Diagnostic Mammogram (both breasts) at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$1,216.18
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.
$1,216.18
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.
$85.13 with Superior Health Plan vs $1,216.18 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 →
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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 | STARHealth | $85.13 | ↓ -93% |
| Superior Health Plan | STARKids | $85.13 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $85.13 | ↓ -93% |
| Superior Health Plan | STARPLUS | $85.13 | ↓ -93% |
| Superior Health Plan | CHIP | $85.13 | ↓ -93% |
| Humana | Tricare | $99.33 | ↓ -92% |
| BCBS | MCRPPO | $102.39 | ↓ -92% |
| BCBS | MGMCRHMO | $102.39 | ↓ -92% |
| WellMed | MGMCR | $104.37 | ↓ -91% |
| Amerigroup | DualEligible | $104.89 | ↓ -91% |
| Devoted Health | MCR | $104.89 | ↓ -91% |
| Devoted Health | MME | $104.89 | ↓ -91% |
| TriWest Health Alliance | FEDERAL | $104.89 | ↓ -91% |
| Humana | MGMCR | $104.89 | ↓ -91% |
| Mutual of Omaha | MGMCR | $104.89 | ↓ -91% |
| Devoted Health | SNP | $104.89 | ↓ -91% |
| Devoted Health | PPO | $104.89 | ↓ -91% |
| Devoted Health | HMO | $104.89 | ↓ -91% |
| Devoted Health | POS | $104.89 | ↓ -91% |
| United | MGMCR | $105.41 | ↓ -91% |
| Aetna | MCR | $105.78 | ↓ -91% |
| Care N Care | MGMCR | $105.94 | ↓ -91% |
| Cigna Healthspring | MGMCR | $106.99 | ↓ -91% |
| WellCare | MGMCR | $108.04 | ↓ -91% |
| Integranet | MGMCR | $108.04 | ↓ -91% |
| Superior Health Plan | MGMCRDualEligible | $110.13 | ↓ -91% |
| ProCare Advantge | MCR | $110.13 | ↓ -91% |
| Superior Health Plan | MGMCRHMO | $110.13 | ↓ -91% |
| Superior Health Plan | MGMCRPPO | $110.13 | ↓ -91% |
| Superior Health Plan | MGMCRPFFS | $110.13 | ↓ -91% |
| Superior Health Plan | MGMCRPOS | $110.13 | ↓ -91% |
| Superior Health Plan | MGMCRSNP | $110.13 | ↓ -91% |
| American Health Plan of Texas, Inc. | MGMCR | $110.13 | ↓ -91% |
| Texas Independent Health Plan | MGMCR | $111.18 | ↓ -91% |
| Provider Partners Health Plan | MCR | $111.18 | ↓ -91% |
| Molina | MMP | $114.33 | ↓ -91% |
| Molina | MCR | $114.33 | ↓ -91% |
| Molina | MME | $114.33 | ↓ -91% |
| Imperial Insurance Company | MCR | $115.38 | ↓ -91% |
| Universal Healthcare Group | MCR | $125.87 | ↓ -90% |
| Verda Health Plan | MGMCR | $136.36 | ↓ -89% |
| Bravo Health | MCRHMO | $157.34 | ↓ -87% |
| Bravo Health | MCRPOS | $157.34 | ↓ -87% |
| Bravo Health | MCRSNP | $157.34 | ↓ -87% |
| Bravo Health | MCRPPO | $157.34 | ↓ -87% |
| Bravo Health | MCRPFFS | $157.34 | ↓ -87% |
| BCBS | MyBlueHealth | $157.68 | ↓ -87% |
| BCBS | BlueAdvantageHMO | $157.68 | ↓ -87% |
| BCBS | BluePremier | $163.70 | ↓ -87% |
| Cigna | IFP | $164.18 | ↓ -87% |
| United | SmallGroup | $165.73 | ↓ -86% |
| United | NarrowNetworkIndivExchange | $165.73 | ↓ -86% |
| Cigna | QHP | $170.27 | ↓ -86% |
| Superior | ValueHMO | $187.75 | ↓ -85% |
| Aetna | QHPHIX | $187.96 | ↓ -85% |
| USA Managed Care | WORKERSCOMP | $199.29 | ↓ -84% |
| Corvel Corporation | WORKERSCOMP | $207.68 | ↓ -83% |
| Superior | HMO | $234.95 | ↓ -81% |
| Superior | EPO | $234.95 | ↓ -81% |
| United | OptionsPPO | $242.02 | ↓ -80% |
| Aetna | NewBusiness | $257.70 | ↓ -79% |
| United | AllPayerAppendix | $263.00 | ↓ -78% |
| Molina Healthcare | HIX | $274.81 | ↓ -77% |
| Aetna | Meritain | $276.06 | ↓ -77% |
| Aetna | COMM | $276.06 | ↓ -77% |
| Unicare | CHIP | $291.88 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $297.96 | ↓ -76% |
| Evry Health | COMM | $313.77 | ↓ -74% |
| Aetna | OON | $323.78 | ↓ -73% |
| Humana | COMM | $376.89 | ↓ -69% |
| Healthcare Highways | CityofPlano | $411.07 | ↓ -66% |
| BCBS | BlueEssentialsAccess | $468.24 | ↓ -61% |
| BCBS | BlueEssentials | $468.24 | ↓ -61% |
| Curative Administrators | COMM | $486.47 | ↓ -60% |
| BCBS | EPOSOA | $491.11 | ↓ -60% |
| BCBS | PPO | $513.98 | ↓ -58% |
| BCBS | Traditional | $539.98 | ↓ -56% |
| City of McKinney | COMM | $547.28 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $547.28 | ↓ -55% |
| National ChoiceCare | WCOMP | $608.09 | ↓ -50% |
| Aetna | ASA | $640.93 | ↓ -47% |
| PC Texas Partners | WCOMP | $668.90 | ↓ -45% |
| Aetna | WCOMP | $668.90 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $668.90 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $668.90 | ↓ -45% |
| Averde Health, Inc | PPO | $705.38 | ↓ -42% |
| USC Health Services | COMM | $729.71 | ↓ -40% |
| Jostens | WCOMP | $851.33 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $851.33 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $851.33 | ↓ -30% |
| Mega Life | MGMCRPPO | $851.33 | ↓ -30% |
| Aetna Coventry First Health | COMM | $884.16 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $912.13 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $912.13 | ↓ -25% |
| USA Managed Care | COMM | $972.94 | ↓ -20% |
| Galaxy Health Network | PPO | $1,033.75 | ↓ -15% |
| Independent Medical Systems | COMM | $1,216.18 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,216.18 | ↑ +0% |
| Unicare | MCD | $1,216.18 | ↑ +0% |
Visitor-reported prices
Comments
Diagnostic Mammogram (both breasts) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $981.60 | $463.42 – $463.42 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $340.20 | $96.39 – $481.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $340.20 | $70.02 – $510.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $340.20 | $68.04 – $425.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $340.20 | $90.72 – $481.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $340.20 | $109.20 – $510.30 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $340.20 | $175.77 – $510.30 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $340.20 | $113.40 – $510.30 |