ER Visit (level 4) 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.
$77.04 with Aetna Better Health vs $5,296.00 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 →
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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 |
|---|---|---|---|
| Aetna Better Health | CHIP | $77.04 | — |
| Aetna Better Health | MCD | $77.04 | — |
| Molina | STAR+PLUS | $320.00 | — |
| Molina | MCDSTAR | $320.00 | — |
| Molina | CHIP | $320.00 | — |
| Molina | STARKIDS | $320.00 | — |
| Amerigroup | MGMCD | $363.00 | — |
| Amerigroup | CHIP | $363.00 | — |
| Cigna | IFP | $447.56 | — |
| Cigna | QHP | $464.14 | — |
| Superior Health Plan | MGMCRPFFS | $544.91 | — |
| Superior Health Plan | MGMCRPOS | $544.91 | — |
| Superior Health Plan | MGMCRPPO | $544.91 | — |
| Superior Health Plan | MGMCRSNP | $544.91 | — |
| Superior Health Plan | MGMCRHMO | $544.91 | — |
| Superior Health Plan | MGMCRDualEligible | $544.91 | — |
| United | OptionsPPO | $659.74 | — |
| Cigna Healthspring | MGMCD | $700.00 | — |
| Unicare | CHIP | $795.67 | — |
| Healthcare Highways | CityofPlano | $1,120.57 | — |
| BCBS | Traditional | $1,471.99 | — |
| City of McKinney | COMM | $1,491.88 | — |
| United | NarrowNetworkIndivExchange | $1,545.00 | — |
| National ChoiceCare | WCOMP | $1,657.64 | — |
| Oscar | HIX | $1,708.00 | — |
| Aetna | ASA | $1,747.16 | — |
| Rockport Health Group | WORKERSCOMP | $1,823.41 | — |
| Aetna | WCOMP | $1,823.41 | — |
| Physicians Coop of TX | MGMCR | $1,823.41 | — |
| PC Texas Partners | WCOMP | $1,823.41 | — |
| United | SmallGroup | $1,856.00 | — |
| Averde Health, Inc | PPO | $1,922.87 | — |
| USC Health Services | COMM | $1,989.17 | — |
| Aetna | QHPHIX | $2,084.00 | — |
| Mega Life | MGMCRPPO | $2,320.70 | — |
| Jostens | WCOMP | $2,320.70 | — |
| Coastal Comp Health Networks | WCOMP | $2,320.70 | — |
| Aetna Coventry First Health | COMM | $2,410.22 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $2,486.47 | — |
| HealthSmart Preferred Care | PPO | $2,486.47 | — |
| USA Managed Care | COMM | $2,652.23 | — |
| BCBS | MyBlueHealth | $2,740.00 | — |
| BCBS | BlueAdvantageHMO | $2,740.00 | — |
| BCBS | BluePremier | $2,760.00 | — |
| Galaxy Health Network | PPO | $2,818.00 | — |
| Aetna | NewBusiness | $2,855.00 | — |
| United | AllPayerAppendix | $2,931.00 | — |
| Aetna | Meritain | $3,052.00 | — |
| Aetna | COMM | $3,052.00 | — |
| National Healthcare Solutions | COMM | $3,315.29 | — |
| Unicare | MCD | $3,315.29 | — |
| Independent Medical Systems | COMM | $3,315.29 | — |
| Healthcare Highways | NarrowNetwork | $3,406.00 | — |
| BCBS | BlueEssentials | $3,560.00 | — |
| BCBS | BlueEssentialsAccess | $3,560.00 | — |
| Aetna | OON | $3,589.00 | — |
| Evry Health | COMM | $3,626.00 | — |
| BCBS | EPOSOA | $3,740.00 | — |
| Cigna | LocalPlus | $3,746.00 | — |
| Cigna | NewBusiness | $3,750.00 | — |
| BCBS | PPO | $3,920.00 | — |
| Cigna | NetworkBenefit | $4,186.00 | — |
| Cigna | HMO | $4,186.00 | — |
| Cigna | OpenAccessPlus | $4,186.00 | — |
| Curative Administrators | COMM | $4,206.00 | — |
| Cigna | AllOther | $5,296.00 | — |
| Multiplan PHCS | PrimaryNetwork | not published by hospital | — |
| Humana | COMM | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 4) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $2,386.19 | $1,354.39 – $1,354.39 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,273.68 | $360.88 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,601.69 | $329.68 – $4,008.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,676.36 | $335.27 – $4,008.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,273.68 | $339.65 – $3,894.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,601.69 | $398.20 – $4,008.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,601.69 | $827.54 – $3,780.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,676.36 | $398.20 – $3,780.00 |