Doppler intravascular pressure flow initial vessel at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
not published by hospital
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.
not published by hospital
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.
$504.09 with Superior Health Plan vs $7,201.34 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $504.09 | — |
| Superior Health Plan | STARHealth | $504.09 | — |
| Superior Health Plan | MCDSTAR | $504.09 | — |
| Superior Health Plan | STARPLUS | $504.09 | — |
| Superior Health Plan | STARKids | $504.09 | — |
| Cigna | IFP | $972.18 | — |
| Aetna | QHPHIX | $972.18 | — |
| Cigna | QHP | $1,008.19 | — |
| Imperial Insurance Company | MCR | $1,368.25 | — |
| Humana | COMM | $1,427.31 | — |
| United | OptionsPPO | $1,433.07 | — |
| Aetna | NewBusiness | $1,433.07 | — |
| United | SmallGroup | $1,454.00 | — |
| Aetna | Meritain | $1,533.89 | — |
| Aetna | COMM | $1,533.89 | — |
| Curative Administrators | COMM | $1,672.00 | — |
| Unicare | CHIP | $1,728.32 | — |
| United | NarrowNetworkIndivExchange | $1,743.00 | — |
| Healthcare Highways | NarrowNetwork | $1,764.33 | — |
| BCBS | BlueAdvantageHMO | $1,778.73 | — |
| BCBS | MyBlueHealth | $1,778.73 | — |
| Aetna | OON | $1,807.54 | — |
| Evry Health | COMM | $1,857.95 | — |
| BCBS | BluePremier | $2,102.79 | — |
| United | AllPayerAppendix | $2,174.00 | — |
| BCBS | BlueEssentialsAccess | $2,297.23 | — |
| BCBS | BlueEssentials | $2,297.23 | — |
| BCBS | EPOSOA | $2,412.45 | — |
| Healthcare Highways | CityofPlano | $2,434.05 | — |
| BCBS | PPO | $2,520.47 | — |
| Oscar | HIX | $2,636.00 | — |
| BCBS | Traditional | $3,197.39 | — |
| Fidelis SecureCare | MGMCR | $3,240.60 | — |
| City of McKinney | COMM | $3,240.60 | — |
| National ChoiceCare | WCOMP | $3,600.67 | — |
| Aetna | ASA | $3,795.11 | — |
| Physicians Coop of TX | MGMCR | $3,960.74 | — |
| Aetna | WCOMP | $3,960.74 | — |
| Rockport Health Group | WORKERSCOMP | $3,960.74 | — |
| PC Texas Partners | WCOMP | $3,960.74 | — |
| Averde Health, Inc | PPO | $4,176.78 | — |
| USC Health Services | COMM | $4,320.80 | — |
| Multiplan PHCS | PrimaryNetwork | $5,040.94 | — |
| Coastal Comp Health Networks | WCOMP | $5,040.94 | — |
| Jostens | WCOMP | $5,040.94 | — |
| Mega Life | MGMCRPPO | $5,040.94 | — |
| Aetna Coventry First Health | COMM | $5,235.37 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $5,401.01 | — |
| HealthSmart Preferred Care | PPO | $5,401.01 | — |
| USA Managed Care | COMM | $5,761.07 | — |
| Galaxy Health Network | PPO | $6,121.14 | — |
| Independent Medical Systems | COMM | $7,201.34 | — |
| National Healthcare Solutions | COMM | $7,201.34 | — |
| Unicare | MCD | $7,201.34 | — |
Visitor-reported prices
Comments
Doppler intravascular pressure flow initial vessel at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,563.60 | $1,009.69 – $5,048.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,026.62 | $622.98 – $4,539.92 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,725.18 | $745.04 – $4,656.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,563.60 | $950.29 – $5,048.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,026.62 | $971.54 – $4,539.92 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,026.62 | $1,563.75 – $4,539.92 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,725.18 | $1,241.73 – $5,587.77 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $3,563.60 | $950.29 – $5,048.44 |