Fern test at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$75.04
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.
$75.04
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.
$5.25 with Superior Health Plan vs $75.04 with Unicare — 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 | STARPLUS | $5.25 | ↓ -93% |
| Superior Health Plan | STARHealth | $5.25 | ↓ -93% |
| Superior Health Plan | STARKids | $5.25 | ↓ -93% |
| Superior Health Plan | CHIP | $5.25 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $5.25 | ↓ -93% |
| Cook Childrens Health Plan | CHIP | $5.84 | ↓ -92% |
| Cook Childrens Health Plan | STAR | $5.84 | ↓ -92% |
| WellMed | MGMCR | $9.69 | ↓ -87% |
| BCBS | MCRPPO | $9.74 | ↓ -87% |
| United | SmallGroup | $9.74 | ↓ -87% |
| United | AllPayerAppendix | $9.74 | ↓ -87% |
| United | NarrowNetworkIndivExchange | $9.74 | ↓ -87% |
| Humana | MGMCR | $9.74 | ↓ -87% |
| BCBS | MGMCRHMO | $9.74 | ↓ -87% |
| Mutual of Omaha | MGMCR | $9.74 | ↓ -87% |
| Amerigroup | DualEligible | $9.74 | ↓ -87% |
| Devoted Health | SNP | $9.74 | ↓ -87% |
| Devoted Health | HMO | $9.74 | ↓ -87% |
| Devoted Health | PPO | $9.74 | ↓ -87% |
| Devoted Health | POS | $9.74 | ↓ -87% |
| Devoted Health | MCR | $9.74 | ↓ -87% |
| Devoted Health | MME | $9.74 | ↓ -87% |
| TriWest Health Alliance | FEDERAL | $9.74 | ↓ -87% |
| United | MGMCR | $9.79 | ↓ -87% |
| Aetna | MCR | $9.82 | ↓ -87% |
| Care N Care | MGMCR | $9.84 | ↓ -87% |
| Cigna Healthspring | MGMCR | $9.93 | ↓ -87% |
| WellCare | MGMCR | $10.03 | ↓ -87% |
| Integranet | MGMCR | $10.03 | ↓ -87% |
| Cigna | IFP | $10.13 | ↓ -87% |
| Humana | Tricare | $10.22 | ↓ -86% |
| Superior Health Plan | MGMCRDualEligible | $10.23 | ↓ -86% |
| Superior Health Plan | MGMCRHMO | $10.23 | ↓ -86% |
| Superior Health Plan | MGMCRPPO | $10.23 | ↓ -86% |
| Superior Health Plan | MGMCRPFFS | $10.23 | ↓ -86% |
| Superior Health Plan | MGMCRPOS | $10.23 | ↓ -86% |
| Superior Health Plan | MGMCRSNP | $10.23 | ↓ -86% |
| American Health Plan of Texas, Inc. | MGMCR | $10.23 | ↓ -86% |
| ProCare Advantge | MCR | $10.23 | ↓ -86% |
| Texas Independent Health Plan | MGMCR | $10.32 | ↓ -86% |
| Provider Partners Health Plan | MCR | $10.32 | ↓ -86% |
| Cigna | QHP | $10.51 | ↓ -86% |
| Molina | MME | $10.62 | ↓ -86% |
| Molina | MMP | $10.62 | ↓ -86% |
| Molina | MCR | $10.62 | ↓ -86% |
| Imperial Insurance Company | MCR | $10.71 | ↓ -86% |
| Universal Healthcare Group | MCR | $11.69 | ↓ -84% |
| Aetna | QHPHIX | $12.38 | ↓ -84% |
| Verda Health Plan | MGMCR | $12.66 | ↓ -83% |
| Bravo Health | MCRPFFS | $14.61 | ↓ -81% |
| Bravo Health | MCRPOS | $14.61 | ↓ -81% |
| Bravo Health | MCRPPO | $14.61 | ↓ -81% |
| Bravo Health | MCRSNP | $14.61 | ↓ -81% |
| Bravo Health | MCRHMO | $14.61 | ↓ -81% |
| United | OptionsPPO | $14.93 | ↓ -80% |
| BCBS | BluePremier | $16.56 | ↓ -78% |
| Aetna | NewBusiness | $17.05 | ↓ -77% |
| BCBS | MyBlueHealth | $17.05 | ↓ -77% |
| BCBS | BlueAdvantageHMO | $17.05 | ↓ -77% |
| Superior | ValueHMO | $17.43 | ↓ -77% |
| Unicare | CHIP | $18.01 | ↓ -76% |
| Aetna | COMM | $18.16 | ↓ -76% |
| Aetna | Meritain | $18.16 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $18.38 | ↓ -76% |
| USA Managed Care | WORKERSCOMP | $18.51 | ↓ -75% |
| Corvel Corporation | WORKERSCOMP | $19.29 | ↓ -74% |
| Evry Health | COMM | $19.36 | ↓ -74% |
| Aetna | OON | $21.37 | ↓ -72% |
| Superior | HMO | $21.82 | ↓ -71% |
| Superior | EPO | $21.82 | ↓ -71% |
| BCBS | BlueEssentialsAccess | $24.06 | ↓ -68% |
| BCBS | BlueEssentials | $24.06 | ↓ -68% |
| BCBS | EPOSOA | $25.23 | ↓ -66% |
| Oscar | HIX | $25.32 | ↓ -66% |
| Healthcare Highways | CityofPlano | $25.36 | ↓ -66% |
| Molina Healthcare | HIX | $25.52 | ↓ -66% |
| BCBS | PPO | $26.40 | ↓ -65% |
| Curative Administrators | COMM | $30.02 | ↓ -60% |
| BCBS | Traditional | $33.32 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $33.77 | ↓ -55% |
| City of McKinney | COMM | $33.77 | ↓ -55% |
| Cigna | LocalPlus | $37.46 | ↓ -50% |
| Cigna | NewBusiness | $37.50 | ↓ -50% |
| National ChoiceCare | WCOMP | $37.52 | ↓ -50% |
| Aetna | ASA | $39.55 | ↓ -47% |
| Aetna | WCOMP | $41.27 | ↓ -45% |
| PC Texas Partners | WCOMP | $41.27 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $41.27 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $41.27 | ↓ -45% |
| Cigna | NetworkBenefit | $41.84 | ↓ -44% |
| Cigna | HMO | $41.84 | ↓ -44% |
| Cigna | OpenAccessPlus | $41.84 | ↓ -44% |
| Averde Health, Inc | PPO | $43.52 | ↓ -42% |
| USC Health Services | COMM | $45.02 | ↓ -40% |
| Jostens | WCOMP | $52.53 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $52.53 | ↓ -30% |
| Mega Life | MGMCRPPO | $52.53 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $52.53 | ↓ -30% |
| Cigna | AllOther | $52.96 | ↓ -29% |
| Aetna Coventry First Health | COMM | $54.55 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $56.28 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $56.28 | ↓ -25% |
| USA Managed Care | COMM | $60.03 | ↓ -20% |
| Galaxy Health Network | PPO | $63.78 | ↓ -15% |
| Humana | COMM | $69.68 | ↓ -7% |
| National Healthcare Solutions | COMM | $75.04 | ↑ +0% |
| Independent Medical Systems | COMM | $75.04 | ↑ +0% |
| Unicare | MCD | $75.04 | ↑ +0% |
Visitor-reported prices
Comments
Fern test at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $33.70 | $6.94 – $50.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $52.87 | $6.05 – $37.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $33.70 | $9.25 – $50.54 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $33.70 | $8.00 – $50.54 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $52.87 | $9.25 – $45.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $33.70 | $6.74 – $42.12 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $33.70 | $8.42 – $50.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $52.87 | $5.55 – $50.36 |