Diffusing capacity at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$2,296.76
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.
$2,296.76
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.
$110.57 with BCBS vs $2,296.76 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 |
|---|---|---|---|
| BCBS | BluePremier | $110.57 | ↓ -95% |
| BCBS | MyBlueHealth | $128.84 | ↓ -94% |
| BCBS | BlueAdvantageHMO | $128.84 | ↓ -94% |
| Superior Health Plan | STARPLUS | $160.77 | ↓ -93% |
| Superior Health Plan | STARHealth | $160.77 | ↓ -93% |
| Superior Health Plan | CHIP | $160.77 | ↓ -93% |
| Superior Health Plan | STARKids | $160.77 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $160.77 | ↓ -93% |
| BCBS | BlueEssentials | $228.16 | ↓ -90% |
| BCBS | BlueEssentialsAccess | $228.16 | ↓ -90% |
| BCBS | EPOSOA | $239.40 | ↓ -90% |
| BCBS | PPO | $250.65 | ↓ -89% |
| Cigna | IFP | $310.06 | ↓ -87% |
| Aetna | QHPHIX | $310.06 | ↓ -87% |
| Humana | COMM | $311.26 | ↓ -86% |
| Cigna | QHP | $321.55 | ↓ -86% |
| Imperial Insurance Company | MCR | $436.38 | ↓ -81% |
| Aetna | NewBusiness | $457.06 | ↓ -80% |
| United | OptionsPPO | $457.06 | ↓ -80% |
| Oscar | HIX | $477.73 | ↓ -79% |
| Aetna | COMM | $489.21 | ↓ -79% |
| Aetna | Meritain | $489.21 | ↓ -79% |
| Unicare | CHIP | $551.22 | ↓ -76% |
| Aetna | OON | $576.49 | ↓ -75% |
| Healthcare Highways | CityofPlano | $776.30 | ↓ -66% |
| BCBS | Traditional | $1,019.76 | ↓ -56% |
| City of McKinney | COMM | $1,033.54 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $1,033.54 | ↓ -55% |
| National ChoiceCare | WCOMP | $1,148.38 | ↓ -50% |
| Aetna | ASA | $1,210.39 | ↓ -47% |
| PC Texas Partners | WCOMP | $1,263.22 | ↓ -45% |
| Aetna | WCOMP | $1,263.22 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $1,263.22 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $1,263.22 | ↓ -45% |
| Averde Health, Inc | PPO | $1,332.12 | ↓ -42% |
| USC Health Services | COMM | $1,378.06 | ↓ -40% |
| Multiplan PHCS | PrimaryNetwork | $1,607.73 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $1,607.73 | ↓ -30% |
| Jostens | WCOMP | $1,607.73 | ↓ -30% |
| Mega Life | MGMCRPPO | $1,607.73 | ↓ -30% |
| Aetna Coventry First Health | COMM | $1,669.74 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,722.57 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $1,722.57 | ↓ -25% |
| USA Managed Care | COMM | $1,837.41 | ↓ -20% |
| Galaxy Health Network | PPO | $1,952.25 | ↓ -15% |
| Independent Medical Systems | COMM | $2,296.76 | ↑ +0% |
| National Healthcare Solutions | COMM | $2,296.76 | ↑ +0% |
| Unicare | MCD | $2,296.76 | ↑ +0% |
Visitor-reported prices
Comments
Diffusing capacity at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $395.37 | $112.02 – $560.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $434.72 | $89.48 – $652.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $478.63 | $95.73 – $598.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $395.37 | $105.43 – $560.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $434.72 | $139.55 – $652.09 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $434.72 | $224.61 – $652.09 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $478.63 | $141.49 – $717.95 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $395.37 | $105.43 – $560.11 |