Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr 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.
$6.87 with Humana vs $296.88 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 | $6.87 | — |
| United | AllPayerAppendix | $12.77 | — |
| United | SmallGroup | $12.77 | — |
| United | NarrowNetworkIndivExchange | $12.77 | — |
| Superior Health Plan | CHIP | $20.78 | — |
| Superior Health Plan | STARKids | $20.78 | — |
| Superior Health Plan | MCDSTAR | $20.78 | — |
| Superior Health Plan | STARHealth | $20.78 | — |
| Superior Health Plan | STARPLUS | $20.78 | — |
| Cigna | IFP | $40.08 | — |
| Aetna | QHPHIX | $40.08 | — |
| Cigna | QHP | $41.56 | — |
| Cigna | LocalPlus | $46.47 | — |
| Cigna | NewBusiness | $46.52 | — |
| Cigna | NetworkBenefit | $51.92 | — |
| Cigna | HMO | $51.92 | — |
| Cigna | OpenAccessPlus | $51.92 | — |
| BCBS | MyBlueHealth | $55.06 | — |
| BCBS | BlueAdvantageHMO | $55.06 | — |
| Aetna | NewBusiness | $59.08 | — |
| United | OptionsPPO | $59.08 | — |
| Aetna | Meritain | $63.24 | — |
| Aetna | COMM | $63.24 | — |
| BCBS | BluePremier | $65.12 | — |
| Cigna | AllOther | $65.68 | — |
| Unicare | CHIP | $71.25 | — |
| Aetna | OON | $74.52 | — |
| BCBS | BlueEssentials | $80.60 | — |
| BCBS | BlueEssentialsAccess | $80.60 | — |
| BCBS | EPOSOA | $84.59 | — |
| Humana | COMM | $87.78 | — |
| BCBS | PPO | $88.58 | — |
| Healthcare Highways | CityofPlano | $100.35 | — |
| BCBS | Traditional | $131.81 | — |
| City of McKinney | COMM | $133.60 | — |
| National ChoiceCare | WCOMP | $148.44 | — |
| Aetna | ASA | $156.46 | — |
| PC Texas Partners | WCOMP | $163.28 | — |
| Aetna | WCOMP | $163.28 | — |
| Rockport Health Group | WORKERSCOMP | $163.28 | — |
| Physicians Coop of TX | MGMCR | $163.28 | — |
| Averde Health, Inc | PPO | $172.19 | — |
| USC Health Services | COMM | $178.13 | — |
| Mega Life | MGMCRPPO | $207.82 | — |
| Coastal Comp Health Networks | WCOMP | $207.82 | — |
| Jostens | WCOMP | $207.82 | — |
| Aetna Coventry First Health | COMM | $215.83 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $222.66 | — |
| HealthSmart Preferred Care | PPO | $222.66 | — |
| USA Managed Care | COMM | $237.50 | — |
| Galaxy Health Network | PPO | $252.35 | — |
| Independent Medical Systems | COMM | $296.88 | — |
| National Healthcare Solutions | COMM | $296.88 | — |
| Unicare | MCD | $296.88 | — |
Visitor-reported prices
Comments
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,819.74 | $61.45 – $61.45 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,941.00 | $6.94 – $201.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,941.00 | $8.04 – $241.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,941.00 | $6.94 – $201.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,941.00 | $6.94 – $201.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,941.00 | $6.94 – $241.71 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,941.00 | $8.04 – $241.71 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,941.00 | $6.94 – $241.71 |