Established Patient Office Visit (level 3) at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$476.46
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.
$476.46
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.
$33.35 with Superior Health Plan vs $476.46 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 →
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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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $33.35 | ↓ -93% |
| Superior Health Plan | STARHealth | $33.35 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $33.35 | ↓ -93% |
| Superior Health Plan | STARPLUS | $33.35 | ↓ -93% |
| Superior Health Plan | STARKids | $33.35 | ↓ -93% |
| Cigna | IFP | $64.32 | ↓ -87% |
| Aetna | QHPHIX | $64.32 | ↓ -87% |
| Cigna | QHP | $66.70 | ↓ -86% |
| Imperial Insurance Company | MCR | $90.53 | ↓ -81% |
| Aetna | NewBusiness | $94.82 | ↓ -80% |
| United | OptionsPPO | $94.82 | ↓ -80% |
| Aetna | Meritain | $101.49 | ↓ -79% |
| Aetna | COMM | $101.49 | ↓ -79% |
| Unicare | CHIP | $114.35 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $116.73 | ↓ -76% |
| Aetna | OON | $119.59 | ↓ -75% |
| Evry Health | COMM | $122.93 | ↓ -74% |
| BCBS | MyBlueHealth | $142.72 | ↓ -70% |
| BCBS | BlueAdvantageHMO | $142.72 | ↓ -70% |
| Humana | COMM | $147.37 | ↓ -69% |
| Healthcare Highways | CityofPlano | $161.04 | ↓ -66% |
| Curative Administrators | COMM | $190.58 | ↓ -60% |
| BCBS | Traditional | $211.55 | ↓ -56% |
| City of McKinney | COMM | $214.41 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $214.41 | ↓ -55% |
| National ChoiceCare | WCOMP | $238.23 | ↓ -50% |
| Aetna | ASA | $251.09 | ↓ -47% |
| BCBS | BlueEssentials | $252.75 | ↓ -47% |
| BCBS | BlueEssentialsAccess | $252.75 | ↓ -47% |
| Aetna | WCOMP | $262.05 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $262.05 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $262.05 | ↓ -45% |
| PC Texas Partners | WCOMP | $262.05 | ↓ -45% |
| BCBS | EPOSOA | $265.21 | ↓ -44% |
| Averde Health, Inc | PPO | $276.35 | ↓ -42% |
| BCBS | PPO | $277.66 | ↓ -42% |
| USC Health Services | COMM | $285.88 | ↓ -40% |
| Coastal Comp Health Networks | WCOMP | $333.52 | ↓ -30% |
| Jostens | WCOMP | $333.52 | ↓ -30% |
| Mega Life | MGMCRPPO | $333.52 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $333.52 | ↓ -30% |
| Aetna Coventry First Health | COMM | $346.39 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $357.35 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $357.35 | ↓ -25% |
| USA Managed Care | COMM | $381.17 | ↓ -20% |
| Galaxy Health Network | PPO | $404.99 | ↓ -15% |
| Unicare | MCD | $476.46 | ↑ +0% |
| Independent Medical Systems | COMM | $476.46 | ↑ +0% |
| National Healthcare Solutions | COMM | $476.46 | ↑ +0% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 3) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $361.22 | $199.82 – $199.82 |
| Baylor St Luke's Medical Center | Houston | $148.40 | $61.24 – $424.00 |
| St. Joseph Health Madison Hospital | Madisonville | $214.20 | $15.42 – $108.90 |
| St. Luke's Health Memorial Lufkin | Lufkin | $66.87 | $20.50 – $100.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $148.40 | $74.00 – $424.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $148.40 | $74.00 – $424.00 |
| St. Joseph Health College Station Hospital | College Station | $214.20 | $66.55 – $190.12 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $148.40 | $74.00 – $424.00 |