Dup scan/ue art/graft/bilat/comp 93930 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

not published by hospital

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.

not published by hospital

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.

$193.20 with TEXAS HEALTH NETWORK vs $6,993.89 with National Healthcare Solutions — 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
TEXAS HEALTH NETWORK MCD $193.20
United STARPerinate $196.14
Parkland Community Health Plan MCD $196.14
Cook Childrens Health Plan STAR $196.14
Cook Childrens Health Plan CHIP $196.14
United STARPLUS $196.14
Amerigroup MGMCD $196.14
Amerigroup CHIP $196.14
United STARKids $196.14
United CHIP $196.14
United STAR $196.14
Cigna Healthspring MGMCD $205.95
Aetna Better Health CHIP $211.83
Aetna Better Health MCD $211.83
Molina STAR+PLUS $215.75
Molina MCDSTAR $215.75
Molina STARKIDS $215.75
Molina CHIP $215.75
Humana MGMCD $245.17
BCBS BluePremier $398.89
BCBS BlueAdvantageHMO $464.81
BCBS MyBlueHealth $464.81
Superior Health Plan STARKids $489.57
Superior Health Plan STARHealth $489.57
Superior Health Plan CHIP $489.57
Superior Health Plan MCDSTAR $489.57
Superior Health Plan STARPLUS $489.57
Cigna LocalPlus $612.32
Cigna NewBusiness $612.93
Cigna NetworkBenefit $683.92
Cigna HMO $683.92
Cigna OpenAccessPlus $683.92
BCBS BlueEssentials $823.13
BCBS BlueEssentialsAccess $823.13
BCBS EPOSOA $863.69
Cigna AllOther $865.58
BCBS PPO $904.26
Aetna QHPHIX $944.18
Cigna IFP $944.18
Cigna QHP $979.14
Humana COMM $1,166.05
United OptionsPPO $1,391.78
Aetna NewBusiness $1,391.78
Oscar HIX $1,454.73
Aetna Meritain $1,489.70
Aetna COMM $1,489.70
Unicare CHIP $1,678.53
Healthcare Highways NarrowNetwork $1,713.50
Aetna OON $1,755.47
Evry Health COMM $1,804.42
Healthcare Highways CityofPlano $2,363.93
Curative Administrators COMM $2,797.56
BCBS Traditional $3,105.29
Fidelis SecureCare MGMCR $3,147.25
City of McKinney COMM $3,147.25
National ChoiceCare WCOMP $3,496.95
Aetna ASA $3,685.78
PC Texas Partners WCOMP $3,846.64
Aetna WCOMP $3,846.64
Rockport Health Group WORKERSCOMP $3,846.64
Physicians Coop of TX MGMCR $3,846.64
Averde Health, Inc PPO $4,056.46
USC Health Services COMM $4,196.33
Multiplan PHCS PrimaryNetwork $4,895.72
Coastal Comp Health Networks WCOMP $4,895.72
Jostens WCOMP $4,895.72
Mega Life MGMCRPPO $4,895.72
Aetna Coventry First Health COMM $5,084.56
HealthSmart Preferred Care PPO $5,245.42
LEWISVILLE ISD/DLS CONSULTING COMMPPO $5,245.42
USA Managed Care COMM $5,595.11
Galaxy Health Network PPO $5,944.81
Unicare MCD $6,993.89
Independent Medical Systems COMM $6,993.89
National Healthcare Solutions COMM $6,993.89

Visitor-reported prices

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Dup scan/ue art/graft/bilat/comp 93930 at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $2,124.64 $650.73 – $650.73
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $1,005.61 $197.14 – $1,257.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $904.78 $186.23 – $1,357.17
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $838.98 $197.14 – $1,117.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $1,005.61 $197.14 – $1,257.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $904.78 $210.94 – $1,357.17
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $904.78 $197.14 – $1,357.17
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $838.98 $197.14 – $1,258.47

All Texas hospitals for this procedure →