Factor ix at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$1,565.84
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.
$1,565.84
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.
$11.42 with Cook Childrens Health Plan vs $1,565.84 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 |
|---|---|---|---|
| Cook Childrens Health Plan | CHIP | $11.42 | ↓ -99% |
| Cook Childrens Health Plan | STAR | $11.42 | ↓ -99% |
| TEXAS HEALTH NETWORK | MCD | $15.75 | ↓ -99% |
| United | CHIP | $15.99 | ↓ -99% |
| Amerigroup | CHIP | $15.99 | ↓ -99% |
| Amerigroup | MGMCD | $15.99 | ↓ -99% |
| United | STARPerinate | $15.99 | ↓ -99% |
| Parkland Community Health Plan | MCD | $15.99 | ↓ -99% |
| United | STARPLUS | $15.99 | ↓ -99% |
| United | STARKids | $15.99 | ↓ -99% |
| United | STAR | $15.99 | ↓ -99% |
| Cigna Healthspring | MGMCD | $16.79 | ↓ -99% |
| Aetna Better Health | CHIP | $17.27 | ↓ -99% |
| Aetna Better Health | MCD | $17.27 | ↓ -99% |
| Molina | STAR+PLUS | $17.59 | ↓ -99% |
| Molina | CHIP | $17.59 | ↓ -99% |
| Molina | MCDSTAR | $17.59 | ↓ -99% |
| Molina | STARKIDS | $17.59 | ↓ -99% |
| WellMed | MGMCR | $18.94 | ↓ -99% |
| Mutual of Omaha | MGMCR | $19.04 | ↓ -99% |
| Devoted Health | SNP | $19.04 | ↓ -99% |
| Devoted Health | HMO | $19.04 | ↓ -99% |
| Devoted Health | POS | $19.04 | ↓ -99% |
| Devoted Health | MCR | $19.04 | ↓ -99% |
| Devoted Health | MME | $19.04 | ↓ -99% |
| Devoted Health | PPO | $19.04 | ↓ -99% |
| Humana | MGMCR | $19.04 | ↓ -99% |
| United | AllPayerAppendix | $19.04 | ↓ -99% |
| BCBS | MGMCRHMO | $19.04 | ↓ -99% |
| United | NarrowNetworkIndivExchange | $19.04 | ↓ -99% |
| United | SmallGroup | $19.04 | ↓ -99% |
| BCBS | MCRPPO | $19.04 | ↓ -99% |
| TriWest Health Alliance | FEDERAL | $19.04 | ↓ -99% |
| Amerigroup | DualEligible | $19.04 | ↓ -99% |
| United | MGMCR | $19.14 | ↓ -99% |
| Aetna | MCR | $19.20 | ↓ -99% |
| Care N Care | MGMCR | $19.23 | ↓ -99% |
| Cigna Healthspring | MGMCR | $19.42 | ↓ -99% |
| WellCare | MGMCR | $19.61 | ↓ -99% |
| Integranet | MGMCR | $19.61 | ↓ -99% |
| Superior Health Plan | MGMCRDualEligible | $19.99 | ↓ -99% |
| American Health Plan of Texas, Inc. | MGMCR | $19.99 | ↓ -99% |
| Superior Health Plan | MGMCRSNP | $19.99 | ↓ -99% |
| Humana | Tricare | $19.99 | ↓ -99% |
| ProCare Advantge | MCR | $19.99 | ↓ -99% |
| Humana | MGMCD | $19.99 | ↓ -99% |
| Superior Health Plan | MGMCRPPO | $19.99 | ↓ -99% |
| Superior Health Plan | MGMCRPOS | $19.99 | ↓ -99% |
| Superior Health Plan | MGMCRPFFS | $19.99 | ↓ -99% |
| Superior Health Plan | MGMCRHMO | $19.99 | ↓ -99% |
| Texas Independent Health Plan | MGMCR | $20.18 | ↓ -99% |
| Provider Partners Health Plan | MCR | $20.18 | ↓ -99% |
| Molina | MME | $20.75 | ↓ -99% |
| Molina | MCR | $20.75 | ↓ -99% |
| Molina | MMP | $20.75 | ↓ -99% |
| Imperial Insurance Company | MCR | $20.94 | ↓ -99% |
| Universal Healthcare Group | MCR | $22.85 | ↓ -99% |
| Aetna | QHPHIX | $24.21 | ↓ -98% |
| Verda Health Plan | MGMCR | $24.75 | ↓ -98% |
| Bravo Health | MCRPFFS | $28.56 | ↓ -98% |
| Bravo Health | MCRHMO | $28.56 | ↓ -98% |
| Bravo Health | MCRPOS | $28.56 | ↓ -98% |
| Bravo Health | MCRPPO | $28.56 | ↓ -98% |
| Bravo Health | MCRSNP | $28.56 | ↓ -98% |
| BCBS | BluePremier | $32.37 | ↓ -98% |
| BCBS | BlueAdvantageHMO | $33.32 | ↓ -98% |
| BCBS | MyBlueHealth | $33.32 | ↓ -98% |
| Aetna | NewBusiness | $33.35 | ↓ -98% |
| Superior | ValueHMO | $34.08 | ↓ -98% |
| Aetna | Meritain | $35.52 | ↓ -98% |
| Aetna | COMM | $35.52 | ↓ -98% |
| USA Managed Care | WORKERSCOMP | $36.18 | ↓ -98% |
| Corvel Corporation | WORKERSCOMP | $37.70 | ↓ -98% |
| Aetna | OON | $41.80 | ↓ -97% |
| Superior | EPO | $42.65 | ↓ -97% |
| Superior | HMO | $42.65 | ↓ -97% |
| BCBS | BlueEssentials | $47.03 | ↓ -97% |
| BCBS | BlueEssentialsAccess | $47.03 | ↓ -97% |
| BCBS | EPOSOA | $49.31 | ↓ -97% |
| Oscar | HIX | $49.50 | ↓ -97% |
| Molina Healthcare | HIX | $49.88 | ↓ -97% |
| BCBS | PPO | $51.60 | ↓ -97% |
| Cigna | LocalPlus | $72.32 | ↓ -95% |
| Cigna | NewBusiness | $72.39 | ↓ -95% |
| Cigna | NetworkBenefit | $80.77 | ↓ -95% |
| Cigna | OpenAccessPlus | $80.77 | ↓ -95% |
| Cigna | HMO | $80.77 | ↓ -95% |
| Cigna | AllOther | $102.23 | ↓ -93% |
| Superior Health Plan | CHIP | $109.61 | ↓ -93% |
| Superior Health Plan | STARHealth | $109.61 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $109.61 | ↓ -93% |
| Superior Health Plan | STARPLUS | $109.61 | ↓ -93% |
| Superior Health Plan | STARKids | $109.61 | ↓ -93% |
| Cigna | IFP | $211.39 | ↓ -86% |
| Humana | COMM | $211.55 | ↓ -86% |
| Cigna | QHP | $219.22 | ↓ -86% |
| United | OptionsPPO | $311.60 | ↓ -80% |
| Unicare | CHIP | $375.80 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $383.63 | ↓ -76% |
| Evry Health | COMM | $403.99 | ↓ -74% |
| Healthcare Highways | CityofPlano | $529.25 | ↓ -66% |
| BCBS | Traditional | $695.23 | ↓ -56% |
| City of McKinney | COMM | $704.63 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $704.63 | ↓ -55% |
| National ChoiceCare | WCOMP | $782.92 | ↓ -50% |
| Aetna | ASA | $825.20 | ↓ -47% |
| Aetna | WCOMP | $861.21 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $861.21 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $861.21 | ↓ -45% |
| PC Texas Partners | WCOMP | $861.21 | ↓ -45% |
| Averde Health, Inc | PPO | $908.19 | ↓ -42% |
| USC Health Services | COMM | $939.50 | ↓ -40% |
| Coastal Comp Health Networks | WCOMP | $1,096.09 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $1,096.09 | ↓ -30% |
| Jostens | WCOMP | $1,096.09 | ↓ -30% |
| Mega Life | MGMCRPPO | $1,096.09 | ↓ -30% |
| Aetna Coventry First Health | COMM | $1,138.37 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,174.38 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $1,174.38 | ↓ -25% |
| USA Managed Care | COMM | $1,252.67 | ↓ -20% |
| Galaxy Health Network | PPO | $1,330.96 | ↓ -15% |
| Unicare | MCD | $1,565.84 | ↑ +0% |
| Independent Medical Systems | COMM | $1,565.84 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,565.84 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Factor ix at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $251.47 | $10.00 – $70.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $267.03 | $11.55 – $84.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $259.25 | $12.00 – $70.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $251.47 | $10.00 – $70.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $267.03 | $12.00 – $84.15 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $267.03 | $8.00 – $84.15 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $259.25 | $12.00 – $84.15 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $251.47 | $10.00 – $70.12 |