Diphtheria-tetanus toxoids 0.5 ml (peds) at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$854.39
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.
$854.39
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.
$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 →
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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 |
|---|---|---|---|
| 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
Comments
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 |