Devel tst phys/qhp 1st hr 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.
$51.48 with Superior Health Plan vs $740.17 with BCBS — 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $51.48 | — |
| Superior Health Plan | STARHealth | $51.48 | — |
| Superior Health Plan | MCDSTAR | $51.48 | — |
| Superior Health Plan | STARPLUS | $51.48 | — |
| Superior Health Plan | STARKids | $51.48 | — |
| Cigna | IFP | $99.28 | — |
| Aetna | QHPHIX | $99.28 | — |
| Cigna | QHP | $102.95 | — |
| Aetna | NewBusiness | $146.34 | — |
| United | OptionsPPO | $146.34 | — |
| Oscar | HIX | $152.96 | — |
| Aetna | Meritain | $156.64 | — |
| Aetna | COMM | $156.64 | — |
| Unicare | CHIP | $176.49 | — |
| Aetna | OON | $184.58 | — |
| Healthcare Highways | CityofPlano | $248.56 | — |
| BCBS | Traditional | $326.51 | — |
| BCBS | BluePremier | $326.51 | — |
| City of McKinney | COMM | $330.93 | — |
| Fidelis SecureCare | MGMCR | $330.93 | — |
| National ChoiceCare | WCOMP | $367.69 | — |
| BCBS | MyBlueHealth | $380.46 | — |
| BCBS | BlueAdvantageHMO | $380.46 | — |
| Aetna | ASA | $387.55 | — |
| Physicians Coop of TX | MGMCR | $404.46 | — |
| Aetna | WCOMP | $404.46 | — |
| PC Texas Partners | WCOMP | $404.46 | — |
| Rockport Health Group | WORKERSCOMP | $404.46 | — |
| Averde Health, Inc | PPO | $426.53 | — |
| USC Health Services | COMM | $441.23 | — |
| Mega Life | MGMCRPPO | $514.77 | — |
| Multiplan PHCS | PrimaryNetwork | $514.77 | — |
| Coastal Comp Health Networks | WCOMP | $514.77 | — |
| Jostens | WCOMP | $514.77 | — |
| Aetna Coventry First Health | COMM | $534.63 | — |
| HealthSmart Preferred Care | PPO | $551.54 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $551.54 | — |
| USA Managed Care | COMM | $588.31 | — |
| Galaxy Health Network | PPO | $625.08 | — |
| BCBS | BlueEssentials | $673.76 | — |
| BCBS | BlueEssentialsAccess | $673.76 | — |
| BCBS | EPOSOA | $706.97 | — |
| Unicare | MCD | $735.39 | — |
| Independent Medical Systems | COMM | $735.39 | — |
| National Healthcare Solutions | COMM | $735.39 | — |
| BCBS | PPO | $740.17 | — |
Visitor-reported prices
Comments
Devel tst phys/qhp 1st hr at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $105.91 | $21.80 – $386.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $79.98 | $16.00 – $386.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $105.91 | $34.00 – $386.96 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $105.91 | $54.72 – $386.96 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $79.98 | $26.66 – $386.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $105.91 | $21.18 – $386.96 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $105.91 | $26.48 – $386.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $79.98 | $14.66 – $417.82 |