745.18
City of McKinney COMM $745.18
National ChoiceCare WCOMP $827.98
United AllPayerAppendix $828.27
Aetna ASA $872.69
Rockport Health Group WORKERSCOMP $910.77
Aetna WCOMP $910.77
PC Texas Partners WCOMP $910.77
Physicians Coop of TX MGMCR $910.77
Averde Health, Inc PPO $960.45
USC Health Services COMM $993.57
Multiplan PHCS PrimaryNetwork $1,159.16
Mega Life MGMCRPPO $1,159.16
Coastal Comp Health Networks WCOMP $1,159.16
Jostens WCOMP $1,159.16
Aetna Coventry First Health COMM $1,203.88
LEWISVILLE ISD/DLS CONSULTING COMMPPO $1,241.96
HealthSmart Preferred Care PPO $1,241.96
USA Managed Care COMM $1,324.76
Galaxy Health Network PPO $1,407.56
BCBS BlueEssentialsAccess $1,485.40
BCBS BlueEssentials $1,485.40
BCBS EPOSOA $1,557.95
BCBS PPO $1,630.50
Independent Medical Systems COMM $1,655.95
National Healthcare Solutions COMM $1,655.95
Unicare MCD $1,655.95

Visitor-reported prices

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Cystogram >= 3 views supervision & interpretation at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $326.08 $41.44 – $952.69
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $728.84 $150.02 – $1,093.27
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $803.25 $41.44 – $1,004.06
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $326.08 $41.44 – $952.69
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $728.84 $44.34 – $1,093.27
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $728.84 $41.44 – $1,093.27
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $803.25 $41.44 – $1,204.88
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $326.08 $41.44 – $952.69

All Texas hospitals for this procedure →