Fetal hemoglobin rosette 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.
$5.62 with Cook Childrens Health Plan vs $318.52 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 | $5.62 | — |
| Cook Childrens Health Plan | STAR | $5.62 | — |
| TEXAS HEALTH NETWORK | MCD | $7.74 | — |
| United | CHIP | $7.86 | — |
| Amerigroup | CHIP | $7.86 | — |
| Amerigroup | MGMCD | $7.86 | — |
| United | STARPerinate | $7.86 | — |
| Parkland Community Health Plan | MCD | $7.86 | — |
| United | STARPLUS | $7.86 | — |
| United | STARKids | $7.86 | — |
| United | STAR | $7.86 | — |
| Cigna Healthspring | MGMCD | $8.25 | — |
| Aetna Better Health | CHIP | $8.49 | — |
| Aetna Better Health | MCD | $8.49 | — |
| Molina | STAR+PLUS | $8.65 | — |
| Molina | CHIP | $8.65 | — |
| Molina | MCDSTAR | $8.65 | — |
| Molina | STARKIDS | $8.65 | — |
| WellMed | MGMCR | $9.31 | — |
| Mutual of Omaha | MGMCR | $9.36 | — |
| Devoted Health | SNP | $9.36 | — |
| Devoted Health | HMO | $9.36 | — |
| Devoted Health | POS | $9.36 | — |
| Devoted Health | MCR | $9.36 | — |
| Devoted Health | MME | $9.36 | — |
| Devoted Health | PPO | $9.36 | — |
| Humana | MGMCR | $9.36 | — |
| United | AllPayerAppendix | $9.36 | — |
| BCBS | MGMCRHMO | $9.36 | — |
| United | NarrowNetworkIndivExchange | $9.36 | — |
| United | SmallGroup | $9.36 | — |
| BCBS | MCRPPO | $9.36 | — |
| TriWest Health Alliance | FEDERAL | $9.36 | — |
| Amerigroup | DualEligible | $9.36 | — |
| United | MGMCR | $9.41 | — |
| Aetna | MCR | $9.44 | — |
| Care N Care | MGMCR | $9.45 | — |
| Cigna Healthspring | MGMCR | $9.55 | — |
| WellCare | MGMCR | $9.64 | — |
| Integranet | MGMCR | $9.64 | — |
| Superior Health Plan | MGMCRDualEligible | $9.83 | — |
| American Health Plan of Texas, Inc. | MGMCR | $9.83 | — |
| Superior Health Plan | MGMCRSNP | $9.83 | — |
| Humana | Tricare | $9.83 | — |
| ProCare Advantge | MCR | $9.83 | — |
| Humana | MGMCD | $9.83 | — |
| Superior Health Plan | MGMCRPPO | $9.83 | — |
| Superior Health Plan | MGMCRPOS | $9.83 | — |
| Superior Health Plan | MGMCRPFFS | $9.83 | — |
| Superior Health Plan | MGMCRHMO | $9.83 | — |
| Texas Independent Health Plan | MGMCR | $9.92 | — |
| Provider Partners Health Plan | MCR | $9.92 | — |
| Molina | MME | $10.20 | — |
| Molina | MCR | $10.20 | — |
| Molina | MMP | $10.20 | — |
| Imperial Insurance Company | MCR | $10.30 | — |
| Universal Healthcare Group | MCR | $11.23 | — |
| Aetna | QHPHIX | $11.91 | — |
| Verda Health Plan | MGMCR | $12.17 | — |
| Bravo Health | MCRPFFS | $14.04 | — |
| Bravo Health | MCRHMO | $14.04 | — |
| Bravo Health | MCRPOS | $14.04 | — |
| Bravo Health | MCRPPO | $14.04 | — |
| Bravo Health | MCRSNP | $14.04 | — |
| BCBS | BluePremier | $15.91 | — |
| BCBS | MyBlueHealth | $16.38 | — |
| BCBS | BlueAdvantageHMO | $16.38 | — |
| Aetna | NewBusiness | $16.41 | — |
| Superior | ValueHMO | $16.75 | — |
| Aetna | Meritain | $17.48 | — |
| Aetna | COMM | $17.48 | — |
| USA Managed Care | WORKERSCOMP | $17.78 | — |
| Corvel Corporation | WORKERSCOMP | $18.53 | — |
| Aetna | OON | $20.57 | — |
| Superior | HMO | $20.97 | — |
| Superior | EPO | $20.97 | — |
| Superior Health Plan | CHIP | $22.30 | — |
| Superior Health Plan | STARHealth | $22.30 | — |
| Superior Health Plan | MCDSTAR | $22.30 | — |
| Superior Health Plan | STARPLUS | $22.30 | — |
| Superior Health Plan | STARKids | $22.30 | — |
| BCBS | BlueEssentials | $23.12 | — |
| BCBS | BlueEssentialsAccess | $23.12 | — |
| BCBS | EPOSOA | $24.24 | — |
| Oscar | HIX | $24.34 | — |
| Molina Healthcare | HIX | $24.52 | — |
| BCBS | PPO | $25.37 | — |
| Cigna | LocalPlus | $36.14 | — |
| Cigna | NewBusiness | $36.18 | — |
| Cigna | OpenAccessPlus | $40.36 | — |
| Cigna | NetworkBenefit | $40.36 | — |
| Cigna | HMO | $40.36 | — |
| Cigna | IFP | $43.00 | — |
| Cigna | QHP | $44.59 | — |
| Cigna | AllOther | $51.09 | — |
| United | OptionsPPO | $63.39 | — |
| Unicare | CHIP | $76.44 | — |
| Healthcare Highways | NarrowNetwork | $78.04 | — |
| Evry Health | COMM | $82.18 | — |
| Humana | COMM | $84.22 | — |
| Healthcare Highways | CityofPlano | $107.66 | — |
| BCBS | Traditional | $141.42 | — |
| Fidelis SecureCare | MGMCR | $143.33 | — |
| City of McKinney | COMM | $143.33 | — |
| National ChoiceCare | WCOMP | $159.26 | — |
| Aetna | ASA | $167.86 | — |
| Physicians Coop of TX | MGMCR | $175.19 | — |
| Aetna | WCOMP | $175.19 | — |
| PC Texas Partners | WCOMP | $175.19 | — |
| Rockport Health Group | WORKERSCOMP | $175.19 | — |
| Averde Health, Inc | PPO | $184.74 | — |
| USC Health Services | COMM | $191.11 | — |
| Multiplan PHCS | PrimaryNetwork | $222.96 | — |
| Jostens | WCOMP | $222.96 | — |
| Mega Life | MGMCRPPO | $222.96 | — |
| Coastal Comp Health Networks | WCOMP | $222.96 | — |
| Aetna Coventry First Health | COMM | $231.56 | — |
| HealthSmart Preferred Care | PPO | $238.89 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $238.89 | — |
| USA Managed Care | COMM | $254.82 | — |
| Galaxy Health Network | PPO | $270.74 | — |
| Unicare | MCD | $318.52 | — |
| Independent Medical Systems | COMM | $318.52 | — |
| National Healthcare Solutions | COMM | $318.52 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Fetal hemoglobin rosette at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $99.86 | $7.86 – $124.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $104.08 | $12.00 – $156.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $98.02 | $7.86 – $122.52 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $99.86 | $7.86 – $124.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $104.08 | $8.41 – $156.12 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $104.08 | $7.86 – $156.12 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $98.02 | $7.86 – $147.02 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $99.86 | $7.86 – $124.82 |