Edetate calcium disodium inj 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.

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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.

$6,266.23 with Humana vs $55,199.48 with Cigna — 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
Humana Tricare $6,266.23
United AllPayerAppendix $10,245.97
United NarrowNetworkIndivExchange $10,245.97
United SmallGroup $10,245.97
BCBS MyBlueHealth $12,842.38
BCBS BlueAdvantageHMO $12,842.38
BCBS BluePremier $15,187.51
BCBS BlueEssentialsAccess $18,798.27
BCBS BlueEssentials $18,798.27
BCBS EPOSOA $19,728.88
BCBS PPO $20,659.49
Cigna LocalPlus $39,056.60
Cigna NewBusiness $39,095.33
Humana COMM $40,020.80
Cigna OpenAccessPlus $43,632.89
Cigna HMO $43,632.89
Cigna NetworkBenefit $43,632.89
Cigna AllOther $55,199.48

Visitor-reported prices

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Edetate calcium disodium inj at other Texas hospitals

Hospital City Cash price Negotiated range
MEDICAL CITY FORT WORTH HOSPITAL FT WORTH $49,651.51 $6,266.23 – $39,056.60
Adventhealth Rollins Brook Lampasas not published $14,331.36 – $14,331.36
CHRISTUS Children's Hospital San Antonio not published $15,160.88 – $15,160.88
HCA HOUSTON CLEAR LAKE FRIENDSWOOD not published $6,460.03 – $54,489.65
HCA HOUSTON MEDICAL CENTER Houston not published $6,460.03 – $54,489.65
Covenant Children's Hospital Lubbock not published $13,921.89 – $24,519.50
HCA HOUSTON CONROE CONROE not published $6,209.68 – $54,489.65
HCA HOUSTON KINGWOOD HUMBLE not published $6,209.68 – $54,489.65

All Texas hospitals for this procedure →