Dicyclomine injection 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

$817.94

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.

$817.94

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.

$12.47 with Humana vs $817.94 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 $12.47 ↓ -98%
United AllPayerAppendix $18.69 ↓ -98%
United SmallGroup $18.69 ↓ -98%
United NarrowNetworkIndivExchange $18.69 ↓ -98%
Superior Health Plan STARKids $57.26 ↓ -93%
Superior Health Plan MCDSTAR $57.26 ↓ -93%
Superior Health Plan CHIP $57.26 ↓ -93%
Superior Health Plan STARPLUS $57.26 ↓ -93%
Superior Health Plan STARHealth $57.26 ↓ -93%
Cigna LocalPlus $70.68 ↓ -91%
Cigna NewBusiness $70.75 ↓ -91%
Cigna HMO $78.96 ↓ -90%
Cigna NetworkBenefit $78.96 ↓ -90%
Cigna OpenAccessPlus $78.96 ↓ -90%
BCBS MyBlueHealth $96.88 ↓ -88%
BCBS BlueAdvantageHMO $96.88 ↓ -88%
Cigna AllOther $99.89 ↓ -88%
Aetna QHPHIX $110.42 ↓ -87%
Cigna IFP $110.42 ↓ -87%
Cigna QHP $114.51 ↓ -86%
BCBS BluePremier $114.57 ↓ -86%
BCBS BlueEssentials $141.80 ↓ -83%
BCBS BlueEssentialsAccess $141.80 ↓ -83%
BCBS EPOSOA $148.82 ↓ -82%
BCBS PPO $155.84 ↓ -81%
United OptionsPPO $162.77 ↓ -80%
Aetna NewBusiness $162.77 ↓ -80%
Aetna Meritain $174.22 ↓ -79%
Aetna COMM $174.22 ↓ -79%
Unicare CHIP $196.31 ↓ -76%
Aetna OON $205.30 ↓ -75%
Healthcare Highways CityofPlano $276.46 ↓ -66%
BCBS Traditional $363.17 ↓ -56%
City of McKinney COMM $368.07 ↓ -55%
National ChoiceCare WCOMP $408.97 ↓ -50%
Aetna ASA $431.05 ↓ -47%
Rockport Health Group WORKERSCOMP $449.87 ↓ -45%
PC Texas Partners WCOMP $449.87 ↓ -45%
Physicians Coop of TX MGMCR $449.87 ↓ -45%
Aetna WCOMP $449.87 ↓ -45%
Averde Health, Inc PPO $474.41 ↓ -42%
USC Health Services COMM $490.76 ↓ -40%
Humana COMM $511.99 ↓ -37%
Coastal Comp Health Networks WCOMP $572.56 ↓ -30%
Jostens WCOMP $572.56 ↓ -30%
Mega Life MGMCRPPO $572.56 ↓ -30%
Aetna Coventry First Health COMM $594.64 ↓ -27%
HealthSmart Preferred Care PPO $613.46 ↓ -25%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $613.46 ↓ -25%
USA Managed Care COMM $654.35 ↓ -20%
Galaxy Health Network PPO $695.25 ↓ -15%
National Healthcare Solutions COMM $817.94 ↑ +0%
Independent Medical Systems COMM $817.94 ↑ +0%
Unicare MCD $817.94 ↑ +0%

Visitor-reported prices

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Dicyclomine injection at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $287.82 $108.11 – $108.11
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $229.36 $0.20 – $10.30
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $229.36 $0.15 – $10.30
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $229.36 $0.14 – $10.30
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $229.36 $0.19 – $10.30
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $229.36 $0.23 – $10.30
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $229.36 $0.37 – $10.30
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $229.36 $0.24 – $10.30

All Texas hospitals for this procedure →