Epstein barr viral capsid antigen antibody igm 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.

Full explanation →

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.

$10.88 with Cook Childrens Health Plan vs $668.70 with National Healthcare Solutions — 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
Cook Childrens Health Plan CHIP $10.88
Cook Childrens Health Plan STAR $10.88
TEXAS HEALTH NETWORK MCD $15.01
United CHIP $15.24
Amerigroup CHIP $15.24
Amerigroup MGMCD $15.24
United STARPerinate $15.24
Parkland Community Health Plan MCD $15.24
United STARPLUS $15.24
United STARKids $15.24
United STAR $15.24
Cigna Healthspring MGMCD $16.00
Aetna Better Health CHIP $16.46
Aetna Better Health MCD $16.46
Molina STAR+PLUS $16.76
Molina CHIP $16.76
Molina MCDSTAR $16.76
Molina STARKIDS $16.76
WellMed MGMCR $18.05
Mutual of Omaha MGMCR $18.14
Devoted Health SNP $18.14
Devoted Health HMO $18.14
Devoted Health POS $18.14
Devoted Health MCR $18.14
Devoted Health MME $18.14
Devoted Health PPO $18.14
Humana MGMCR $18.14
United AllPayerAppendix $18.14
BCBS MGMCRHMO $18.14
United NarrowNetworkIndivExchange $18.14
United SmallGroup $18.14
BCBS MCRPPO $18.14
TriWest Health Alliance FEDERAL $18.14
Amerigroup DualEligible $18.14
United MGMCR $18.23
Aetna MCR $18.29
Care N Care MGMCR $18.32
Cigna Healthspring MGMCR $18.50
Integranet MGMCR $18.68
WellCare MGMCR $18.68
Humana Tricare $19.04
Superior Health Plan MGMCRDualEligible $19.05
American Health Plan of Texas, Inc. MGMCR $19.05
Superior Health Plan MGMCRSNP $19.05
ProCare Advantge MCR $19.05
Humana MGMCD $19.05
Superior Health Plan MGMCRPPO $19.05
Superior Health Plan MGMCRPOS $19.05
Superior Health Plan MGMCRPFFS $19.05
Superior Health Plan MGMCRHMO $19.05
Texas Independent Health Plan MGMCR $19.23
Provider Partners Health Plan MCR $19.23
Molina MME $19.77
Molina MCR $19.77
Molina MMP $19.77
Imperial Insurance Company MCR $19.95
Universal Healthcare Group MCR $21.77
Aetna QHPHIX $23.07
Verda Health Plan MGMCR $23.58
Bravo Health MCRPFFS $27.21
Bravo Health MCRHMO $27.21
Bravo Health MCRPOS $27.21
Bravo Health MCRPPO $27.21
Bravo Health MCRSNP $27.21
BCBS BluePremier $30.84
BCBS MyBlueHealth $31.75
BCBS BlueAdvantageHMO $31.75
Aetna NewBusiness $31.77
Superior ValueHMO $32.47
Aetna Meritain $33.84
Aetna COMM $33.84
USA Managed Care WORKERSCOMP $34.47
Corvel Corporation WORKERSCOMP $35.92
Aetna OON $39.82
Superior HMO $40.63
Superior EPO $40.63
BCBS BlueEssentialsAccess $44.81
BCBS BlueEssentials $44.81
Superior Health Plan CHIP $46.81
Superior Health Plan STARHealth $46.81
Superior Health Plan MCDSTAR $46.81
Superior Health Plan STARPLUS $46.81
Superior Health Plan STARKids $46.81
BCBS EPOSOA $46.98
Oscar HIX $47.16
Molina Healthcare HIX $47.53
BCBS PPO $49.16
Cigna LocalPlus $69.71
Cigna NewBusiness $69.78
Cigna NetworkBenefit $77.86
Cigna HMO $77.86
Cigna OpenAccessPlus $77.86
Cigna IFP $90.27
Cigna QHP $93.62
Cigna AllOther $98.54
United OptionsPPO $133.07
Unicare CHIP $160.49
Healthcare Highways NarrowNetwork $163.83
Evry Health COMM $172.52
Humana COMM $201.56
Healthcare Highways CityofPlano $226.02
BCBS Traditional $296.90
Fidelis SecureCare MGMCR $300.92
City of McKinney COMM $300.92
National ChoiceCare WCOMP $334.35
Aetna ASA $352.40
Aetna WCOMP $367.79
Rockport Health Group WORKERSCOMP $367.79
Physicians Coop of TX MGMCR $367.79
PC Texas Partners WCOMP $367.79
Averde Health, Inc PPO $387.85
USC Health Services COMM $401.22
Multiplan PHCS PrimaryNetwork $468.09
Jostens WCOMP $468.09
Coastal Comp Health Networks WCOMP $468.09
Mega Life MGMCRPPO $468.09
Aetna Coventry First Health COMM $486.14
LEWISVILLE ISD/DLS CONSULTING COMMPPO $501.52
HealthSmart Preferred Care PPO $501.52
USA Managed Care COMM $534.96
Galaxy Health Network PPO $568.40
Unicare MCD $668.70
Independent Medical Systems COMM $668.70
National Healthcare Solutions COMM $668.70
Curative Administrators COMM not published by hospital

Visitor-reported prices

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Epstein barr viral capsid antigen antibody igm at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $236.46 $16.33 – $69.84
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $132.49 $7.20 – $43.54
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $132.49 $2.47 – $43.54
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $117.77 $9.28 – $43.54
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $132.49 $9.40 – $43.54
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $132.49 $9.28 – $43.54
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $132.49 $8.00 – $43.54
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $117.77 $9.28 – $43.54

All Texas hospitals for this procedure →