Cytopath tbs c/v redo 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.
$25.33 with Cook Childrens Health Plan vs $379.91 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 |
|---|---|---|---|
| Cook Childrens Health Plan | STAR | $25.33 | — |
| Cook Childrens Health Plan | CHIP | $25.33 | — |
| TEXAS HEALTH NETWORK | MCD | $34.93 | — |
| Amerigroup | CHIP | $35.46 | — |
| United | STARPerinate | $35.46 | — |
| United | STARPLUS | $35.46 | — |
| United | STARKids | $35.46 | — |
| United | CHIP | $35.46 | — |
| United | STAR | $35.46 | — |
| Parkland Community Health Plan | MCD | $35.46 | — |
| Amerigroup | MGMCD | $35.46 | — |
| Cigna Healthspring | MGMCD | $37.23 | — |
| Aetna Better Health | MCD | $38.30 | — |
| Aetna Better Health | CHIP | $38.30 | — |
| Molina | STARKIDS | $39.01 | — |
| Molina | CHIP | $39.01 | — |
| Molina | MCDSTAR | $39.01 | — |
| Molina | STAR+PLUS | $39.01 | — |
| WellMed | MGMCR | $42.01 | — |
| TriWest Health Alliance | FEDERAL | $42.22 | — |
| Mutual of Omaha | MGMCR | $42.22 | — |
| Devoted Health | MME | $42.22 | — |
| Amerigroup | DualEligible | $42.22 | — |
| Devoted Health | PPO | $42.22 | — |
| United | NarrowNetworkIndivExchange | $42.22 | — |
| Devoted Health | SNP | $42.22 | — |
| Devoted Health | HMO | $42.22 | — |
| Devoted Health | POS | $42.22 | — |
| Devoted Health | MCR | $42.22 | — |
| BCBS | MGMCRHMO | $42.22 | — |
| BCBS | MCRPPO | $42.22 | — |
| United | SmallGroup | $42.22 | — |
| United | AllPayerAppendix | $42.22 | — |
| Humana | MGMCR | $42.22 | — |
| United | MGMCR | $42.43 | — |
| Aetna | MCR | $42.58 | — |
| Care N Care | MGMCR | $42.64 | — |
| Cigna Healthspring | MGMCR | $43.06 | — |
| WellCare | MGMCR | $43.49 | — |
| Integranet | MGMCR | $43.49 | — |
| Humana | Tricare | $44.32 | — |
| Humana | MGMCD | $44.33 | — |
| American Health Plan of Texas, Inc. | MGMCR | $44.33 | — |
| Superior Health Plan | MGMCRHMO | $44.33 | — |
| Superior Health Plan | MGMCRPPO | $44.33 | — |
| Superior Health Plan | MGMCRDualEligible | $44.33 | — |
| Superior Health Plan | MGMCRPFFS | $44.33 | — |
| Superior Health Plan | MGMCRSNP | $44.33 | — |
| ProCare Advantge | MCR | $44.33 | — |
| Superior Health Plan | MGMCRPOS | $44.33 | — |
| Provider Partners Health Plan | MCR | $44.75 | — |
| Texas Independent Health Plan | MGMCR | $44.75 | — |
| Molina | MMP | $46.02 | — |
| Molina | MME | $46.02 | — |
| Molina | MCR | $46.02 | — |
| Imperial Insurance Company | MCR | $46.44 | — |
| Universal Healthcare Group | MCR | $50.66 | — |
| Aetna | QHPHIX | $53.70 | — |
| Verda Health Plan | MGMCR | $54.89 | — |
| Bravo Health | MCRPPO | $63.33 | — |
| Bravo Health | MCRHMO | $63.33 | — |
| Bravo Health | MCRSNP | $63.33 | — |
| Bravo Health | MCRPFFS | $63.33 | — |
| Bravo Health | MCRPOS | $63.33 | — |
| BCBS | BluePremier | $71.77 | — |
| BCBS | BlueAdvantageHMO | $73.88 | — |
| BCBS | MyBlueHealth | $73.88 | — |
| Aetna | NewBusiness | $73.96 | — |
| Superior | ValueHMO | $75.57 | — |
| Aetna | Meritain | $78.78 | — |
| Aetna | COMM | $78.78 | — |
| USA Managed Care | WORKERSCOMP | $80.22 | — |
| Corvel Corporation | WORKERSCOMP | $83.60 | — |
| Aetna | OON | $92.71 | — |
| Superior | HMO | $94.57 | — |
| Superior | EPO | $94.57 | — |
| BCBS | BlueEssentialsAccess | $104.28 | — |
| BCBS | BlueEssentials | $104.28 | — |
| BCBS | EPOSOA | $109.35 | — |
| Oscar | HIX | $109.77 | — |
| Molina Healthcare | HIX | $110.62 | — |
| BCBS | PPO | $114.42 | — |
| Cigna | LocalPlus | $161.40 | — |
| Cigna | NewBusiness | $161.56 | — |
| Cigna | NetworkBenefit | $180.28 | — |
| Cigna | OpenAccessPlus | $180.28 | — |
| Cigna | HMO | $180.28 | — |
| Cigna | AllOther | $228.16 | — |
| Humana | COMM | $379.91 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Cytopath tbs c/v redo at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Mansfield | Mansfield | $182.75 | $42.22 – $84.44 |
| CHRISTUS Health - West Beaumont | Beaumont | $24.42 | $21.11 – $162.55 |
| Adventhealth Rollins Brook | Lampasas | not published | $38.00 – $162.55 |
| CHRISTUS Children's Hospital | San Antonio | not published | $35.46 – $44.33 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $34.75 – $174.24 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $35.46 – $174.24 |
| Covenant Children's Hospital | Lubbock | not published | $92.20 – $184.08 |
| HCA HOUSTON CONROE | CONROE | not published | $34.75 – $174.24 |