Dextrose 5 % in water (d5w) intravenous solution (non-pvc) at MEDICAL CITY LEWISVILLE HOSPITAL

1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

not published by hospital

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

not published by hospital

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$1.77 with Humana vs $188.77 with Unicare — 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 →

Payer
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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
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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
Humana Tricare $1.77
United AllPayerAppendix $2.89
United SmallGroup $2.89
United NarrowNetworkIndivExchange $2.89
Cigna LocalPlus $12.28
Cigna NewBusiness $12.30
Superior Health Plan MCDSTAR $13.21
Superior Health Plan CHIP $13.21
Superior Health Plan STARKids $13.21
Superior Health Plan STARPLUS $13.21
Superior Health Plan STARHealth $13.21
Cigna NetworkBenefit $13.72
Cigna OpenAccessPlus $13.72
Cigna HMO $13.72
Cigna AllOther $17.36
Humana COMM $18.10
Cigna IFP $25.48
Aetna QHPHIX $25.48
BCBS MyBlueHealth $26.15
BCBS BlueAdvantageHMO $26.15
Cigna QHP $26.43
BCBS BluePremier $30.93
Aetna NewBusiness $37.57
United OptionsPPO $37.57
BCBS BlueEssentials $38.28
BCBS BlueEssentialsAccess $38.28
BCBS EPOSOA $40.17
Aetna Meritain $40.21
Aetna COMM $40.21
BCBS PPO $42.07
Unicare CHIP $45.30
Aetna OON $47.38
Healthcare Highways CityofPlano $63.80
BCBS Traditional $83.81
City of McKinney COMM $84.95
National ChoiceCare WCOMP $94.39
Aetna ASA $99.48
Aetna WCOMP $103.82
Physicians Coop of TX MGMCR $103.82
Rockport Health Group WORKERSCOMP $103.82
PC Texas Partners WCOMP $103.82
Averde Health, Inc PPO $109.49
USC Health Services COMM $113.26
Mega Life MGMCRPPO $132.14
Jostens WCOMP $132.14
Coastal Comp Health Networks WCOMP $132.14
Aetna Coventry First Health COMM $137.24
HealthSmart Preferred Care PPO $141.58
LEWISVILLE ISD/DLS CONSULTING COMMPPO $141.58
USA Managed Care COMM $151.02
Galaxy Health Network PPO $160.45
National Healthcare Solutions COMM $188.77
Independent Medical Systems COMM $188.77
Unicare MCD $188.77

Visitor-reported prices

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Dextrose 5 % in water (d5w) intravenous solution (non-pvc) at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $39.88 $29.18 – $29.18
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $31.32 $2.06 – $11.98
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $31.32 $1.74 – $12.69
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $31.32 $1.69 – $10.57
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $31.32 $2.06 – $11.98
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $31.32 $2.06 – $12.69
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $31.32 $2.06 – $12.69
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $31.32 $2.06 – $12.69

All Texas hospitals for this procedure →