Electrophysiology evaluation at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$8,827.32
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.
$8,827.32
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.
$267.76 with Humana vs $43,890.00 with Curative Administrators — 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 |
|---|---|---|---|
| Humana | COMM | $267.76 | ↓ -97% |
| BCBS | BluePremier | $288.32 | ↓ -97% |
| BCBS | MyBlueHealth | $335.97 | ↓ -96% |
| BCBS | BlueAdvantageHMO | $335.97 | ↓ -96% |
| BCBS | BlueEssentials | $594.97 | ↓ -93% |
| BCBS | BlueEssentialsAccess | $594.97 | ↓ -93% |
| BCBS | EPOSOA | $624.29 | ↓ -93% |
| BCBS | PPO | $653.61 | ↓ -93% |
| Cigna | IFP | $1,191.69 | ↓ -86% |
| Aetna | QHPHIX | $1,191.69 | ↓ -86% |
| Cigna | QHP | $1,235.82 | ↓ -86% |
| Imperial Insurance Company | MCR | $1,677.19 | ↓ -81% |
| United | OptionsPPO | $1,756.64 | ↓ -80% |
| Aetna | NewBusiness | $1,756.64 | ↓ -80% |
| Aetna | COMM | $1,880.22 | ↓ -79% |
| Aetna | Meritain | $1,880.22 | ↓ -79% |
| Unicare | CHIP | $2,118.56 | ↓ -76% |
| Aetna | OON | $2,215.66 | ↓ -75% |
| Cigna | LocalPlus | $2,330.41 | ↓ -74% |
| Cigna | NewBusiness | $2,330.41 | ↓ -74% |
| Cigna | HMO | $2,604.06 | ↓ -70% |
| Cigna | OpenAccessPlus | $2,604.06 | ↓ -70% |
| Cigna | NetworkBenefit | $2,604.06 | ↓ -70% |
| Healthcare Highways | CityofPlano | $2,983.63 | ↓ -66% |
| Cigna | AllOther | $3,292.59 | ↓ -63% |
| BCBS | Traditional | $3,919.33 | ↓ -56% |
| City of McKinney | COMM | $3,972.29 | ↓ -55% |
| National ChoiceCare | WCOMP | $4,413.66 | ↓ -50% |
| Aetna | ASA | $4,652.00 | ↓ -47% |
| PC Texas Partners | WCOMP | $4,855.03 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $4,855.03 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $4,855.03 | ↓ -45% |
| Aetna | WCOMP | $4,855.03 | ↓ -45% |
| Averde Health, Inc | PPO | $5,119.85 | ↓ -42% |
| USC Health Services | COMM | $5,296.39 | ↓ -40% |
| Superior Health Plan | CHIP | $5,591.00 | ↓ -37% |
| Superior Health Plan | STARKids | $5,591.00 | ↓ -37% |
| Superior Health Plan | STARPLUS | $5,591.00 | ↓ -37% |
| Superior Health Plan | MCDSTAR | $5,591.00 | ↓ -37% |
| Superior Health Plan | STARHealth | $5,591.00 | ↓ -37% |
| Jostens | WCOMP | $6,179.12 | ↓ -30% |
| Mega Life | MGMCRPPO | $6,179.12 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $6,179.12 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $6,179.12 | ↓ -30% |
| Aetna Coventry First Health | COMM | $6,417.46 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $6,620.49 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $6,620.49 | ↓ -25% |
| USA Managed Care | COMM | $7,061.86 | ↓ -20% |
| Galaxy Health Network | PPO | $7,503.22 | ↓ -15% |
| Fidelis SecureCare | MGMCR | $8,300.00 | ↓ -6% |
| Unicare | MCD | $8,827.32 | ↑ +0% |
| National Healthcare Solutions | COMM | $8,827.32 | ↑ +0% |
| Independent Medical Systems | COMM | $8,827.32 | ↑ +0% |
| United | SmallGroup | $24,059.00 | ↑ +173% |
| United | NarrowNetworkIndivExchange | $25,253.00 | ↑ +186% |
| Healthcare Highways | NarrowNetwork | $26,766.00 | ↑ +203% |
| Oscar | HIX | $29,429.00 | ↑ +233% |
| Evry Health | COMM | $29,597.00 | ↑ +235% |
| United | AllPayerAppendix | $33,939.00 | ↑ +284% |
| Curative Administrators | COMM | $43,890.00 | ↑ +397% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $8,605.71 | $375.06 – $12,191.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $10,157.17 | $368.95 – $15,235.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $11,304.10 | $368.95 – $14,130.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $8,605.71 | $285.88 – $12,191.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $10,157.17 | $450.81 – $15,235.75 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $10,157.17 | $5,247.87 – $15,235.75 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $11,304.10 | $368.95 – $16,956.14 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $8,605.71 | $375.06 – $12,191.42 |