Fibrinolytic plasminogen at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$1,719.27
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.
$1,719.27
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.
$6.11 with Cook Childrens Health Plan vs $1,719.27 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 | $6.11 | ↓ -100% |
| Cook Childrens Health Plan | STAR | $6.11 | ↓ -100% |
| TEXAS HEALTH NETWORK | MCD | $8.42 | ↓ -100% |
| United | CHIP | $8.55 | ↓ -100% |
| Amerigroup | CHIP | $8.55 | ↓ -100% |
| Amerigroup | MGMCD | $8.55 | ↓ -100% |
| United | STARPerinate | $8.55 | ↓ -100% |
| Parkland Community Health Plan | MCD | $8.55 | ↓ -100% |
| United | STARPLUS | $8.55 | ↓ -100% |
| United | STARKids | $8.55 | ↓ -100% |
| United | STAR | $8.55 | ↓ -100% |
| Cigna Healthspring | MGMCD | $8.98 | ↓ -99% |
| Aetna Better Health | CHIP | $9.23 | ↓ -99% |
| Aetna Better Health | MCD | $9.23 | ↓ -99% |
| Molina | STAR+PLUS | $9.41 | ↓ -99% |
| Molina | CHIP | $9.41 | ↓ -99% |
| Molina | MCDSTAR | $9.41 | ↓ -99% |
| Molina | STARKIDS | $9.41 | ↓ -99% |
| WellMed | MGMCR | $10.13 | ↓ -99% |
| Mutual of Omaha | MGMCR | $10.18 | ↓ -99% |
| Devoted Health | SNP | $10.18 | ↓ -99% |
| Devoted Health | HMO | $10.18 | ↓ -99% |
| Devoted Health | POS | $10.18 | ↓ -99% |
| Devoted Health | MCR | $10.18 | ↓ -99% |
| Devoted Health | MME | $10.18 | ↓ -99% |
| Devoted Health | PPO | $10.18 | ↓ -99% |
| Humana | MGMCR | $10.18 | ↓ -99% |
| United | AllPayerAppendix | $10.18 | ↓ -99% |
| BCBS | MGMCRHMO | $10.18 | ↓ -99% |
| United | NarrowNetworkIndivExchange | $10.18 | ↓ -99% |
| United | SmallGroup | $10.18 | ↓ -99% |
| BCBS | MCRPPO | $10.18 | ↓ -99% |
| TriWest Health Alliance | FEDERAL | $10.18 | ↓ -99% |
| Amerigroup | DualEligible | $10.18 | ↓ -99% |
| United | MGMCR | $10.23 | ↓ -99% |
| Aetna | MCR | $10.27 | ↓ -99% |
| Care N Care | MGMCR | $10.28 | ↓ -99% |
| Cigna Healthspring | MGMCR | $10.38 | ↓ -99% |
| WellCare | MGMCR | $10.49 | ↓ -99% |
| Integranet | MGMCR | $10.49 | ↓ -99% |
| Superior Health Plan | MGMCRDualEligible | $10.69 | ↓ -99% |
| American Health Plan of Texas, Inc. | MGMCR | $10.69 | ↓ -99% |
| Superior Health Plan | MGMCRSNP | $10.69 | ↓ -99% |
| Humana | Tricare | $10.69 | ↓ -99% |
| ProCare Advantge | MCR | $10.69 | ↓ -99% |
| Humana | MGMCD | $10.69 | ↓ -99% |
| Superior Health Plan | MGMCRPPO | $10.69 | ↓ -99% |
| Superior Health Plan | MGMCRPOS | $10.69 | ↓ -99% |
| Superior Health Plan | MGMCRPFFS | $10.69 | ↓ -99% |
| Superior Health Plan | MGMCRHMO | $10.69 | ↓ -99% |
| Texas Independent Health Plan | MGMCR | $10.79 | ↓ -99% |
| Provider Partners Health Plan | MCR | $10.79 | ↓ -99% |
| Molina | MME | $11.10 | ↓ -99% |
| Molina | MCR | $11.10 | ↓ -99% |
| Molina | MMP | $11.10 | ↓ -99% |
| Imperial Insurance Company | MCR | $11.20 | ↓ -99% |
| Universal Healthcare Group | MCR | $12.22 | ↓ -99% |
| Aetna | QHPHIX | $12.95 | ↓ -99% |
| Verda Health Plan | MGMCR | $13.23 | ↓ -99% |
| Bravo Health | MCRPFFS | $15.27 | ↓ -99% |
| Bravo Health | MCRHMO | $15.27 | ↓ -99% |
| Bravo Health | MCRPOS | $15.27 | ↓ -99% |
| Bravo Health | MCRPPO | $15.27 | ↓ -99% |
| Bravo Health | MCRSNP | $15.27 | ↓ -99% |
| BCBS | BluePremier | $17.31 | ↓ -99% |
| BCBS | BlueAdvantageHMO | $17.81 | ↓ -99% |
| BCBS | MyBlueHealth | $17.81 | ↓ -99% |
| Aetna | NewBusiness | $17.84 | ↓ -99% |
| Superior | ValueHMO | $18.22 | ↓ -99% |
| Aetna | Meritain | $19.00 | ↓ -99% |
| Aetna | COMM | $19.00 | ↓ -99% |
| USA Managed Care | WORKERSCOMP | $19.34 | ↓ -99% |
| Corvel Corporation | WORKERSCOMP | $20.16 | ↓ -99% |
| Aetna | OON | $22.36 | ↓ -99% |
| Superior | EPO | $22.80 | ↓ -99% |
| Superior | HMO | $22.80 | ↓ -99% |
| BCBS | BlueEssentials | $25.14 | ↓ -99% |
| BCBS | BlueEssentialsAccess | $25.14 | ↓ -99% |
| BCBS | EPOSOA | $26.37 | ↓ -98% |
| Oscar | HIX | $26.47 | ↓ -98% |
| Molina Healthcare | HIX | $26.67 | ↓ -98% |
| BCBS | PPO | $27.59 | ↓ -98% |
| Cigna | LocalPlus | $38.75 | ↓ -98% |
| Cigna | NewBusiness | $38.78 | ↓ -98% |
| Cigna | OpenAccessPlus | $43.28 | ↓ -97% |
| Cigna | HMO | $43.28 | ↓ -97% |
| Cigna | NetworkBenefit | $43.28 | ↓ -97% |
| Cigna | AllOther | $54.77 | ↓ -97% |
| Humana | COMM | $113.11 | ↓ -93% |
| Superior Health Plan | CHIP | $120.35 | ↓ -93% |
| Superior Health Plan | STARHealth | $120.35 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $120.35 | ↓ -93% |
| Superior Health Plan | STARPLUS | $120.35 | ↓ -93% |
| Superior Health Plan | STARKids | $120.35 | ↓ -93% |
| Cigna | IFP | $232.10 | ↓ -87% |
| Cigna | QHP | $240.70 | ↓ -86% |
| United | OptionsPPO | $342.13 | ↓ -80% |
| Unicare | CHIP | $412.62 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $421.22 | ↓ -76% |
| Evry Health | COMM | $443.57 | ↓ -74% |
| Healthcare Highways | CityofPlano | $581.11 | ↓ -66% |
| BCBS | Traditional | $763.36 | ↓ -56% |
| City of McKinney | COMM | $773.67 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $773.67 | ↓ -55% |
| National ChoiceCare | WCOMP | $859.63 | ↓ -50% |
| Aetna | ASA | $906.06 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $945.60 | ↓ -45% |
| Aetna | WCOMP | $945.60 | ↓ -45% |
| PC Texas Partners | WCOMP | $945.60 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $945.60 | ↓ -45% |
| Averde Health, Inc | PPO | $997.18 | ↓ -42% |
| USC Health Services | COMM | $1,031.56 | ↓ -40% |
| Mega Life | MGMCRPPO | $1,203.49 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $1,203.49 | ↓ -30% |
| Jostens | WCOMP | $1,203.49 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $1,203.49 | ↓ -30% |
| Aetna Coventry First Health | COMM | $1,249.91 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,289.45 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $1,289.45 | ↓ -25% |
| USA Managed Care | COMM | $1,375.42 | ↓ -20% |
| Galaxy Health Network | PPO | $1,461.38 | ↓ -15% |
| Independent Medical Systems | COMM | $1,719.27 | ↑ +0% |
| Unicare | MCD | $1,719.27 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,719.27 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Fibrinolytic plasminogen at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $382.17 | $8.55 – $477.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $129.32 | $12.00 – $193.98 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $129.32 | $8.55 – $161.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $382.17 | $8.55 – $477.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $129.32 | $9.15 – $193.98 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $129.32 | $8.00 – $193.98 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $129.32 | $8.55 – $193.98 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $382.17 | $8.55 – $477.71 |