Cytogenetics 3-5 at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$1,834.32
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.
$1,834.32
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.
$24.42 with Cook Childrens Health Plan vs $1,834.32 with National Healthcare Solutions — 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 |
|---|---|---|---|
| Cook Childrens Health Plan | CHIP | $24.42 | ↓ -99% |
| Cook Childrens Health Plan | STAR | $24.42 | ↓ -99% |
| TEXAS HEALTH NETWORK | MCD | $33.68 | ↓ -98% |
| United | CHIP | $34.19 | ↓ -98% |
| Amerigroup | CHIP | $34.19 | ↓ -98% |
| Amerigroup | MGMCD | $34.19 | ↓ -98% |
| United | STARPerinate | $34.19 | ↓ -98% |
| Parkland Community Health Plan | MCD | $34.19 | ↓ -98% |
| United | STARPLUS | $34.19 | ↓ -98% |
| United | STARKids | $34.19 | ↓ -98% |
| United | STAR | $34.19 | ↓ -98% |
| Cigna Healthspring | MGMCD | $35.90 | ↓ -98% |
| Aetna Better Health | CHIP | $36.93 | ↓ -98% |
| Aetna Better Health | MCD | $36.93 | ↓ -98% |
| Molina | STAR+PLUS | $37.61 | ↓ -98% |
| Molina | CHIP | $37.61 | ↓ -98% |
| Molina | MCDSTAR | $37.61 | ↓ -98% |
| Molina | STARKIDS | $37.61 | ↓ -98% |
| WellMed | MGMCR | $40.50 | ↓ -98% |
| Mutual of Omaha | MGMCR | $40.70 | ↓ -98% |
| Devoted Health | SNP | $40.70 | ↓ -98% |
| Devoted Health | HMO | $40.70 | ↓ -98% |
| Devoted Health | POS | $40.70 | ↓ -98% |
| Devoted Health | MCR | $40.70 | ↓ -98% |
| Devoted Health | MME | $40.70 | ↓ -98% |
| Devoted Health | PPO | $40.70 | ↓ -98% |
| Humana | MGMCR | $40.70 | ↓ -98% |
| United | AllPayerAppendix | $40.70 | ↓ -98% |
| BCBS | MGMCRHMO | $40.70 | ↓ -98% |
| United | NarrowNetworkIndivExchange | $40.70 | ↓ -98% |
| United | SmallGroup | $40.70 | ↓ -98% |
| BCBS | MCRPPO | $40.70 | ↓ -98% |
| TriWest Health Alliance | FEDERAL | $40.70 | ↓ -98% |
| Amerigroup | DualEligible | $40.70 | ↓ -98% |
| United | MGMCR | $40.90 | ↓ -98% |
| Aetna | MCR | $41.05 | ↓ -98% |
| Care N Care | MGMCR | $41.11 | ↓ -98% |
| Cigna Healthspring | MGMCR | $41.51 | ↓ -98% |
| Integranet | MGMCR | $41.92 | ↓ -98% |
| WellCare | MGMCR | $41.92 | ↓ -98% |
| Humana | Tricare | $42.73 | ↓ -98% |
| Superior Health Plan | MGMCRDualEligible | $42.74 | ↓ -98% |
| American Health Plan of Texas, Inc. | MGMCR | $42.74 | ↓ -98% |
| Superior Health Plan | MGMCRSNP | $42.74 | ↓ -98% |
| ProCare Advantge | MCR | $42.74 | ↓ -98% |
| Humana | MGMCD | $42.74 | ↓ -98% |
| Superior Health Plan | MGMCRPPO | $42.74 | ↓ -98% |
| Superior Health Plan | MGMCRPOS | $42.74 | ↓ -98% |
| Superior Health Plan | MGMCRPFFS | $42.74 | ↓ -98% |
| Superior Health Plan | MGMCRHMO | $42.74 | ↓ -98% |
| Texas Independent Health Plan | MGMCR | $43.14 | ↓ -98% |
| Provider Partners Health Plan | MCR | $43.14 | ↓ -98% |
| Molina | MME | $44.36 | ↓ -98% |
| Molina | MCR | $44.36 | ↓ -98% |
| Molina | MMP | $44.36 | ↓ -98% |
| Imperial Insurance Company | MCR | $44.77 | ↓ -98% |
| Universal Healthcare Group | MCR | $48.84 | ↓ -97% |
| Aetna | QHPHIX | $51.77 | ↓ -97% |
| Verda Health Plan | MGMCR | $52.91 | ↓ -97% |
| Bravo Health | MCRPFFS | $61.05 | ↓ -97% |
| Bravo Health | MCRHMO | $61.05 | ↓ -97% |
| Bravo Health | MCRPOS | $61.05 | ↓ -97% |
| Bravo Health | MCRPPO | $61.05 | ↓ -97% |
| Bravo Health | MCRSNP | $61.05 | ↓ -97% |
| BCBS | BluePremier | $69.19 | ↓ -96% |
| BCBS | MyBlueHealth | $71.23 | ↓ -96% |
| BCBS | BlueAdvantageHMO | $71.23 | ↓ -96% |
| Aetna | NewBusiness | $71.31 | ↓ -96% |
| Superior | ValueHMO | $72.85 | ↓ -96% |
| Aetna | COMM | $75.95 | ↓ -96% |
| Aetna | Meritain | $75.95 | ↓ -96% |
| USA Managed Care | WORKERSCOMP | $77.33 | ↓ -96% |
| Corvel Corporation | WORKERSCOMP | $80.59 | ↓ -96% |
| Aetna | OON | $89.38 | ↓ -95% |
| Superior | HMO | $91.17 | ↓ -95% |
| Superior | EPO | $91.17 | ↓ -95% |
| BCBS | BlueEssentials | $100.53 | ↓ -95% |
| BCBS | BlueEssentialsAccess | $100.53 | ↓ -95% |
| BCBS | EPOSOA | $105.41 | ↓ -94% |
| Oscar | HIX | $105.82 | ↓ -94% |
| Molina Healthcare | HIX | $106.63 | ↓ -94% |
| BCBS | PPO | $110.30 | ↓ -94% |
| Superior Health Plan | CHIP | $128.40 | ↓ -93% |
| Superior Health Plan | STARHealth | $128.40 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $128.40 | ↓ -93% |
| Superior Health Plan | STARPLUS | $128.40 | ↓ -93% |
| Superior Health Plan | STARKids | $128.40 | ↓ -93% |
| Cigna | LocalPlus | $154.94 | ↓ -92% |
| Cigna | NewBusiness | $155.10 | ↓ -92% |
| Cigna | HMO | $173.06 | ↓ -91% |
| Cigna | OpenAccessPlus | $173.06 | ↓ -91% |
| Cigna | NetworkBenefit | $173.06 | ↓ -91% |
| Cigna | AllOther | $219.03 | ↓ -88% |
| Cigna | IFP | $247.63 | ↓ -87% |
| Cigna | QHP | $256.80 | ↓ -86% |
| United | OptionsPPO | $365.03 | ↓ -80% |
| Humana | COMM | $366.23 | ↓ -80% |
| Unicare | CHIP | $440.24 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $449.41 | ↓ -75% |
| Evry Health | COMM | $473.25 | ↓ -74% |
| Healthcare Highways | CityofPlano | $620.00 | ↓ -66% |
| BCBS | Traditional | $814.44 | ↓ -56% |
| City of McKinney | COMM | $825.44 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $825.44 | ↓ -55% |
| National ChoiceCare | WCOMP | $917.16 | ↓ -50% |
| Aetna | ASA | $966.69 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $1,008.88 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $1,008.88 | ↓ -45% |
| Aetna | WCOMP | $1,008.88 | ↓ -45% |
| PC Texas Partners | WCOMP | $1,008.88 | ↓ -45% |
| Averde Health, Inc | PPO | $1,063.91 | ↓ -42% |
| USC Health Services | COMM | $1,100.59 | ↓ -40% |
| Coastal Comp Health Networks | WCOMP | $1,284.02 | ↓ -30% |
| Jostens | WCOMP | $1,284.02 | ↓ -30% |
| Mega Life | MGMCRPPO | $1,284.02 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $1,284.02 | ↓ -30% |
| Aetna Coventry First Health | COMM | $1,333.55 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,375.74 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $1,375.74 | ↓ -25% |
| USA Managed Care | COMM | $1,467.46 | ↓ -20% |
| Galaxy Health Network | PPO | $1,559.17 | ↓ -15% |
| Independent Medical Systems | COMM | $1,834.32 | ↑ +0% |
| Unicare | MCD | $1,834.32 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,834.32 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Cytogenetics 3-5 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $170.27 | $34.19 – $212.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $127.64 | $26.27 – $191.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $123.92 | $34.19 – $154.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $170.27 | $34.19 – $212.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $127.64 | $36.00 – $191.46 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $127.64 | $26.00 – $191.46 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $123.92 | $34.19 – $185.88 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $170.27 | $34.19 – $212.84 |