Epoetin alfa, 100 units esrd at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$83.15
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.
$83.15
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.
$0.69 with Humana vs $83.15 with Unicare — 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 |
|---|---|---|---|
| Humana | Tricare | $0.69 | ↓ -99% |
| United | AllPayerAppendix | $1.27 | ↓ -98% |
| United | SmallGroup | $1.27 | ↓ -98% |
| United | NarrowNetworkIndivExchange | $1.27 | ↓ -98% |
| Cigna | NewBusiness | $4.66 | ↓ -94% |
| Cigna | LocalPlus | $4.66 | ↓ -94% |
| Cigna | OpenAccessPlus | $5.21 | ↓ -94% |
| Cigna | NetworkBenefit | $5.21 | ↓ -94% |
| Cigna | HMO | $5.21 | ↓ -94% |
| BCBS | MyBlueHealth | $5.52 | ↓ -93% |
| BCBS | BlueAdvantageHMO | $5.52 | ↓ -93% |
| Superior Health Plan | STARKids | $5.82 | ↓ -93% |
| Superior Health Plan | STARPLUS | $5.82 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $5.82 | ↓ -93% |
| Superior Health Plan | STARHealth | $5.82 | ↓ -93% |
| Superior Health Plan | CHIP | $5.82 | ↓ -93% |
| BCBS | BluePremier | $6.53 | ↓ -92% |
| Cigna | AllOther | $6.59 | ↓ -92% |
| BCBS | BlueEssentials | $8.08 | ↓ -90% |
| BCBS | BlueEssentialsAccess | $8.08 | ↓ -90% |
| BCBS | EPOSOA | $8.48 | ↓ -90% |
| Humana | COMM | $8.80 | ↓ -89% |
| BCBS | PPO | $8.88 | ↓ -89% |
| Aetna | QHPHIX | $11.23 | ↓ -86% |
| Cigna | IFP | $11.23 | ↓ -86% |
| Cigna | QHP | $11.64 | ↓ -86% |
| Imperial Insurance Company | MCR | $15.80 | ↓ -81% |
| Aetna | NewBusiness | $16.55 | ↓ -80% |
| United | OptionsPPO | $16.55 | ↓ -80% |
| Oscar | HIX | $17.30 | ↓ -79% |
| Aetna | Meritain | $17.71 | ↓ -79% |
| Aetna | COMM | $17.71 | ↓ -79% |
| Unicare | CHIP | $19.96 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $20.37 | ↓ -76% |
| Aetna | OON | $20.87 | ↓ -75% |
| Evry Health | COMM | $21.45 | ↓ -74% |
| Healthcare Highways | CityofPlano | $28.10 | ↓ -66% |
| Curative Administrators | COMM | $33.26 | ↓ -60% |
| BCBS | Traditional | $36.92 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $37.42 | ↓ -55% |
| City of McKinney | COMM | $37.42 | ↓ -55% |
| National ChoiceCare | WCOMP | $41.58 | ↓ -50% |
| Rockport Health Group | WORKERSCOMP | $45.73 | ↓ -45% |
| Aetna | WCOMP | $45.73 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $45.73 | ↓ -45% |
| PC Texas Partners | WCOMP | $45.73 | ↓ -45% |
| Averde Health, Inc | PPO | $48.23 | ↓ -42% |
| USC Health Services | COMM | $49.89 | ↓ -40% |
| Jostens | WCOMP | $58.20 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $58.20 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $58.20 | ↓ -30% |
| Mega Life | MGMCRPPO | $58.20 | ↓ -30% |
| Aetna Coventry First Health | COMM | $60.45 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $62.36 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $62.36 | ↓ -25% |
| USA Managed Care | COMM | $66.52 | ↓ -20% |
| Galaxy Health Network | PPO | $70.68 | ↓ -15% |
| Independent Medical Systems | COMM | $83.15 | ↑ +0% |
| National Healthcare Solutions | COMM | $83.15 | ↑ +0% |
| Unicare | MCD | $83.15 | ↑ +0% |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
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Epoetin alfa, 100 units esrd at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $41.32 | $0.65 – $101.58 |
| St. Joseph Health College Station Hospital | College Station | $41.32 | $0.65 – $95.94 |
| St. Joseph Health Grimes Hospital | Navasota | $41.32 | $0.65 – $125.28 |
| St. Joseph Health Burleson Hospital | Caldwell | $41.32 | $0.65 – $101.58 |
| Ascension Seton Cedar Park Hospital | Cedar Park | $2.15 | $1.17 – $5.50 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $2.43 | $1.17 – $6.70 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $1.26 | $1.17 – $1.17 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $1.26 | $1.17 – $1.17 |