Deep muscle biopsy 20205 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.
$802.97 with TEXAS HEALTH NETWORK vs $9,302.00 with Humana — 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 |
|---|---|---|---|
| TEXAS HEALTH NETWORK | MCD | $802.97 | — |
| United | STARPerinate | $815.20 | — |
| United | STARPLUS | $815.20 | — |
| Parkland Community Health Plan | MCD | $815.20 | — |
| Cook Childrens Health Plan | STAR | $815.20 | — |
| Cook Childrens Health Plan | CHIP | $815.20 | — |
| United | STARKids | $815.20 | — |
| United | CHIP | $815.20 | — |
| United | STAR | $815.20 | — |
| Cigna Healthspring | MGMCD | $855.96 | — |
| Amerigroup | MGMCD | $855.96 | — |
| Amerigroup | CHIP | $855.96 | — |
| Molina | STARKIDS | $896.72 | — |
| Molina | MCDSTAR | $896.72 | — |
| Molina | CHIP | $896.72 | — |
| Molina | STAR+PLUS | $896.72 | — |
| Aetna Better Health | MCD | $978.24 | — |
| Aetna Better Health | CHIP | $978.24 | — |
| Humana | MGMCD | $1,019.00 | — |
| Fidelis SecureCare | MGMCR | $1,995.00 | — |
| United | SmallGroup | $2,011.00 | — |
| Healthcare Highways | NarrowNetwork | $2,129.00 | — |
| United | NarrowNetworkIndivExchange | $2,329.00 | — |
| Evry Health | COMM | $2,356.00 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| Curative Administrators | COMM | $2,613.00 | — |
| BCBS | BluePremier | $2,875.42 | — |
| WellMed | MGMCR | $2,932.54 | — |
| United | AllPayerAppendix | $3,150.00 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Aetna | COMM | $3,682.00 | — |
| Aetna | Meritain | $3,682.00 | — |
| Aetna | OON | $4,332.00 | — |
| Oscar | HIX | $4,723.00 | — |
| BCBS | BlueAdvantageHMO | $5,101.56 | — |
| BCBS | MyBlueHealth | $5,101.56 | — |
| BCBS | BlueEssentials | $5,449.39 | — |
| BCBS | BlueEssentialsAccess | $5,449.39 | — |
| Multiplan PHCS | PrimaryNetwork | $5,674.00 | — |
| BCBS | EPOSOA | $5,727.66 | — |
| BCBS | PPO | $5,982.74 | — |
| Cigna | LocalPlus | $6,004.00 | — |
| Cigna | NewBusiness | $6,010.00 | — |
| Cigna | HMO | $6,708.00 | — |
| Cigna | NetworkBenefit | $6,708.00 | — |
| Cigna | OpenAccessPlus | $6,708.00 | — |
| Cigna | AllOther | $8,485.00 | — |
| Humana | COMM | $9,302.00 | — |
Visitor-reported prices
Comments
Deep muscle biopsy 20205 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,111.06 | $815.20 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,216.99 | $71.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,491.91 | $71.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,111.06 | $815.20 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $4,216.99 | $85.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $4,216.99 | $815.20 – $7,039.11 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,491.91 | $71.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $3,111.06 | $815.20 – $7,039.11 |