Dextrose 5 % IV bolus 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

$271.97

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.

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

$271.97

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.

$3.53 with Humana vs $271.97 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 $3.53 ↓ -99%
United AllPayerAppendix $4.85 ↓ -98%
United SmallGroup $4.85 ↓ -98%
United NarrowNetworkIndivExchange $4.85 ↓ -98%
Cigna LocalPlus $18.40 ↓ -93%
Cigna NewBusiness $18.41 ↓ -93%
Superior Health Plan CHIP $19.04 ↓ -93%
Superior Health Plan STARKids $19.04 ↓ -93%
Superior Health Plan STARPLUS $19.04 ↓ -93%
Superior Health Plan MCDSTAR $19.04 ↓ -93%
Superior Health Plan STARHealth $19.04 ↓ -93%
Cigna HMO $20.55 ↓ -92%
Cigna NetworkBenefit $20.55 ↓ -92%
Cigna OpenAccessPlus $20.55 ↓ -92%
Cigna AllOther $26.00 ↓ -90%
Humana COMM $35.34 ↓ -87%
Cigna IFP $36.72 ↓ -86%
Aetna QHPHIX $36.72 ↓ -86%
Cigna QHP $38.08 ↓ -86%
BCBS BlueAdvantageHMO $52.30 ↓ -81%
BCBS MyBlueHealth $52.30 ↓ -81%
United OptionsPPO $54.12 ↓ -80%
Aetna NewBusiness $54.12 ↓ -80%
Aetna Meritain $57.93 ↓ -79%
Aetna COMM $57.93 ↓ -79%
BCBS BluePremier $61.85 ↓ -77%
Unicare CHIP $65.27 ↓ -76%
Aetna OON $68.26 ↓ -75%
BCBS BlueEssentials $76.56 ↓ -72%
BCBS BlueEssentialsAccess $76.56 ↓ -72%
BCBS EPOSOA $80.35 ↓ -70%
BCBS PPO $84.14 ↓ -69%
Healthcare Highways CityofPlano $91.93 ↓ -66%
BCBS Traditional $120.75 ↓ -56%
City of McKinney COMM $122.39 ↓ -55%
National ChoiceCare WCOMP $135.99 ↓ -50%
Aetna ASA $143.33 ↓ -47%
PC Texas Partners WCOMP $149.58 ↓ -45%
Aetna WCOMP $149.58 ↓ -45%
Rockport Health Group WORKERSCOMP $149.58 ↓ -45%
Physicians Coop of TX MGMCR $149.58 ↓ -45%
Averde Health, Inc PPO $157.74 ↓ -42%
USC Health Services COMM $163.18 ↓ -40%
Mega Life MGMCRPPO $190.38 ↓ -30%
Coastal Comp Health Networks WCOMP $190.38 ↓ -30%
Jostens WCOMP $190.38 ↓ -30%
Aetna Coventry First Health COMM $197.72 ↓ -27%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $203.98 ↓ -25%
HealthSmart Preferred Care PPO $203.98 ↓ -25%
USA Managed Care COMM $217.58 ↓ -20%
Galaxy Health Network PPO $231.17 ↓ -15%
Independent Medical Systems COMM $271.97 ↑ +0%
National Healthcare Solutions COMM $271.97 ↑ +0%
Unicare MCD $271.97 ↑ +0%

Visitor-reported prices

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Dextrose 5 % IV bolus at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $137.39 $58.37 – $58.37
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $28.80 $3.38 – $21.16
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $35.74 $3.08 – $22.41
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $45.14 $2.99 – $18.68
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $28.80 $3.38 – $21.16
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $35.74 $3.38 – $22.41
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $35.74 $3.38 – $22.41
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $45.14 $3.38 – $22.41

All Texas hospitals for this procedure →