Etanercept injection at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$4,988.98
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.
$4,988.98
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.
$349.23 with Superior Health Plan vs $8,894.85 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $349.23 | ↓ -93% |
| Superior Health Plan | STARHealth | $349.23 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $349.23 | ↓ -93% |
| Superior Health Plan | STARPLUS | $349.23 | ↓ -93% |
| Superior Health Plan | STARKids | $349.23 | ↓ -93% |
| Cigna | IFP | $673.51 | ↓ -87% |
| Aetna | QHPHIX | $673.51 | ↓ -87% |
| Cigna | QHP | $698.46 | ↓ -86% |
| United | OptionsPPO | $992.81 | ↓ -80% |
| Aetna | NewBusiness | $992.81 | ↓ -80% |
| Superior | HMO | $997.80 | ↓ -80% |
| Superior | ValueHMO | $997.80 | ↓ -80% |
| Superior | EPO | $997.80 | ↓ -80% |
| Aetna | Meritain | $1,062.65 | ↓ -79% |
| Aetna | COMM | $1,062.65 | ↓ -79% |
| Unicare | CHIP | $1,197.36 | ↓ -76% |
| Molina Healthcare | HIX | $1,247.24 | ↓ -75% |
| Aetna | OON | $1,252.23 | ↓ -75% |
| Healthcare Highways | CityofPlano | $1,686.28 | ↓ -66% |
| BCBS | BlueAdvantageHMO | $1,878.73 | ↓ -62% |
| BCBS | MyBlueHealth | $1,878.73 | ↓ -62% |
| United | AllPayerAppendix | $2,019.01 | ↓ -60% |
| United | SmallGroup | $2,019.01 | ↓ -60% |
| United | NarrowNetworkIndivExchange | $2,019.01 | ↓ -60% |
| BCBS | Traditional | $2,215.11 | ↓ -56% |
| BCBS | BluePremier | $2,221.80 | ↓ -55% |
| City of McKinney | COMM | $2,245.04 | ↓ -55% |
| National ChoiceCare | WCOMP | $2,494.49 | ↓ -50% |
| Aetna | ASA | $2,629.19 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $2,743.94 | ↓ -45% |
| Aetna | WCOMP | $2,743.94 | ↓ -45% |
| PC Texas Partners | WCOMP | $2,743.94 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $2,743.94 | ↓ -45% |
| BCBS | BlueEssentials | $2,750.03 | ↓ -45% |
| BCBS | BlueEssentialsAccess | $2,750.03 | ↓ -45% |
| BCBS | EPOSOA | $2,886.17 | ↓ -42% |
| Averde Health, Inc | PPO | $2,893.61 | ↓ -42% |
| Humana | COMM | $2,945.25 | ↓ -41% |
| USC Health Services | COMM | $2,993.39 | ↓ -40% |
| BCBS | PPO | $3,022.31 | ↓ -39% |
| Jostens | WCOMP | $3,492.29 | ↓ -30% |
| Mega Life | MGMCRPPO | $3,492.29 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $3,492.29 | ↓ -30% |
| Aetna Coventry First Health | COMM | $3,626.99 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3,741.73 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $3,741.73 | ↓ -25% |
| USA Managed Care | COMM | $3,991.18 | ↓ -20% |
| Galaxy Health Network | PPO | $4,240.63 | ↓ -15% |
| Unicare | MCD | $4,988.98 | ↑ +0% |
| Independent Medical Systems | COMM | $4,988.98 | ↑ +0% |
| National Healthcare Solutions | COMM | $4,988.98 | ↑ +0% |
| Cigna | LocalPlus | $6,293.58 | ↑ +26% |
| Cigna | NewBusiness | $6,299.83 | ↑ +26% |
| Cigna | HMO | $7,031.01 | ↑ +41% |
| Cigna | NetworkBenefit | $7,031.01 | ↑ +41% |
| Cigna | OpenAccessPlus | $7,031.01 | ↑ +41% |
| Cigna | AllOther | $8,894.85 | ↑ +78% |
Visitor-reported prices
Comments
Etanercept injection at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $1,341.52 | $490.10 – $3,085.38 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $1,341.52 | $593.57 – $3,085.38 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $1,341.52 | $593.57 – $3,085.38 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $1,341.52 | $593.57 – $3,085.38 |
| Texas Health Presbyterian Hospital Allen | Allen | $3,172.86 | $710.65 – $3,056.48 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $3,172.86 | $1,115.26 – $3,056.48 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $3,172.86 | $710.65 – $3,056.48 |
| Texas Health Arlington Memorial Hospital | Arlington | $3,172.86 | $710.65 – $3,056.48 |