Evaluation of speech fluency 92521 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.
$22.85 with Superior Health Plan vs $805.65 with Humana — 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 | STARKids | $22.85 | — |
| Superior Health Plan | MCDSTAR | $22.85 | — |
| Superior Health Plan | STARPLUS | $22.85 | — |
| Superior Health Plan | STARHealth | $22.85 | — |
| Superior Health Plan | CHIP | $22.85 | — |
| Cigna | IFP | $44.07 | — |
| Cigna | QHP | $45.71 | — |
| United | OptionsPPO | $64.97 | — |
| Oscar | HIX | $67.91 | — |
| Unicare | CHIP | $78.35 | — |
| Aetna | QHPHIX | $106.00 | — |
| Healthcare Highways | CityofPlano | $110.35 | — |
| Humana | Tricare | $123.64 | — |
| BCBS | MGMCRHMO | $127.46 | — |
| BCBS | MCRPPO | $127.46 | — |
| WellMed | MGMCR | $129.62 | — |
| Amerigroup | DualEligible | $130.27 | — |
| Devoted Health | PPO | $130.27 | — |
| Devoted Health | SNP | $130.27 | — |
| Humana | MGMCR | $130.27 | — |
| TriWest Health Alliance | FEDERAL | $130.27 | — |
| Mutual of Omaha | MGMCR | $130.27 | — |
| Devoted Health | MME | $130.27 | — |
| Devoted Health | MCR | $130.27 | — |
| Devoted Health | POS | $130.27 | — |
| Devoted Health | HMO | $130.27 | — |
| United | MGMCR | $130.92 | — |
| Aetna | MCR | $131.38 | — |
| Care N Care | MGMCR | $131.57 | — |
| Cigna Healthspring | MGMCR | $132.88 | — |
| Integranet | MGMCR | $134.18 | — |
| WellCare | MGMCR | $134.18 | — |
| Superior Health Plan | MGMCRDualEligible | $136.78 | — |
| Superior Health Plan | MGMCRSNP | $136.78 | — |
| American Health Plan of Texas, Inc. | MGMCR | $136.78 | — |
| Superior Health Plan | MGMCRPOS | $136.78 | — |
| Superior Health Plan | MGMCRPFFS | $136.78 | — |
| Superior Health Plan | MGMCRPPO | $136.78 | — |
| Superior Health Plan | MGMCRHMO | $136.78 | — |
| ProCare Advantge | MCR | $136.78 | — |
| Texas Independent Health Plan | MGMCR | $138.09 | — |
| Provider Partners Health Plan | MCR | $138.09 | — |
| Molina | MCR | $141.99 | — |
| Molina | MME | $141.99 | — |
| Molina | MMP | $141.99 | — |
| Aetna | NewBusiness | $143.00 | — |
| Imperial Insurance Company | MCR | $143.30 | — |
| BCBS | Traditional | $144.95 | — |
| City of McKinney | COMM | $146.91 | — |
| Fidelis SecureCare | MGMCR | $146.91 | — |
| Aetna | Meritain | $155.00 | — |
| Aetna | COMM | $155.00 | — |
| Universal Healthcare Group | MCR | $156.32 | — |
| National ChoiceCare | WCOMP | $163.24 | — |
| Verda Health Plan | MGMCR | $169.35 | — |
| Aetna | ASA | $172.05 | — |
| Aetna | OON | $179.00 | — |
| Rockport Health Group | WORKERSCOMP | $179.56 | — |
| PC Texas Partners | WCOMP | $179.56 | — |
| Aetna | WCOMP | $179.56 | — |
| Physicians Coop of TX | MGMCR | $179.56 | — |
| Averde Health, Inc | PPO | $189.35 | — |
| Bravo Health | MCRPPO | $195.41 | — |
| Bravo Health | MCRPOS | $195.41 | — |
| Bravo Health | MCRSNP | $195.41 | — |
| Bravo Health | MCRPFFS | $195.41 | — |
| Bravo Health | MCRHMO | $195.41 | — |
| USC Health Services | COMM | $195.88 | — |
| Multiplan PHCS | PrimaryNetwork | $228.53 | — |
| Coastal Comp Health Networks | WCOMP | $228.53 | — |
| Jostens | WCOMP | $228.53 | — |
| Mega Life | MGMCRPPO | $228.53 | — |
| Superior | ValueHMO | $233.18 | — |
| Aetna Coventry First Health | COMM | $237.34 | — |
| HealthSmart Preferred Care | PPO | $244.85 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $244.85 | — |
| USA Managed Care | WORKERSCOMP | $247.51 | — |
| Corvel Corporation | WORKERSCOMP | $257.93 | — |
| USA Managed Care | COMM | $261.18 | — |
| BCBS | BluePremier | $273.03 | — |
| Galaxy Health Network | PPO | $277.50 | — |
| Superior | EPO | $291.80 | — |
| Superior | HMO | $291.80 | — |
| BCBS | MyBlueHealth | $318.15 | — |
| BCBS | BlueAdvantageHMO | $318.15 | — |
| National Healthcare Solutions | COMM | $326.47 | — |
| Unicare | MCD | $326.47 | — |
| Independent Medical Systems | COMM | $326.47 | — |
| Molina Healthcare | HIX | $341.31 | — |
| BCBS | BlueEssentials | $563.41 | — |
| BCBS | BlueEssentialsAccess | $563.41 | — |
| BCBS | EPOSOA | $591.18 | — |
| BCBS | PPO | $618.94 | — |
| Humana | COMM | $805.65 | — |
Visitor-reported prices
Comments
Evaluation of speech fluency 92521 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $407.48 | $108.00 – $577.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $439.79 | $90.52 – $659.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $419.80 | $83.96 – $524.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $407.48 | $108.00 – $577.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $439.79 | $108.00 – $659.69 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $439.79 | $155.00 – $659.69 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $419.80 | $108.00 – $629.69 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $407.48 | $108.00 – $577.27 |