Dihydroergotamine 0.05 mg/ml IV syringe - cnr 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

$1,860.94

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.

$1,860.94

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.

$83.18 with Humana vs $1,860.94 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 $83.18 ↓ -96%
United AllPayerAppendix $94.18 ↓ -95%
United SmallGroup $94.18 ↓ -95%
United NarrowNetworkIndivExchange $94.18 ↓ -95%
Superior Health Plan STARPLUS $130.27 ↓ -93%
Superior Health Plan CHIP $130.27 ↓ -93%
Superior Health Plan STARKids $130.27 ↓ -93%
Superior Health Plan MCDSTAR $130.27 ↓ -93%
Superior Health Plan STARHealth $130.27 ↓ -93%
Aetna QHPHIX $251.23 ↓ -86%
Cigna IFP $251.23 ↓ -86%
Cigna QHP $260.53 ↓ -86%
United OptionsPPO $370.33 ↓ -80%
Aetna NewBusiness $370.33 ↓ -80%
Aetna Meritain $396.38 ↓ -79%
Aetna COMM $396.38 ↓ -79%
Unicare CHIP $446.63 ↓ -76%
Aetna OON $467.10 ↓ -75%
Humana COMM $525.58 ↓ -72%
Cigna LocalPlus $587.37 ↓ -68%
Cigna NewBusiness $587.95 ↓ -68%
Healthcare Highways CityofPlano $629.00 ↓ -66%
Cigna OpenAccessPlus $656.19 ↓ -65%
Cigna HMO $656.19 ↓ -65%
Cigna NetworkBenefit $656.19 ↓ -65%
BCBS BlueAdvantageHMO $669.71 ↓ -64%
BCBS MyBlueHealth $669.71 ↓ -64%
BCBS BluePremier $792.01 ↓ -57%
BCBS Traditional $826.26 ↓ -56%
Cigna AllOther $830.14 ↓ -55%
City of McKinney COMM $837.42 ↓ -55%
National ChoiceCare WCOMP $930.47 ↓ -50%
BCBS BlueEssentials $980.31 ↓ -47%
BCBS BlueEssentialsAccess $980.31 ↓ -47%
Aetna ASA $980.72 ↓ -47%
PC Texas Partners WCOMP $1,023.52 ↓ -45%
Aetna WCOMP $1,023.52 ↓ -45%
Rockport Health Group WORKERSCOMP $1,023.52 ↓ -45%
Physicians Coop of TX MGMCR $1,023.52 ↓ -45%
BCBS EPOSOA $1,028.84 ↓ -45%
BCBS PPO $1,077.37 ↓ -42%
Averde Health, Inc PPO $1,079.35 ↓ -42%
USC Health Services COMM $1,116.56 ↓ -40%
Jostens WCOMP $1,302.66 ↓ -30%
Coastal Comp Health Networks WCOMP $1,302.66 ↓ -30%
Mega Life MGMCRPPO $1,302.66 ↓ -30%
Aetna Coventry First Health COMM $1,352.90 ↓ -27%
HealthSmart Preferred Care PPO $1,395.70 ↓ -25%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $1,395.70 ↓ -25%
USA Managed Care COMM $1,488.75 ↓ -20%
Galaxy Health Network PPO $1,581.80 ↓ -15%
Independent Medical Systems COMM $1,860.94 ↑ +0%
National Healthcare Solutions COMM $1,860.94 ↑ +0%
Unicare MCD $1,860.94 ↑ +0%

Visitor-reported prices

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Dihydroergotamine 0.05 mg/ml IV syringe - cnr at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $357.05 $58.66 – $293.29
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $357.05 $42.61 – $310.55
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $357.05 $41.41 – $258.79
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $357.05 $55.21 – $293.29
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $357.05 $60.37 – $310.55
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $357.05 $60.37 – $310.55
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $357.05 $60.37 – $310.55
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $357.05 $55.21 – $293.29

All Texas hospitals for this procedure →