Ethylene glycol -sendout at MEDICAL CITY LEWISVILLE HOSPITAL

1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

$1,379.08

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$1,379.08

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$8.94 with Cook Childrens Health Plan vs $1,379.08 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 →

Payer
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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
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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
Cook Childrens Health Plan CHIP $8.94 ↓ -99%
Cook Childrens Health Plan STAR $8.94 ↓ -99%
TEXAS HEALTH NETWORK MCD $12.33 ↓ -99%
United CHIP $12.52 ↓ -99%
Amerigroup CHIP $12.52 ↓ -99%
Amerigroup MGMCD $12.52 ↓ -99%
United STARPerinate $12.52 ↓ -99%
Parkland Community Health Plan MCD $12.52 ↓ -99%
United STARPLUS $12.52 ↓ -99%
United STARKids $12.52 ↓ -99%
United STAR $12.52 ↓ -99%
Cigna Healthspring MGMCD $13.15 ↓ -99%
Aetna Better Health CHIP $13.52 ↓ -99%
Aetna Better Health MCD $13.52 ↓ -99%
Molina STAR+PLUS $13.77 ↓ -99%
Molina CHIP $13.77 ↓ -99%
Molina MCDSTAR $13.77 ↓ -99%
Molina STARKIDS $13.77 ↓ -99%
WellMed MGMCR $14.83 ↓ -99%
Mutual of Omaha MGMCR $14.90 ↓ -99%
Devoted Health SNP $14.90 ↓ -99%
Devoted Health HMO $14.90 ↓ -99%
Devoted Health POS $14.90 ↓ -99%
Devoted Health MCR $14.90 ↓ -99%
Devoted Health MME $14.90 ↓ -99%
Devoted Health PPO $14.90 ↓ -99%
Humana MGMCR $14.90 ↓ -99%
United AllPayerAppendix $14.90 ↓ -99%
BCBS MGMCRHMO $14.90 ↓ -99%
United NarrowNetworkIndivExchange $14.90 ↓ -99%
United SmallGroup $14.90 ↓ -99%
BCBS MCRPPO $14.90 ↓ -99%
TriWest Health Alliance FEDERAL $14.90 ↓ -99%
Amerigroup DualEligible $14.90 ↓ -99%
United MGMCR $14.97 ↓ -99%
Aetna MCR $15.03 ↓ -99%
Care N Care MGMCR $15.05 ↓ -99%
Cigna Healthspring MGMCR $15.20 ↓ -99%
WellCare MGMCR $15.35 ↓ -99%
Integranet MGMCR $15.35 ↓ -99%
Superior Health Plan MGMCRDualEligible $15.65 ↓ -99%
American Health Plan of Texas, Inc. MGMCR $15.65 ↓ -99%
Superior Health Plan MGMCRSNP $15.65 ↓ -99%
Humana Tricare $15.65 ↓ -99%
ProCare Advantge MCR $15.65 ↓ -99%
Humana MGMCD $15.65 ↓ -99%
Superior Health Plan MGMCRPPO $15.65 ↓ -99%
Superior Health Plan MGMCRPOS $15.65 ↓ -99%
Superior Health Plan MGMCRPFFS $15.65 ↓ -99%
Superior Health Plan MGMCRHMO $15.65 ↓ -99%
Texas Independent Health Plan MGMCR $15.79 ↓ -99%
Provider Partners Health Plan MCR $15.79 ↓ -99%
Molina MME $16.24 ↓ -99%
Molina MCR $16.24 ↓ -99%
Molina MMP $16.24 ↓ -99%
Imperial Insurance Company MCR $16.39 ↓ -99%
Universal Healthcare Group MCR $17.88 ↓ -99%
Aetna QHPHIX $18.95 ↓ -99%
Verda Health Plan MGMCR $19.37 ↓ -99%
Bravo Health MCRPFFS $22.35 ↓ -98%
Bravo Health MCRHMO $22.35 ↓ -98%
Bravo Health MCRPOS $22.35 ↓ -98%
Bravo Health MCRPPO $22.35 ↓ -98%
Bravo Health MCRSNP $22.35 ↓ -98%
BCBS BluePremier $25.33 ↓ -98%
BCBS BlueAdvantageHMO $26.07 ↓ -98%
BCBS MyBlueHealth $26.07 ↓ -98%
Aetna NewBusiness $26.10 ↓ -98%
Superior ValueHMO $26.67 ↓ -98%
Aetna Meritain $27.80 ↓ -98%
Aetna COMM $27.80 ↓ -98%
USA Managed Care WORKERSCOMP $28.31 ↓ -98%
Corvel Corporation WORKERSCOMP $29.50 ↓ -98%
Aetna OON $32.72 ↓ -98%
Superior EPO $33.38 ↓ -98%
Superior HMO $33.38 ↓ -98%
BCBS BlueEssentials $36.80 ↓ -97%
BCBS BlueEssentialsAccess $36.80 ↓ -97%
BCBS EPOSOA $38.59 ↓ -97%
Oscar HIX $38.74 ↓ -97%
Molina Healthcare HIX $39.04 ↓ -97%
BCBS PPO $40.38 ↓ -97%
Cigna LocalPlus $56.80 ↓ -96%
Cigna NewBusiness $56.85 ↓ -96%
Cigna NetworkBenefit $63.44 ↓ -95%
Cigna OpenAccessPlus $63.44 ↓ -95%
Cigna HMO $63.44 ↓ -95%
Cigna AllOther $80.29 ↓ -94%
Superior Health Plan CHIP $96.54 ↓ -93%
Superior Health Plan STARHealth $96.54 ↓ -93%
Superior Health Plan MCDSTAR $96.54 ↓ -93%
Superior Health Plan STARPLUS $96.54 ↓ -93%
Superior Health Plan STARKids $96.54 ↓ -93%
Humana COMM $165.57 ↓ -88%
Cigna IFP $186.18 ↓ -86%
Cigna QHP $193.07 ↓ -86%
United OptionsPPO $274.44 ↓ -80%
Unicare CHIP $330.98 ↓ -76%
Healthcare Highways NarrowNetwork $337.87 ↓ -76%
Evry Health COMM $355.80 ↓ -74%
Healthcare Highways CityofPlano $466.13 ↓ -66%
BCBS Traditional $612.31 ↓ -56%
City of McKinney COMM $620.59 ↓ -55%
Fidelis SecureCare MGMCR $620.59 ↓ -55%
National ChoiceCare WCOMP $689.54 ↓ -50%
Aetna ASA $726.78 ↓ -47%
Aetna WCOMP $758.49 ↓ -45%
Rockport Health Group WORKERSCOMP $758.49 ↓ -45%
Physicians Coop of TX MGMCR $758.49 ↓ -45%
PC Texas Partners WCOMP $758.49 ↓ -45%
Averde Health, Inc PPO $799.87 ↓ -42%
USC Health Services COMM $827.45 ↓ -40%
Coastal Comp Health Networks WCOMP $965.36 ↓ -30%
Multiplan PHCS PrimaryNetwork $965.36 ↓ -30%
Jostens WCOMP $965.36 ↓ -30%
Mega Life MGMCRPPO $965.36 ↓ -30%
Aetna Coventry First Health COMM $1,002.59 ↓ -27%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $1,034.31 ↓ -25%
HealthSmart Preferred Care PPO $1,034.31 ↓ -25%
USA Managed Care COMM $1,103.26 ↓ -20%
Galaxy Health Network PPO $1,172.22 ↓ -15%
Unicare MCD $1,379.08 ↑ +0%
Independent Medical Systems COMM $1,379.08 ↑ +0%
National Healthcare Solutions COMM $1,379.08 ↑ +0%
Curative Administrators COMM not published by hospital

Visitor-reported prices

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Ethylene glycol -sendout at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $138.70 $10.00 – $173.37
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $170.07 $12.00 – $255.10
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $165.11 $12.00 – $206.39
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $138.70 $10.00 – $173.37
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $170.07 $12.00 – $255.10
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $170.07 $8.00 – $255.10
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $165.11 $12.00 – $247.67
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $138.70 $10.00 – $173.37

All Texas hospitals for this procedure →