Esophagus motility study at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$4,466.11
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.
$4,466.11
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.
$295.14 with BCBS vs $4,466.11 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 |
|---|---|---|---|
| BCBS | BluePremier | $295.14 | ↓ -93% |
| Superior Health Plan | CHIP | $312.63 | ↓ -93% |
| Superior Health Plan | STARHealth | $312.63 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $312.63 | ↓ -93% |
| Superior Health Plan | STARKids | $312.63 | ↓ -93% |
| Superior Health Plan | STARPLUS | $312.63 | ↓ -93% |
| BCBS | MyBlueHealth | $343.92 | ↓ -92% |
| BCBS | BlueAdvantageHMO | $343.92 | ↓ -92% |
| Cigna | IFP | $602.92 | ↓ -87% |
| Aetna | QHPHIX | $602.92 | ↓ -87% |
| BCBS | BlueEssentials | $609.04 | ↓ -86% |
| BCBS | BlueEssentialsAccess | $609.04 | ↓ -86% |
| Cigna | QHP | $625.26 | ↓ -86% |
| BCBS | EPOSOA | $639.06 | ↓ -86% |
| BCBS | PPO | $669.07 | ↓ -85% |
| Humana | COMM | $753.36 | ↓ -83% |
| United | OptionsPPO | $888.76 | ↓ -80% |
| Aetna | NewBusiness | $888.76 | ↓ -80% |
| Aetna | Meritain | $951.28 | ↓ -79% |
| Aetna | COMM | $951.28 | ↓ -79% |
| Unicare | CHIP | $1,071.87 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $1,094.20 | ↓ -75% |
| Aetna | OON | $1,120.99 | ↓ -75% |
| Evry Health | COMM | $1,152.26 | ↓ -74% |
| Cigna | NewBusiness | $1,179.05 | ↓ -74% |
| Cigna | LocalPlus | $1,179.05 | ↓ -74% |
| Cigna | OpenAccessPlus | $1,317.50 | ↓ -71% |
| Cigna | HMO | $1,317.50 | ↓ -71% |
| Cigna | NetworkBenefit | $1,317.50 | ↓ -71% |
| United | SmallGroup | $1,454.00 | ↓ -67% |
| Healthcare Highways | CityofPlano | $1,509.55 | ↓ -66% |
| Cigna | AllOther | $1,665.86 | ↓ -63% |
| Curative Administrators | COMM | $1,672.00 | ↓ -63% |
| United | NarrowNetworkIndivExchange | $1,743.00 | ↓ -61% |
| BCBS | Traditional | $1,982.95 | ↓ -56% |
| City of McKinney | COMM | $2,009.75 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $2,009.75 | ↓ -55% |
| United | AllPayerAppendix | $2,174.00 | ↓ -51% |
| National ChoiceCare | WCOMP | $2,233.05 | ↓ -50% |
| Aetna | ASA | $2,353.64 | ↓ -47% |
| Aetna | WCOMP | $2,456.36 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $2,456.36 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $2,456.36 | ↓ -45% |
| PC Texas Partners | WCOMP | $2,456.36 | ↓ -45% |
| Averde Health, Inc | PPO | $2,590.34 | ↓ -42% |
| Oscar | HIX | $2,636.00 | ↓ -41% |
| USC Health Services | COMM | $2,679.67 | ↓ -40% |
| Coastal Comp Health Networks | WCOMP | $3,126.28 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $3,126.28 | ↓ -30% |
| Jostens | WCOMP | $3,126.28 | ↓ -30% |
| Mega Life | MGMCRPPO | $3,126.28 | ↓ -30% |
| Aetna Coventry First Health | COMM | $3,246.86 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $3,349.58 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3,349.58 | ↓ -25% |
| USA Managed Care | COMM | $3,572.89 | ↓ -20% |
| Galaxy Health Network | PPO | $3,796.19 | ↓ -15% |
| Independent Medical Systems | COMM | $4,466.11 | ↑ +0% |
| National Healthcare Solutions | COMM | $4,466.11 | ↑ +0% |
| Unicare | MCD | $4,466.11 | ↑ +0% |
Visitor-reported prices
Comments
Esophagus motility study at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,257.17 | $356.12 – $1,571.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,153.75 | $237.48 – $1,730.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,681.16 | $336.23 – $2,101.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,257.17 | $292.64 – $1,571.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,153.75 | $356.12 – $1,730.62 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,153.75 | $596.10 – $1,730.62 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,681.16 | $356.12 – $2,521.75 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,257.17 | $335.25 – $1,571.47 |