Ductogram sgl duct 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.32 with Superior Health Plan vs $995.08 with BCBS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | STARKids | $0.32 | — |
| Superior Health Plan | STARHealth | $0.32 | — |
| Superior Health Plan | MCDSTAR | $0.32 | — |
| Superior Health Plan | STARPLUS | $0.32 | — |
| Superior Health Plan | CHIP | $0.32 | — |
| Cigna | IFP | $0.62 | — |
| Cigna | QHP | $0.64 | — |
| United | OptionsPPO | $0.92 | — |
| Unicare | CHIP | $1.10 | — |
| Healthcare Highways | NarrowNetwork | $1.13 | — |
| Evry Health | COMM | $1.19 | — |
| Healthcare Highways | CityofPlano | $1.55 | — |
| Curative Administrators | COMM | $1.84 | — |
| BCBS | Traditional | $2.04 | — |
| City of McKinney | COMM | $2.07 | — |
| Fidelis SecureCare | MGMCR | $2.07 | — |
| National ChoiceCare | WCOMP | $2.30 | — |
| Aetna | ASA | $2.42 | — |
| Aetna | WCOMP | $2.53 | — |
| Physicians Coop of TX | MGMCR | $2.53 | — |
| PC Texas Partners | WCOMP | $2.53 | — |
| Rockport Health Group | WORKERSCOMP | $2.53 | — |
| Averde Health, Inc | PPO | $2.67 | — |
| USC Health Services | COMM | $2.76 | — |
| Mega Life | MGMCRPPO | $3.22 | — |
| Multiplan PHCS | PrimaryNetwork | $3.22 | — |
| Coastal Comp Health Networks | WCOMP | $3.22 | — |
| Jostens | WCOMP | $3.22 | — |
| Aetna Coventry First Health | COMM | $3.34 | — |
| HealthSmart Preferred Care | PPO | $3.45 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3.45 | — |
| USA Managed Care | COMM | $3.68 | — |
| Galaxy Health Network | PPO | $3.91 | — |
| National Healthcare Solutions | COMM | $4.60 | — |
| Unicare | MCD | $4.60 | — |
| Independent Medical Systems | COMM | $4.60 | — |
| TEXAS HEALTH NETWORK | MCD | $53.32 | — |
| United | STARPerinate | $54.13 | — |
| United | STARPLUS | $54.13 | — |
| United | STARKids | $54.13 | — |
| United | STAR | $54.13 | — |
| United | CHIP | $54.13 | — |
| Parkland Community Health Plan | MCD | $54.13 | — |
| Amerigroup | MGMCD | $54.13 | — |
| Cook Childrens Health Plan | STAR | $54.13 | — |
| Cook Childrens Health Plan | CHIP | $54.13 | — |
| Amerigroup | CHIP | $54.13 | — |
| Cigna Healthspring | MGMCD | $56.84 | — |
| Aetna Better Health | MCD | $58.46 | — |
| Aetna Better Health | CHIP | $58.46 | — |
| Molina | STARKIDS | $59.54 | — |
| Molina | CHIP | $59.54 | — |
| Molina | STAR+PLUS | $59.54 | — |
| Molina | MCDSTAR | $59.54 | — |
| Aetna | QHPHIX | $60.60 | — |
| Humana | MGMCD | $67.66 | — |
| Aetna | NewBusiness | $83.08 | — |
| Aetna | Meritain | $89.00 | — |
| Aetna | COMM | $89.00 | — |
| Aetna | OON | $104.38 | — |
| Cigna | LocalPlus | $140.51 | — |
| Cigna | NewBusiness | $140.65 | — |
| Cigna | OpenAccessPlus | $156.93 | — |
| Cigna | NetworkBenefit | $156.93 | — |
| Cigna | HMO | $156.93 | — |
| Humana | COMM | $162.18 | — |
| Cigna | AllOther | $198.62 | — |
| BCBS | MyBlueHealth | $305.28 | — |
| BCBS | BlueAdvantageHMO | $305.28 | — |
| United | SmallGroup | $313.62 | — |
| United | NarrowNetworkIndivExchange | $313.62 | — |
| BCBS | BluePremier | $316.93 | — |
| United | AllPayerAppendix | $517.79 | — |
| BCBS | BlueEssentials | $906.53 | — |
| BCBS | BlueEssentialsAccess | $906.53 | — |
| BCBS | EPOSOA | $950.80 | — |
| BCBS | PPO | $995.08 | — |
Visitor-reported prices
Comments
Ductogram sgl duct at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $295.75 | $54.13 – $607.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $346.42 | $71.30 – $607.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $346.42 | $54.13 – $607.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $295.75 | $54.13 – $607.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $346.42 | $57.92 – $607.02 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $346.42 | $54.13 – $607.02 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $346.42 | $54.13 – $607.02 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $295.75 | $54.13 – $607.02 |