Doppler upper/lower extremity arteries limited bilateral 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.
$45.01 with Superior Health Plan vs $643.01 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 | $45.01 | — |
| Superior Health Plan | STARHealth | $45.01 | — |
| Superior Health Plan | MCDSTAR | $45.01 | — |
| Superior Health Plan | STARPLUS | $45.01 | — |
| Superior Health Plan | STARKids | $45.01 | — |
| Cigna | IFP | $86.81 | — |
| Aetna | QHPHIX | $86.81 | — |
| Cigna | QHP | $90.02 | — |
| Aetna | NewBusiness | $127.96 | — |
| United | OptionsPPO | $127.96 | — |
| Oscar | HIX | $133.75 | — |
| Aetna | Meritain | $136.96 | — |
| Aetna | COMM | $136.96 | — |
| Unicare | CHIP | $154.32 | — |
| Healthcare Highways | NarrowNetwork | $157.54 | — |
| Aetna | OON | $161.40 | — |
| Evry Health | COMM | $165.90 | — |
| Healthcare Highways | CityofPlano | $217.34 | — |
| Curative Administrators | COMM | $257.20 | — |
| BCBS | BluePremier | $257.31 | — |
| Cigna | LocalPlus | $270.66 | — |
| Cigna | NewBusiness | $270.93 | — |
| BCBS | Traditional | $285.50 | — |
| City of McKinney | COMM | $289.35 | — |
| Fidelis SecureCare | MGMCR | $289.35 | — |
| BCBS | MyBlueHealth | $299.83 | — |
| BCBS | BlueAdvantageHMO | $299.83 | — |
| Cigna | OpenAccessPlus | $302.31 | — |
| Cigna | HMO | $302.31 | — |
| Cigna | NetworkBenefit | $302.31 | — |
| National ChoiceCare | WCOMP | $321.50 | — |
| Aetna | ASA | $338.87 | — |
| PC Texas Partners | WCOMP | $353.66 | — |
| Aetna | WCOMP | $353.66 | — |
| Rockport Health Group | WORKERSCOMP | $353.66 | — |
| Physicians Coop of TX | MGMCR | $353.66 | — |
| Averde Health, Inc | PPO | $372.95 | — |
| Cigna | AllOther | $382.61 | — |
| USC Health Services | COMM | $385.81 | — |
| Jostens | WCOMP | $450.11 | — |
| Multiplan PHCS | PrimaryNetwork | $450.11 | — |
| Mega Life | MGMCRPPO | $450.11 | — |
| Coastal Comp Health Networks | WCOMP | $450.11 | — |
| Aetna Coventry First Health | COMM | $467.47 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $482.26 | — |
| HealthSmart Preferred Care | PPO | $482.26 | — |
| USA Managed Care | COMM | $514.41 | — |
| Humana | COMM | $519.00 | — |
| BCBS | BlueEssentialsAccess | $530.98 | — |
| BCBS | BlueEssentials | $530.98 | — |
| Galaxy Health Network | PPO | $546.56 | — |
| BCBS | EPOSOA | $557.14 | — |
| BCBS | PPO | $583.31 | — |
| Independent Medical Systems | COMM | $643.01 | — |
| National Healthcare Solutions | COMM | $643.01 | — |
| Unicare | MCD | $643.01 | — |
Visitor-reported prices
Comments
Doppler upper/lower extremity arteries limited bilateral at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $954.58 | $419.77 – $419.77 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $608.33 | $126.97 – $760.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $539.59 | $111.06 – $1,117.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $547.85 | $109.57 – $1,117.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $608.33 | $126.97 – $1,117.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $539.59 | $126.97 – $1,117.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $539.59 | $278.79 – $809.38 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $547.85 | $126.97 – $821.77 |