Duplex scan unilateral study 93986 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.
$172.79 with BCBS vs $3,245.37 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 →
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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 |
|---|---|---|---|
| BCBS | MyBlueHealth | $172.79 | — |
| BCBS | BlueAdvantageHMO | $172.79 | — |
| BCBS | BluePremier | $179.38 | — |
| Superior Health Plan | CHIP | $227.18 | — |
| Superior Health Plan | MCDSTAR | $227.18 | — |
| Superior Health Plan | STARPLUS | $227.18 | — |
| Superior Health Plan | STARHealth | $227.18 | — |
| Superior Health Plan | STARKids | $227.18 | — |
| Aetna | QHPHIX | $438.12 | — |
| Cigna | IFP | $438.12 | — |
| Cigna | QHP | $454.35 | — |
| Cigna | LocalPlus | $481.12 | — |
| Cigna | NewBusiness | $481.60 | — |
| BCBS | BlueEssentials | $513.09 | — |
| BCBS | BlueEssentialsAccess | $513.09 | — |
| Cigna | NetworkBenefit | $537.38 | — |
| Cigna | HMO | $537.38 | — |
| Cigna | OpenAccessPlus | $537.38 | — |
| BCBS | EPOSOA | $538.15 | — |
| BCBS | PPO | $563.21 | — |
| Aetna | NewBusiness | $645.83 | — |
| United | OptionsPPO | $645.83 | — |
| Oscar | HIX | $675.04 | — |
| Cigna | AllOther | $680.12 | — |
| Aetna | Meritain | $691.26 | — |
| Aetna | COMM | $691.26 | — |
| Unicare | CHIP | $778.89 | — |
| Healthcare Highways | NarrowNetwork | $795.12 | — |
| Aetna | OON | $814.59 | — |
| Evry Health | COMM | $837.31 | — |
| Humana | COMM | $1,005.74 | — |
| Healthcare Highways | CityofPlano | $1,096.94 | — |
| Curative Administrators | COMM | $1,298.15 | — |
| BCBS | Traditional | $1,440.94 | — |
| City of McKinney | COMM | $1,460.42 | — |
| Fidelis SecureCare | MGMCR | $1,460.42 | — |
| National ChoiceCare | WCOMP | $1,622.68 | — |
| Aetna | ASA | $1,710.31 | — |
| PC Texas Partners | WCOMP | $1,784.95 | — |
| Physicians Coop of TX | MGMCR | $1,784.95 | — |
| Rockport Health Group | WORKERSCOMP | $1,784.95 | — |
| Aetna | WCOMP | $1,784.95 | — |
| Averde Health, Inc | PPO | $1,882.31 | — |
| USC Health Services | COMM | $1,947.22 | — |
| Coastal Comp Health Networks | WCOMP | $2,271.76 | — |
| Jostens | WCOMP | $2,271.76 | — |
| Mega Life | MGMCRPPO | $2,271.76 | — |
| Multiplan PHCS | PrimaryNetwork | $2,271.76 | — |
| Aetna Coventry First Health | COMM | $2,359.38 | — |
| HealthSmart Preferred Care | PPO | $2,434.03 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $2,434.03 | — |
| USA Managed Care | COMM | $2,596.30 | — |
| Galaxy Health Network | PPO | $2,758.56 | — |
| Unicare | MCD | $3,245.37 | — |
| Independent Medical Systems | COMM | $3,245.37 | — |
| National Healthcare Solutions | COMM | $3,245.37 | — |
Visitor-reported prices
Comments
Duplex scan unilateral study 93986 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $181.18 | $51.33 – $272.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $134.48 | $27.68 – $1,117.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $134.48 | $26.90 – $1,117.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $181.18 | $48.31 – $1,117.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $134.48 | $43.17 – $1,117.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $134.48 | $69.48 – $272.35 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $134.48 | $44.83 – $272.35 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $181.18 | $48.31 – $272.35 |