Diagnostic Mammogram (one breast) 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.
$77.97 with Humana vs $1,216.18 with National Healthcare Solutions — 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 | $77.97 | — |
| BCBS | MCRPPO | $80.39 | — |
| BCBS | MGMCRHMO | $80.39 | — |
| WellMed | MGMCR | $81.35 | — |
| Devoted Health | MME | $81.76 | — |
| TriWest Health Alliance | FEDERAL | $81.76 | — |
| Mutual of Omaha | MGMCR | $81.76 | — |
| Humana | MGMCR | $81.76 | — |
| Devoted Health | SNP | $81.76 | — |
| Amerigroup | DualEligible | $81.76 | — |
| Devoted Health | HMO | $81.76 | — |
| Devoted Health | PPO | $81.76 | — |
| Devoted Health | POS | $81.76 | — |
| Devoted Health | MCR | $81.76 | — |
| United | MGMCR | $82.17 | — |
| Aetna | MCR | $82.45 | — |
| Care N Care | MGMCR | $82.58 | — |
| Cigna Healthspring | MGMCR | $83.40 | — |
| Integranet | MGMCR | $84.21 | — |
| WellCare | MGMCR | $84.21 | — |
| Superior Health Plan | MCDSTAR | $85.13 | — |
| Superior Health Plan | STARKids | $85.13 | — |
| Superior Health Plan | STARPLUS | $85.13 | — |
| Superior Health Plan | STARHealth | $85.13 | — |
| Superior Health Plan | CHIP | $85.13 | — |
| Superior Health Plan | MGMCRSNP | $85.85 | — |
| Superior Health Plan | MGMCRPOS | $85.85 | — |
| Superior Health Plan | MGMCRHMO | $85.85 | — |
| Superior Health Plan | MGMCRPPO | $85.85 | — |
| Superior Health Plan | MGMCRDualEligible | $85.85 | — |
| Superior Health Plan | MGMCRPFFS | $85.85 | — |
| American Health Plan of Texas, Inc. | MGMCR | $85.85 | — |
| ProCare Advantge | MCR | $85.85 | — |
| Provider Partners Health Plan | MCR | $86.67 | — |
| Texas Independent Health Plan | MGMCR | $86.67 | — |
| Molina | MCR | $89.12 | — |
| Molina | MMP | $89.12 | — |
| Molina | MME | $89.12 | — |
| Imperial Insurance Company | MCR | $89.94 | — |
| Universal Healthcare Group | MCR | $98.11 | — |
| Verda Health Plan | MGMCR | $106.29 | — |
| Bravo Health | MCRPFFS | $122.64 | — |
| Bravo Health | MCRHMO | $122.64 | — |
| Bravo Health | MCRPOS | $122.64 | — |
| Bravo Health | MCRPPO | $122.64 | — |
| Bravo Health | MCRSNP | $122.64 | — |
| BCBS | MyBlueHealth | $123.22 | — |
| BCBS | BlueAdvantageHMO | $123.22 | — |
| BCBS | BluePremier | $127.92 | — |
| United | SmallGroup | $129.76 | — |
| United | NarrowNetworkIndivExchange | $129.76 | — |
| Superior | ValueHMO | $146.35 | — |
| Aetna | QHPHIX | $147.38 | — |
| USA Managed Care | WORKERSCOMP | $155.34 | — |
| Corvel Corporation | WORKERSCOMP | $161.88 | — |
| Cigna | IFP | $164.18 | — |
| Cigna | QHP | $170.27 | — |
| Superior | EPO | $183.14 | — |
| Superior | HMO | $183.14 | — |
| Aetna | NewBusiness | $202.07 | — |
| United | AllPayerAppendix | $205.70 | — |
| Molina Healthcare | HIX | $214.21 | — |
| Aetna | COMM | $216.46 | — |
| Aetna | Meritain | $216.46 | — |
| United | OptionsPPO | $242.02 | — |
| Aetna | OON | $253.88 | — |
| Unicare | CHIP | $291.88 | — |
| Healthcare Highways | NarrowNetwork | $297.96 | — |
| Evry Health | COMM | $313.77 | — |
| BCBS | BlueEssentials | $365.89 | — |
| BCBS | BlueEssentialsAccess | $365.89 | — |
| Humana | COMM | $376.89 | — |
| BCBS | EPOSOA | $383.76 | — |
| BCBS | PPO | $401.64 | — |
| Healthcare Highways | CityofPlano | $411.07 | — |
| Curative Administrators | COMM | $486.47 | — |
| BCBS | Traditional | $539.98 | — |
| Fidelis SecureCare | MGMCR | $547.28 | — |
| City of McKinney | COMM | $547.28 | — |
| National ChoiceCare | WCOMP | $608.09 | — |
| Aetna | ASA | $640.93 | — |
| Physicians Coop of TX | MGMCR | $668.90 | — |
| PC Texas Partners | WCOMP | $668.90 | — |
| Aetna | WCOMP | $668.90 | — |
| Rockport Health Group | WORKERSCOMP | $668.90 | — |
| Averde Health, Inc | PPO | $705.38 | — |
| USC Health Services | COMM | $729.71 | — |
| Multiplan PHCS | PrimaryNetwork | $851.33 | — |
| Coastal Comp Health Networks | WCOMP | $851.33 | — |
| Jostens | WCOMP | $851.33 | — |
| Mega Life | MGMCRPPO | $851.33 | — |
| Aetna Coventry First Health | COMM | $884.16 | — |
| HealthSmart Preferred Care | PPO | $912.13 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $912.13 | — |
| USA Managed Care | COMM | $972.94 | — |
| Galaxy Health Network | PPO | $1,033.75 | — |
| Independent Medical Systems | COMM | $1,216.18 | — |
| Unicare | MCD | $1,216.18 | — |
| National Healthcare Solutions | COMM | $1,216.18 | — |
Visitor-reported prices
Comments
Diagnostic Mammogram (one breast) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $272.16 | $77.11 – $385.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $272.16 | $56.02 – $408.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $272.16 | $54.43 – $340.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $272.16 | $72.58 – $385.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $272.16 | $87.36 – $408.24 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $272.16 | $140.62 – $408.24 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $272.16 | $90.72 – $408.24 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $272.16 | $72.58 – $385.56 |