Diab manage trn ind/group at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$249.05
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.
$249.05
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.
$14.37 with Humana vs $249.05 with Independent Medical Systems — 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 |
|---|---|---|---|
| Humana | Tricare | $14.37 | ↓ -94% |
| BCBS | MCRPPO | $14.81 | ↓ -94% |
| BCBS | MGMCRHMO | $14.81 | ↓ -94% |
| WellMed | MGMCR | $15.55 | ↓ -94% |
| Devoted Health | MCR | $15.63 | ↓ -94% |
| Devoted Health | MME | $15.63 | ↓ -94% |
| Humana | MGMCR | $15.63 | ↓ -94% |
| Devoted Health | PPO | $15.63 | ↓ -94% |
| Devoted Health | SNP | $15.63 | ↓ -94% |
| Devoted Health | HMO | $15.63 | ↓ -94% |
| Devoted Health | POS | $15.63 | ↓ -94% |
| TriWest Health Alliance | FEDERAL | $15.63 | ↓ -94% |
| Mutual of Omaha | MGMCR | $15.63 | ↓ -94% |
| Amerigroup | DualEligible | $15.63 | ↓ -94% |
| United | MGMCR | $15.71 | ↓ -94% |
| Aetna | MCR | $15.76 | ↓ -94% |
| Care N Care | MGMCR | $15.79 | ↓ -94% |
| Cigna Healthspring | MGMCR | $15.94 | ↓ -94% |
| Integranet | MGMCR | $16.10 | ↓ -94% |
| WellCare | MGMCR | $16.10 | ↓ -94% |
| Superior Health Plan | MGMCRPPO | $16.41 | ↓ -93% |
| Superior Health Plan | MGMCRHMO | $16.41 | ↓ -93% |
| Superior Health Plan | MGMCRDualEligible | $16.41 | ↓ -93% |
| Superior Health Plan | MGMCRPFFS | $16.41 | ↓ -93% |
| Superior Health Plan | MGMCRPOS | $16.41 | ↓ -93% |
| Superior Health Plan | MGMCRSNP | $16.41 | ↓ -93% |
| American Health Plan of Texas, Inc. | MGMCR | $16.41 | ↓ -93% |
| ProCare Advantge | MCR | $16.41 | ↓ -93% |
| Texas Independent Health Plan | MGMCR | $16.57 | ↓ -93% |
| Provider Partners Health Plan | MCR | $16.57 | ↓ -93% |
| Molina | MCR | $17.04 | ↓ -93% |
| Molina | MMP | $17.04 | ↓ -93% |
| Molina | MME | $17.04 | ↓ -93% |
| Imperial Insurance Company | MCR | $17.19 | ↓ -93% |
| Superior Health Plan | STARPLUS | $17.43 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $17.43 | ↓ -93% |
| Superior Health Plan | STARHealth | $17.43 | ↓ -93% |
| Superior Health Plan | CHIP | $17.43 | ↓ -93% |
| Superior Health Plan | STARKids | $17.43 | ↓ -93% |
| Universal Healthcare Group | MCR | $18.76 | ↓ -92% |
| Verda Health Plan | MGMCR | $20.32 | ↓ -92% |
| Bravo Health | MCRSNP | $23.45 | ↓ -91% |
| Bravo Health | MCRPFFS | $23.45 | ↓ -91% |
| Bravo Health | MCRPPO | $23.45 | ↓ -91% |
| Bravo Health | MCRPOS | $23.45 | ↓ -91% |
| Bravo Health | MCRHMO | $23.45 | ↓ -91% |
| Superior | ValueHMO | $27.98 | ↓ -89% |
| USA Managed Care | WORKERSCOMP | $29.70 | ↓ -88% |
| Corvel Corporation | WORKERSCOMP | $30.95 | ↓ -88% |
| Cigna | IFP | $33.62 | ↓ -87% |
| Aetna | QHPHIX | $33.62 | ↓ -87% |
| Cigna | QHP | $34.87 | ↓ -86% |
| Superior | EPO | $35.01 | ↓ -86% |
| Superior | HMO | $35.01 | ↓ -86% |
| BCBS | BluePremier | $36.58 | ↓ -85% |
| Molina Healthcare | HIX | $40.95 | ↓ -84% |
| BCBS | BlueAdvantageHMO | $42.63 | ↓ -83% |
| BCBS | MyBlueHealth | $42.63 | ↓ -83% |
| United | OptionsPPO | $49.56 | ↓ -80% |
| Aetna | NewBusiness | $49.56 | ↓ -80% |
| Oscar | HIX | $51.80 | ↓ -79% |
| Aetna | COMM | $53.05 | ↓ -79% |
| Aetna | Meritain | $53.05 | ↓ -79% |
| Unicare | CHIP | $59.77 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $61.02 | ↓ -75% |
| Aetna | OON | $62.51 | ↓ -75% |
| Evry Health | COMM | $64.25 | ↓ -74% |
| Cigna | NewBusiness | $65.75 | ↓ -74% |
| Cigna | LocalPlus | $65.75 | ↓ -74% |
| Cigna | NetworkBenefit | $73.47 | ↓ -70% |
| Cigna | HMO | $73.47 | ↓ -70% |
| Cigna | OpenAccessPlus | $73.47 | ↓ -70% |
| BCBS | BlueEssentialsAccess | $75.48 | ↓ -70% |
| BCBS | BlueEssentials | $75.48 | ↓ -70% |
| BCBS | EPOSOA | $79.20 | ↓ -68% |
| BCBS | PPO | $82.92 | ↓ -67% |
| Healthcare Highways | CityofPlano | $84.18 | ↓ -66% |
| Cigna | AllOther | $92.90 | ↓ -63% |
| Curative Administrators | COMM | $99.62 | ↓ -60% |
| Humana | COMM | $102.66 | ↓ -59% |
| BCBS | Traditional | $110.58 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $112.07 | ↓ -55% |
| City of McKinney | COMM | $112.07 | ↓ -55% |
| National ChoiceCare | WCOMP | $124.53 | ↓ -50% |
| Aetna | ASA | $131.25 | ↓ -47% |
| Aetna | WCOMP | $136.98 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $136.98 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $136.98 | ↓ -45% |
| PC Texas Partners | WCOMP | $136.98 | ↓ -45% |
| Averde Health, Inc | PPO | $144.45 | ↓ -42% |
| USC Health Services | COMM | $149.43 | ↓ -40% |
| Coastal Comp Health Networks | WCOMP | $174.34 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $174.34 | ↓ -30% |
| Jostens | WCOMP | $174.34 | ↓ -30% |
| Mega Life | MGMCRPPO | $174.34 | ↓ -30% |
| Aetna Coventry First Health | COMM | $181.06 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $186.79 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $186.79 | ↓ -25% |
| USA Managed Care | COMM | $199.24 | ↓ -20% |
| Galaxy Health Network | PPO | $211.69 | ↓ -15% |
| Unicare | MCD | $249.05 | ↑ +0% |
| National Healthcare Solutions | COMM | $249.05 | ↑ +0% |
| Independent Medical Systems | COMM | $249.05 | ↑ +0% |
Visitor-reported prices
Comments
Diab manage trn ind/group at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $59.36 | $16.82 – $84.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $63.45 | $13.06 – $95.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $69.32 | $13.86 – $86.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $59.36 | $15.83 – $84.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $63.45 | $20.37 – $95.17 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $63.45 | $32.78 – $95.17 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $69.32 | $23.11 – $103.98 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $59.36 | $15.83 – $84.10 |