Debridement (>20 cm) charge pt 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$22.40 with Superior Health Plan vs $2,174.00 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $22.40 | — |
| Superior Health Plan | MCDSTAR | $22.40 | — |
| Superior Health Plan | STARPLUS | $22.40 | — |
| Superior Health Plan | STARKids | $22.40 | — |
| Superior Health Plan | STARHealth | $22.40 | — |
| BCBS | BluePremier | $27.21 | — |
| BCBS | BlueAdvantageHMO | $31.71 | — |
| BCBS | MyBlueHealth | $31.71 | — |
| BCBS | MGMCRHMO | $41.83 | — |
| BCBS | MCRPPO | $41.83 | — |
| Cigna | IFP | $43.20 | — |
| Aetna | QHPHIX | $43.20 | — |
| Cigna | QHP | $44.80 | — |
| WellMed | MGMCR | $45.84 | — |
| Devoted Health | PPO | $46.07 | — |
| Devoted Health | HMO | $46.07 | — |
| Devoted Health | POS | $46.07 | — |
| Devoted Health | MCR | $46.07 | — |
| Devoted Health | MME | $46.07 | — |
| Humana | MGMCR | $46.07 | — |
| Amerigroup | DualEligible | $46.07 | — |
| Mutual of Omaha | MGMCR | $46.07 | — |
| TriWest Health Alliance | FEDERAL | $46.07 | — |
| Devoted Health | SNP | $46.07 | — |
| United | MGMCR | $46.30 | — |
| Aetna | MCR | $46.46 | — |
| Care N Care | MGMCR | $46.53 | — |
| Cigna Healthspring | MGMCR | $46.99 | — |
| WellCare | MGMCR | $47.45 | — |
| Integranet | MGMCR | $47.45 | — |
| Superior Health Plan | MGMCRPFFS | $48.37 | — |
| ProCare Advantge | MCR | $48.37 | — |
| Superior Health Plan | MGMCRSNP | $48.37 | — |
| Superior Health Plan | MGMCRHMO | $48.37 | — |
| Superior Health Plan | MGMCRPPO | $48.37 | — |
| Superior Health Plan | MGMCRPOS | $48.37 | — |
| American Health Plan of Texas, Inc. | MGMCR | $48.37 | — |
| Superior Health Plan | MGMCRDualEligible | $48.37 | — |
| Provider Partners Health Plan | MCR | $48.83 | — |
| Texas Independent Health Plan | MGMCR | $48.83 | — |
| Molina | MMP | $50.22 | — |
| Molina | MME | $50.22 | — |
| Molina | MCR | $50.22 | — |
| Imperial Insurance Company | MCR | $50.68 | — |
| Universal Healthcare Group | MCR | $55.28 | — |
| BCBS | BlueEssentials | $56.15 | — |
| BCBS | BlueEssentialsAccess | $56.15 | — |
| BCBS | EPOSOA | $58.92 | — |
| Verda Health Plan | MGMCR | $59.89 | — |
| BCBS | PPO | $61.69 | — |
| Aetna | NewBusiness | $63.69 | — |
| United | OptionsPPO | $63.69 | — |
| Oscar | HIX | $66.57 | — |
| Aetna | Meritain | $68.17 | — |
| Aetna | COMM | $68.17 | — |
| Bravo Health | MCRSNP | $69.11 | — |
| Bravo Health | MCRPOS | $69.11 | — |
| Bravo Health | MCRHMO | $69.11 | — |
| Bravo Health | MCRPPO | $69.11 | — |
| Bravo Health | MCRPFFS | $69.11 | — |
| Unicare | CHIP | $76.81 | — |
| Aetna | OON | $80.33 | — |
| Superior | ValueHMO | $82.47 | — |
| USA Managed Care | WORKERSCOMP | $87.53 | — |
| Corvel Corporation | WORKERSCOMP | $91.22 | — |
| Superior | EPO | $103.20 | — |
| Superior | HMO | $103.20 | — |
| Healthcare Highways | CityofPlano | $108.17 | — |
| Humana | COMM | $113.53 | — |
| Molina Healthcare | HIX | $120.70 | — |
| BCBS | Traditional | $142.09 | — |
| City of McKinney | COMM | $144.01 | — |
| Fidelis SecureCare | MGMCR | $144.01 | — |
| National ChoiceCare | WCOMP | $160.01 | — |
| Aetna | ASA | $168.66 | — |
| Rockport Health Group | WORKERSCOMP | $176.02 | — |
| PC Texas Partners | WCOMP | $176.02 | — |
| Physicians Coop of TX | MGMCR | $176.02 | — |
| Aetna | WCOMP | $176.02 | — |
| Averde Health, Inc | PPO | $185.62 | — |
| USC Health Services | COMM | $192.02 | — |
| Multiplan PHCS | PrimaryNetwork | $224.02 | — |
| Coastal Comp Health Networks | WCOMP | $224.02 | — |
| Mega Life | MGMCRPPO | $224.02 | — |
| Jostens | WCOMP | $224.02 | — |
| Aetna Coventry First Health | COMM | $232.66 | — |
| HealthSmart Preferred Care | PPO | $240.02 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $240.02 | — |
| USA Managed Care | COMM | $256.02 | — |
| Galaxy Health Network | PPO | $272.03 | — |
| Unicare | MCD | $320.03 | — |
| Independent Medical Systems | COMM | $320.03 | — |
| National Healthcare Solutions | COMM | $320.03 | — |
| United | SmallGroup | $1,454.00 | — |
| Curative Administrators | COMM | $1,672.00 | — |
| United | NarrowNetworkIndivExchange | $1,743.00 | — |
| United | AllPayerAppendix | $2,174.00 | — |
Visitor-reported prices
Comments
Debridement (>20 cm) charge pt at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $942.01 | $44.39 – $44.39 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $414.23 | $35.40 – $586.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $553.49 | $34.82 – $830.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $315.59 | $34.82 – $394.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $414.23 | $26.98 – $586.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $553.49 | $42.55 – $830.24 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $553.49 | $130.50 – $830.24 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $315.59 | $34.82 – $473.38 |