F-18 fdg pet diag at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$5.48
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.
$5.48
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.
$0.38 with Superior Health Plan vs $1,394.97 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 | $0.38 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $0.38 | ↓ -93% |
| Superior Health Plan | STARPLUS | $0.38 | ↓ -93% |
| Superior Health Plan | CHIP | $0.38 | ↓ -93% |
| Superior Health Plan | STARHealth | $0.38 | ↓ -93% |
| Cigna | IFP | $0.74 | ↓ -86% |
| Cigna | QHP | $0.77 | ↓ -86% |
| Imperial Insurance Company | MCR | $1.04 | ↓ -81% |
| United | OptionsPPO | $1.09 | ↓ -80% |
| Oscar | HIX | $1.14 | ↓ -79% |
| Unicare | CHIP | $1.32 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $1.34 | ↓ -76% |
| Aetna | OON | $1.38 | ↓ -75% |
| Evry Health | COMM | $1.41 | ↓ -74% |
| Cigna | LocalPlus | $1.45 | ↓ -74% |
| Cigna | NewBusiness | $1.45 | ↓ -74% |
| Cigna | HMO | $1.62 | ↓ -70% |
| Cigna | NetworkBenefit | $1.62 | ↓ -70% |
| Cigna | OpenAccessPlus | $1.62 | ↓ -70% |
| Healthcare Highways | CityofPlano | $1.85 | ↓ -66% |
| Cigna | AllOther | $2.04 | ↓ -63% |
| Curative Administrators | COMM | $2.19 | ↓ -60% |
| BCBS | Traditional | $2.43 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $2.47 | ↓ -55% |
| City of McKinney | COMM | $2.47 | ↓ -55% |
| National ChoiceCare | WCOMP | $2.74 | ↓ -50% |
| Aetna | ASA | $2.89 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $3.01 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $3.01 | ↓ -45% |
| Aetna | WCOMP | $3.01 | ↓ -45% |
| PC Texas Partners | WCOMP | $3.01 | ↓ -45% |
| Averde Health, Inc | PPO | $3.18 | ↓ -42% |
| USC Health Services | COMM | $3.29 | ↓ -40% |
| Mega Life | MGMCRPPO | $3.84 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $3.84 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $3.84 | ↓ -30% |
| Jostens | WCOMP | $3.84 | ↓ -30% |
| Aetna Coventry First Health | COMM | $3.98 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $4.11 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $4.11 | ↓ -25% |
| USA Managed Care | COMM | $4.38 | ↓ -20% |
| Galaxy Health Network | PPO | $4.66 | ↓ -15% |
| National Healthcare Solutions | COMM | $5.48 | ↑ +0% |
| Independent Medical Systems | COMM | $5.48 | ↑ +0% |
| Unicare | MCD | $5.48 | ↑ +0% |
| Imaging Providers of Texas | HMOBlue | $70.00 | ↑ +1177% |
| BCBS | BlueAdvantageHMO | $672.75 | ↑ +12176% |
| BCBS | MyBlueHealth | $672.75 | ↑ +12176% |
| United | SmallGroup | $711.50 | ↑ +12884% |
| United | NarrowNetworkIndivExchange | $711.50 | ↑ +12884% |
| United | AllPayerAppendix | $711.50 | ↑ +12884% |
| Aetna | QHPHIX | $774.04 | ↑ +14025% |
| BCBS | BluePremier | $795.60 | ↑ +14418% |
| BCBS | BlueEssentials | $984.75 | ↑ +17870% |
| BCBS | BlueEssentialsAccess | $984.75 | ↑ +17870% |
| BCBS | EPOSOA | $1,033.50 | ↑ +18759% |
| Aetna | NewBusiness | $1,061.28 | ↑ +19266% |
| BCBS | PPO | $1,082.25 | ↑ +19649% |
| Aetna | Meritain | $1,136.87 | ↑ +20646% |
| Aetna | COMM | $1,136.87 | ↑ +20646% |
| Humana | COMM | $1,394.97 | ↑ +25356% |
Visitor-reported prices
Comments
F-18 fdg pet diag at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $3,262.36 | $382.20 – $1,899.30 |
| HCA HOUSTON MEDICAL CENTER | Houston | $1,325.37 | $382.20 – $1,899.30 |
| HCA HOUSTON KINGWOOD | HUMBLE | $3,768.75 | $382.20 – $1,899.30 |
| HCA HOUSTON NORTHWEST | SPRING | $3,681.20 | $382.20 – $1,899.30 |
| Baylor St Luke's Medical Center | Houston | $479.15 | $100.00 – $1,369.00 |
| St. Joseph Health Madison Hospital | Madisonville | $632.63 | $269.10 – $3,253.50 |
| St. Luke's Health Memorial Lufkin | Lufkin | $177.00 | $100.00 – $1,062.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $479.15 | $100.00 – $1,369.00 |