ER Visit (level 5, high severity) 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 $7,039.00 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 | MCD | $77.04 | — |
| Aetna Better Health | CHIP | $77.04 | — |
| Amerigroup | MGMCD | $363.00 | — |
| Amerigroup | CHIP | $363.00 | — |
| Molina | STAR+PLUS | $400.00 | — |
| Molina | MCDSTAR | $400.00 | — |
| Molina | CHIP | $400.00 | — |
| Molina | STARKIDS | $400.00 | — |
| Cigna | IFP | $566.30 | — |
| Cigna | QHP | $587.27 | — |
| Superior Health Plan | MGMCRPPO | $777.72 | — |
| Superior Health Plan | MGMCRDualEligible | $777.72 | — |
| Superior Health Plan | MGMCRPFFS | $777.72 | — |
| Superior Health Plan | MGMCRPOS | $777.72 | — |
| Superior Health Plan | MGMCRSNP | $777.72 | — |
| Superior Health Plan | MGMCRHMO | $777.72 | — |
| Cigna Healthspring | MGMCD | $800.00 | — |
| United | OptionsPPO | $834.77 | — |
| Unicare | CHIP | $1,006.75 | — |
| Healthcare Highways | CityofPlano | $1,417.85 | — |
| BCBS | Traditional | $1,862.50 | — |
| City of McKinney | COMM | $1,887.66 | — |
| National ChoiceCare | WCOMP | $2,097.41 | — |
| Aetna | ASA | $2,210.66 | — |
| Physicians Coop of TX | MGMCR | $2,307.15 | — |
| Rockport Health Group | WORKERSCOMP | $2,307.15 | — |
| Aetna | WCOMP | $2,307.15 | — |
| PC Texas Partners | WCOMP | $2,307.15 | — |
| Averde Health, Inc | PPO | $2,432.99 | — |
| Oscar | HIX | $2,433.00 | — |
| USC Health Services | COMM | $2,516.89 | — |
| Aetna | QHPHIX | $2,868.00 | — |
| Coastal Comp Health Networks | WCOMP | $2,936.37 | — |
| Jostens | WCOMP | $2,936.37 | — |
| Mega Life | MGMCRPPO | $2,936.37 | — |
| Aetna Coventry First Health | COMM | $3,049.63 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3,146.11 | — |
| HealthSmart Preferred Care | PPO | $3,146.11 | — |
| USA Managed Care | COMM | $3,355.85 | — |
| United | NarrowNetworkIndivExchange | $3,448.00 | — |
| Galaxy Health Network | PPO | $3,565.59 | — |
| Aetna | NewBusiness | $3,930.00 | — |
| United | SmallGroup | $4,100.00 | — |
| National Healthcare Solutions | COMM | $4,194.81 | — |
| Independent Medical Systems | COMM | $4,194.81 | — |
| Unicare | MCD | $4,194.81 | — |
| Aetna | COMM | $4,200.00 | — |
| Aetna | Meritain | $4,200.00 | — |
| Healthcare Highways | NarrowNetwork | $4,684.00 | — |
| BCBS | BluePremier | $4,840.00 | — |
| Aetna | OON | $4,941.00 | — |
| Cigna | LocalPlus | $4,980.00 | — |
| Cigna | NewBusiness | $4,985.00 | — |
| Evry Health | COMM | $5,030.00 | — |
| Cigna | NetworkBenefit | $5,564.00 | — |
| Cigna | OpenAccessPlus | $5,564.00 | — |
| Cigna | HMO | $5,564.00 | — |
| Curative Administrators | COMM | $5,622.00 | — |
| United | AllPayerAppendix | $5,900.00 | — |
| BCBS | MyBlueHealth | $6,000.00 | — |
| BCBS | BlueAdvantageHMO | $6,000.00 | — |
| BCBS | BlueEssentialsAccess | $6,280.00 | — |
| BCBS | BlueEssentials | $6,280.00 | — |
| BCBS | EPOSOA | $6,600.00 | — |
| BCBS | PPO | $6,880.00 | — |
| Cigna | AllOther | $7,039.00 | — |
| Humana | COMM | not published by hospital | — |
| Multiplan PHCS | PrimaryNetwork | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $3,127.54 | $1,942.36 – $1,942.36 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,327.80 | $568.33 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,377.55 | $489.38 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,377.55 | $475.51 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,327.80 | $568.33 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,377.55 | $568.33 – $6,643.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,377.55 | $1,228.40 – $5,475.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,377.55 | $568.33 – $5,475.00 |