Cytotoxic antibody screening 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.
$17.81 with Cook Childrens Health Plan vs $329.70 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 | $17.81 | — |
| Cook Childrens Health Plan | CHIP | $17.81 | — |
| TEXAS HEALTH NETWORK | MCD | $24.56 | — |
| Amerigroup | CHIP | $24.93 | — |
| United | STARPerinate | $24.93 | — |
| United | STARPLUS | $24.93 | — |
| United | STARKids | $24.93 | — |
| United | CHIP | $24.93 | — |
| United | STAR | $24.93 | — |
| Parkland Community Health Plan | MCD | $24.93 | — |
| Amerigroup | MGMCD | $24.93 | — |
| Cigna Healthspring | MGMCD | $26.18 | — |
| Aetna Better Health | MCD | $26.92 | — |
| Aetna Better Health | CHIP | $26.92 | — |
| Molina | STARKIDS | $27.42 | — |
| Molina | CHIP | $27.42 | — |
| Molina | MCDSTAR | $27.42 | — |
| Molina | STAR+PLUS | $27.42 | — |
| WellMed | MGMCR | $29.53 | — |
| TriWest Health Alliance | FEDERAL | $29.68 | — |
| Mutual of Omaha | MGMCR | $29.68 | — |
| Devoted Health | MME | $29.68 | — |
| Amerigroup | DualEligible | $29.68 | — |
| Devoted Health | PPO | $29.68 | — |
| United | NarrowNetworkIndivExchange | $29.68 | — |
| Devoted Health | SNP | $29.68 | — |
| Devoted Health | HMO | $29.68 | — |
| Devoted Health | POS | $29.68 | — |
| Devoted Health | MCR | $29.68 | — |
| BCBS | MGMCRHMO | $29.68 | — |
| BCBS | MCRPPO | $29.68 | — |
| United | SmallGroup | $29.68 | — |
| United | AllPayerAppendix | $29.68 | — |
| Humana | MGMCR | $29.68 | — |
| United | MGMCR | $29.83 | — |
| Aetna | MCR | $29.93 | — |
| Care N Care | MGMCR | $29.98 | — |
| Cigna Healthspring | MGMCR | $30.27 | — |
| WellCare | MGMCR | $30.57 | — |
| Integranet | MGMCR | $30.57 | — |
| ProCare Advantge | MCR | $31.16 | — |
| Humana | MGMCD | $31.16 | — |
| Humana | Tricare | $31.16 | — |
| American Health Plan of Texas, Inc. | MGMCR | $31.16 | — |
| Superior Health Plan | MGMCRHMO | $31.16 | — |
| Superior Health Plan | MGMCRPPO | $31.16 | — |
| Superior Health Plan | MGMCRDualEligible | $31.16 | — |
| Superior Health Plan | MGMCRPFFS | $31.16 | — |
| Superior Health Plan | MGMCRSNP | $31.16 | — |
| Superior Health Plan | MGMCRPOS | $31.16 | — |
| Provider Partners Health Plan | MCR | $31.46 | — |
| Texas Independent Health Plan | MGMCR | $31.46 | — |
| Molina | MMP | $32.35 | — |
| Molina | MME | $32.35 | — |
| Molina | MCR | $32.35 | — |
| Imperial Insurance Company | MCR | $32.65 | — |
| Universal Healthcare Group | MCR | $35.62 | — |
| Aetna | QHPHIX | $37.76 | — |
| Verda Health Plan | MGMCR | $38.58 | — |
| Bravo Health | MCRPPO | $44.52 | — |
| Bravo Health | MCRHMO | $44.52 | — |
| Bravo Health | MCRSNP | $44.52 | — |
| Bravo Health | MCRPFFS | $44.52 | — |
| Bravo Health | MCRPOS | $44.52 | — |
| BCBS | BluePremier | $50.46 | — |
| BCBS | BlueAdvantageHMO | $51.94 | — |
| BCBS | MyBlueHealth | $51.94 | — |
| Aetna | NewBusiness | $52.01 | — |
| Superior | ValueHMO | $53.13 | — |
| Aetna | Meritain | $55.39 | — |
| Aetna | COMM | $55.39 | — |
| USA Managed Care | WORKERSCOMP | $56.39 | — |
| Corvel Corporation | WORKERSCOMP | $58.77 | — |
| Aetna | OON | $65.18 | — |
| Superior | HMO | $66.48 | — |
| Superior | EPO | $66.48 | — |
| BCBS | BlueEssentialsAccess | $73.31 | — |
| BCBS | BlueEssentials | $73.31 | — |
| BCBS | EPOSOA | $76.87 | — |
| Oscar | HIX | $77.17 | — |
| Molina Healthcare | HIX | $77.76 | — |
| BCBS | PPO | $80.43 | — |
| Cigna | LocalPlus | $113.63 | — |
| Cigna | NewBusiness | $113.74 | — |
| Cigna | NetworkBenefit | $126.92 | — |
| Cigna | OpenAccessPlus | $126.92 | — |
| Cigna | HMO | $126.92 | — |
| Cigna | AllOther | $160.63 | — |
| Humana | COMM | $329.70 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Cytotoxic antibody screening at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $1,116.72 | $13.01 – $1,395.90 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $1,116.72 | $13.01 – $1,395.90 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $879.21 | $13.01 – $1,099.01 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $879.21 | $13.01 – $1,099.01 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $879.21 | $13.01 – $220.67 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | $879.21 | $13.01 – $1,099.01 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | $743.84 | $17.81 – $113.63 |
| Adventhealth Rollins Brook | Lampasas | not published | $26.71 – $114.27 |