Filters elec/combo vad, rep at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$180.00
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.
?
What you pay up front if you don't use insurance.
$180.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$12.60 with Superior Health Plan vs $213.61 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | CHIP | $12.60 | ↓ -93% |
| Superior Health Plan | STARHealth | $12.60 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $12.60 | ↓ -93% |
| Superior Health Plan | STARPLUS | $12.60 | ↓ -93% |
| Superior Health Plan | STARKids | $12.60 | ↓ -93% |
| Cigna | IFP | $24.30 | ↓ -87% |
| Cigna | QHP | $25.20 | ↓ -86% |
| United | OptionsPPO | $35.82 | ↓ -80% |
| Humana | Tricare | $36.67 | ↓ -80% |
| BCBS | MGMCRHMO | $37.06 | ↓ -79% |
| BCBS | MCRPPO | $37.06 | ↓ -79% |
| WellMed | MGMCR | $37.61 | ↓ -79% |
| Devoted Health | SNP | $37.80 | ↓ -79% |
| Devoted Health | HMO | $37.80 | ↓ -79% |
| Devoted Health | POS | $37.80 | ↓ -79% |
| Devoted Health | PPO | $37.80 | ↓ -79% |
| Devoted Health | MCR | $37.80 | ↓ -79% |
| Mutual of Omaha | MGMCR | $37.80 | ↓ -79% |
| Humana | MGMCR | $37.80 | ↓ -79% |
| TriWest Health Alliance | FEDERAL | $37.80 | ↓ -79% |
| Devoted Health | MME | $37.80 | ↓ -79% |
| Amerigroup | DualEligible | $37.80 | ↓ -79% |
| United | MGMCR | $37.99 | ↓ -79% |
| Aetna | MCR | $38.12 | ↓ -79% |
| Care N Care | MGMCR | $38.18 | ↓ -79% |
| Cigna Healthspring | MGMCR | $38.56 | ↓ -79% |
| WellCare | MGMCR | $38.93 | ↓ -78% |
| Integranet | MGMCR | $38.93 | ↓ -78% |
| Superior Health Plan | MGMCRPOS | $39.69 | ↓ -78% |
| Superior Health Plan | MGMCRHMO | $39.69 | ↓ -78% |
| Superior Health Plan | MGMCRPPO | $39.69 | ↓ -78% |
| Superior Health Plan | MGMCRDualEligible | $39.69 | ↓ -78% |
| Superior Health Plan | MGMCRPFFS | $39.69 | ↓ -78% |
| Superior Health Plan | MGMCRSNP | $39.69 | ↓ -78% |
| American Health Plan of Texas, Inc. | MGMCR | $39.69 | ↓ -78% |
| ProCare Advantge | MCR | $39.69 | ↓ -78% |
| Texas Independent Health Plan | MGMCR | $40.07 | ↓ -78% |
| Provider Partners Health Plan | MCR | $40.07 | ↓ -78% |
| Molina | MMP | $41.20 | ↓ -77% |
| Molina | MME | $41.20 | ↓ -77% |
| Molina | MCR | $41.20 | ↓ -77% |
| Imperial Insurance Company | MCR | $41.58 | ↓ -77% |
| Unicare | CHIP | $43.20 | ↓ -76% |
| BCBS | MyBlueHealth | $44.46 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $44.46 | ↓ -75% |
| Universal Healthcare Group | MCR | $45.36 | ↓ -75% |
| Cigna | LocalPlus | $47.52 | ↓ -74% |
| Cigna | NewBusiness | $47.52 | ↓ -74% |
| Verda Health Plan | MGMCR | $49.14 | ↓ -73% |
| Cigna | HMO | $53.10 | ↓ -71% |
| Cigna | NetworkBenefit | $53.10 | ↓ -71% |
| Cigna | OpenAccessPlus | $53.10 | ↓ -71% |
| Bravo Health | MCRPOS | $56.70 | ↓ -69% |
| Bravo Health | MCRPPO | $56.70 | ↓ -69% |
| Bravo Health | MCRSNP | $56.70 | ↓ -69% |
| Bravo Health | MCRPFFS | $56.70 | ↓ -69% |
| Bravo Health | MCRHMO | $56.70 | ↓ -69% |
| BCBS | BlueEssentialsAccess | $57.42 | ↓ -68% |
| BCBS | BlueEssentials | $57.42 | ↓ -68% |
| BCBS | EPOSOA | $60.30 | ↓ -67% |
| Healthcare Highways | CityofPlano | $60.84 | ↓ -66% |
| BCBS | PPO | $63.00 | ↓ -65% |
| Cigna | AllOther | $67.14 | ↓ -63% |
| Superior | ValueHMO | $67.66 | ↓ -62% |
| USA Managed Care | WORKERSCOMP | $71.82 | ↓ -60% |
| Corvel Corporation | WORKERSCOMP | $74.84 | ↓ -58% |
| BCBS | Traditional | $79.92 | ↓ -56% |
| City of McKinney | COMM | $81.00 | ↓ -55% |
| Superior | HMO | $84.67 | ↓ -53% |
| Superior | EPO | $84.67 | ↓ -53% |
| National ChoiceCare | WCOMP | $90.00 | ↓ -50% |
| Aetna | ASA | $94.86 | ↓ -47% |
| PC Texas Partners | WCOMP | $99.00 | ↓ -45% |
| Aetna | WCOMP | $99.00 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $99.00 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $99.00 | ↓ -45% |
| Molina Healthcare | HIX | $99.04 | ↓ -45% |
| Averde Health, Inc | PPO | $104.40 | ↓ -42% |
| USC Health Services | COMM | $108.00 | ↓ -40% |
| Jostens | WCOMP | $126.00 | ↓ -30% |
| Mega Life | MGMCRPPO | $126.00 | ↓ -30% |
| Aetna Coventry First Health | COMM | $130.86 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $135.00 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $135.00 | ↓ -25% |
| USA Managed Care | COMM | $144.00 | ↓ -20% |
| Galaxy Health Network | PPO | $153.00 | ↓ -15% |
| National Healthcare Solutions | COMM | $180.00 | ↑ +0% |
| Independent Medical Systems | COMM | $180.00 | ↑ +0% |
| Unicare | MCD | $180.00 | ↑ +0% |
| Humana | COMM | $213.61 | ↑ +19% |
Visitor-reported prices
Comments
Filters elec/combo vad, rep at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $92.05 | $55.23 – $263.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $92.05 | $55.23 – $263.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $92.05 | $55.23 – $263.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $92.05 | $55.23 – $263.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $92.05 | $55.23 – $263.00 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle | $217.00 | $36.67 – $99.04 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW | $255.00 | $36.67 – $99.04 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving | $248.00 | $36.67 – $99.04 |