Diphtheria-tetanus toxoids 0.5 ml (peds) 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

$854.39

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.

$854.39

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.

$30.31 with United vs $854.39 with Independent Medical Systems — 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
United NarrowNetworkIndivExchange $30.31 ↓ -96%
United SmallGroup $30.31 ↓ -96%
United AllPayerAppendix $30.31 ↓ -96%
Superior Health Plan STARPLUS $59.81 ↓ -93%
Superior Health Plan STARHealth $59.81 ↓ -93%
Superior Health Plan CHIP $59.81 ↓ -93%
Superior Health Plan STARKids $59.81 ↓ -93%
Superior Health Plan MCDSTAR $59.81 ↓ -93%
Cigna IFP $115.34 ↓ -87%
Aetna QHPHIX $115.34 ↓ -87%
Cigna QHP $119.61 ↓ -86%
BCBS BlueAdvantageHMO $129.58 ↓ -85%
BCBS MyBlueHealth $129.58 ↓ -85%
BCBS BluePremier $153.24 ↓ -82%
United OptionsPPO $170.02 ↓ -80%
Aetna NewBusiness $170.02 ↓ -80%
Aetna Meritain $181.99 ↓ -79%
Aetna COMM $181.99 ↓ -79%
BCBS BlueEssentialsAccess $189.68 ↓ -78%
BCBS BlueEssentials $189.68 ↓ -78%
BCBS EPOSOA $199.07 ↓ -77%
Unicare CHIP $205.05 ↓ -76%
BCBS PPO $208.46 ↓ -76%
Aetna OON $214.45 ↓ -75%
Healthcare Highways CityofPlano $288.78 ↓ -66%
BCBS Traditional $379.35 ↓ -56%
City of McKinney COMM $384.48 ↓ -55%
Humana COMM $422.57 ↓ -51%
National ChoiceCare WCOMP $427.19 ↓ -50%
Cigna LocalPlus $447.90 ↓ -48%
Cigna NewBusiness $448.34 ↓ -48%
Aetna ASA $450.26 ↓ -47%
Physicians Coop of TX MGMCR $469.91 ↓ -45%
PC Texas Partners WCOMP $469.91 ↓ -45%
Rockport Health Group WORKERSCOMP $469.91 ↓ -45%
Aetna WCOMP $469.91 ↓ -45%
Averde Health, Inc PPO $495.55 ↓ -42%
Cigna NetworkBenefit $500.38 ↓ -41%
Cigna OpenAccessPlus $500.38 ↓ -41%
Cigna HMO $500.38 ↓ -41%
USC Health Services COMM $512.63 ↓ -40%
Mega Life MGMCRPPO $598.07 ↓ -30%
Jostens WCOMP $598.07 ↓ -30%
Coastal Comp Health Networks WCOMP $598.07 ↓ -30%
Aetna Coventry First Health COMM $621.14 ↓ -27%
Cigna AllOther $633.02 ↓ -26%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $640.79 ↓ -25%
HealthSmart Preferred Care PPO $640.79 ↓ -25%
USA Managed Care COMM $683.51 ↓ -20%
Galaxy Health Network PPO $726.23 ↓ -15%
Unicare MCD $854.39 ↑ +0%
National Healthcare Solutions COMM $854.39 ↑ +0%
Independent Medical Systems COMM $854.39 ↑ +0%

Visitor-reported prices

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Diphtheria-tetanus toxoids 0.5 ml (peds) at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON CONROE CONROE $145.63 $30.31 – $575.34
St. Luke's Health Memorial Lufkin Lufkin $133.96 $80.38 – $803.75
HCA HOUSTON SOUTHEAST PASADENA $521.18 $30.31 – $575.34
Texas Health Presbyterian Hospital Allen Allen $151.14 $49.02 – $49.02
Texas Health Presbyterian Hospital Flower Mound Flower Mound $151.14 $76.92 – $76.92
Texas Health Harris Methodist Hospital Alliance Fort Worth $151.14 $49.02 – $49.02
Texas Health Arlington Memorial Hospital Arlington $151.14 $49.02 – $49.02
Texas Health Presbyterian Hospital Denton Denton $151.14 $49.02 – $49.02

All Texas hospitals for this procedure →