Egd balloon dil esoph30 mm/> 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

$3,899.52

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.

$3,899.52

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.

$272.97 with Superior Health Plan vs $13,485.00 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
Superior Health Plan CHIP $272.97 ↓ -93%
Superior Health Plan STARHealth $272.97 ↓ -93%
Superior Health Plan MCDSTAR $272.97 ↓ -93%
Superior Health Plan STARPLUS $272.97 ↓ -93%
Superior Health Plan STARKids $272.97 ↓ -93%
Cigna IFP $526.44 ↓ -86%
Cigna QHP $545.93 ↓ -86%
TEXAS HEALTH NETWORK MCD $556.50 ↓ -86%
Cook Childrens Health Plan CHIP $564.97 ↓ -86%
Parkland Community Health Plan MCD $564.97 ↓ -86%
United STARPLUS $564.97 ↓ -86%
United STARKids $564.97 ↓ -86%
Cook Childrens Health Plan STAR $564.97 ↓ -86%
United STARPerinate $564.97 ↓ -86%
United CHIP $564.97 ↓ -86%
United STAR $564.97 ↓ -86%
Amerigroup MGMCD $593.22 ↓ -85%
Amerigroup CHIP $593.22 ↓ -85%
Cigna Healthspring MGMCD $593.22 ↓ -85%
Molina STARKIDS $621.47 ↓ -84%
Molina CHIP $621.47 ↓ -84%
Molina STAR+PLUS $621.47 ↓ -84%
Molina MCDSTAR $621.47 ↓ -84%
Aetna Better Health MCD $677.96 ↓ -83%
Aetna Better Health CHIP $677.96 ↓ -83%
Humana MGMCD $706.21 ↓ -82%
United OptionsPPO $776.00 ↓ -80%
Unicare CHIP $935.88 ↓ -76%
Healthcare Highways CityofPlano $1,318.04 ↓ -66%
BCBS Traditional $1,731.39 ↓ -56%
City of McKinney COMM $1,754.78 ↓ -55%
BCBS BluePremier $1,931.18 ↓ -50%
WellMed MGMCR $1,937.29 ↓ -50%
National ChoiceCare WCOMP $1,949.76 ↓ -50%
Fidelis SecureCare MGMCR $1,995.00 ↓ -49%
United SmallGroup $2,011.00 ↓ -48%
Aetna ASA $2,055.05 ↓ -47%
Healthcare Highways NarrowNetwork $2,129.00 ↓ -45%
PC Texas Partners WCOMP $2,144.74 ↓ -45%
Aetna WCOMP $2,144.74 ↓ -45%
Rockport Health Group WORKERSCOMP $2,144.74 ↓ -45%
Physicians Coop of TX MGMCR $2,144.74 ↓ -45%
Averde Health, Inc PPO $2,261.72 ↓ -42%
United NarrowNetworkIndivExchange $2,329.00 ↓ -40%
USC Health Services COMM $2,339.71 ↓ -40%
Evry Health COMM $2,356.00 ↓ -40%
Aetna QHPHIX $2,513.00 ↓ -36%
Curative Administrators COMM $2,613.00 ↓ -33%
Coastal Comp Health Networks WCOMP $2,729.66 ↓ -30%
Mega Life MGMCRPPO $2,729.66 ↓ -30%
Multiplan PHCS PrimaryNetwork $2,729.66 ↓ -30%
Jostens WCOMP $2,729.66 ↓ -30%
Aetna Coventry First Health COMM $2,834.95 ↓ -27%
HealthSmart Preferred Care PPO $2,924.64 ↓ -25%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $2,924.64 ↓ -25%
USA Managed Care COMM $3,119.62 ↓ -20%
United AllPayerAppendix $3,150.00 ↓ -19%
Galaxy Health Network PPO $3,314.59 ↓ -15%
BCBS MyBlueHealth $3,426.28 ↓ -12%
BCBS BlueAdvantageHMO $3,426.28 ↓ -12%
Aetna NewBusiness $3,445.00 ↓ -12%
BCBS BlueEssentialsAccess $3,659.89 ↓ -6%
BCBS BlueEssentials $3,659.89 ↓ -6%
Aetna Meritain $3,682.00 ↓ -6%
Aetna COMM $3,682.00 ↓ -6%
BCBS EPOSOA $3,846.78 ↓ -1%
Independent Medical Systems COMM $3,899.52 ↑ +0%
National Healthcare Solutions COMM $3,899.52 ↑ +0%
Unicare MCD $3,899.52 ↑ +0%
BCBS PPO $4,018.09 ↑ +3%
Aetna OON $4,332.00 ↑ +11%
Oscar HIX $4,723.00 ↑ +21%
Humana COMM $7,113.00 ↑ +82%
Cigna LocalPlus $9,541.00 ↑ +145%
Cigna NewBusiness $9,551.00 ↑ +145%
Cigna NetworkBenefit $10,660.00 ↑ +173%
Cigna HMO $10,660.00 ↑ +173%
Cigna OpenAccessPlus $10,660.00 ↑ +173%
Cigna AllOther $13,485.00 ↑ +246%

Visitor-reported prices

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Egd balloon dil esoph30 mm/> at other Texas hospitals

Hospital City Cash price Negotiated range
St. Luke's Health - Patients Medical Center Pasadena $383.67 $657.72 – $822.15
Texas Health Presbyterian Hospital Allen Allen $1,138.20 $564.97 – $610.17
Texas Health Harris Methodist Hospital Alliance Fort Worth $1,138.20 $564.97 – $621.47
Texas Health Arlington Memorial Hospital Arlington $1,138.20 $564.97 – $621.47
Texas Health Presbyterian Hospital Denton Denton $1,138.20 $564.97 – $621.47
Texas Health Presbyterian Hospital Plano Plano $1,138.20 $564.97 – $610.17
Texas Health Hospital Rockwall Rockwall $1,138.20 $564.97 – $610.17
Texas Health Harris Methodist Hospital Azle Azle $1,138.20 $564.97 – $621.47

All Texas hospitals for this procedure →