Foam drsg <=16 sq in without bdr at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$46.00
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.
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What you pay up front if you don't use insurance.
$46.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$3.22 with Superior Health Plan vs $60.16 with Humana — 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 | STARKids | $3.22 | ↓ -93% |
| Superior Health Plan | STARHealth | $3.22 | ↓ -93% |
| Superior Health Plan | STARPLUS | $3.22 | ↓ -93% |
| Superior Health Plan | CHIP | $3.22 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $3.22 | ↓ -93% |
| Aetna | QHPHIX | $6.21 | ↓ -87% |
| Cigna | IFP | $6.21 | ↓ -87% |
| Cigna | QHP | $6.44 | ↓ -86% |
| BCBS | BlueAdvantageHMO | $9.11 | ↓ -80% |
| BCBS | MyBlueHealth | $9.11 | ↓ -80% |
| Aetna | NewBusiness | $9.15 | ↓ -80% |
| United | OptionsPPO | $9.15 | ↓ -80% |
| Oscar | HIX | $9.57 | ↓ -79% |
| Aetna | Meritain | $9.80 | ↓ -79% |
| Aetna | COMM | $9.80 | ↓ -79% |
| Humana | Tricare | $10.33 | ↓ -78% |
| BCBS | BluePremier | $10.33 | ↓ -78% |
| BCBS | MCRPPO | $10.44 | ↓ -77% |
| BCBS | MGMCRHMO | $10.44 | ↓ -77% |
| WellMed | MGMCR | $10.60 | ↓ -77% |
| TriWest Health Alliance | FEDERAL | $10.65 | ↓ -77% |
| Amerigroup | DualEligible | $10.65 | ↓ -77% |
| Humana | MGMCR | $10.65 | ↓ -77% |
| Devoted Health | SNP | $10.65 | ↓ -77% |
| Devoted Health | PPO | $10.65 | ↓ -77% |
| Devoted Health | HMO | $10.65 | ↓ -77% |
| Devoted Health | POS | $10.65 | ↓ -77% |
| Devoted Health | MCR | $10.65 | ↓ -77% |
| Devoted Health | MME | $10.65 | ↓ -77% |
| Mutual of Omaha | MGMCR | $10.65 | ↓ -77% |
| United | MGMCR | $10.70 | ↓ -77% |
| Aetna | MCR | $10.74 | ↓ -77% |
| Care N Care | MGMCR | $10.76 | ↓ -77% |
| Cigna Healthspring | MGMCR | $10.86 | ↓ -76% |
| Integranet | MGMCR | $10.97 | ↓ -76% |
| WellCare | MGMCR | $10.97 | ↓ -76% |
| Unicare | CHIP | $11.04 | ↓ -76% |
| Superior Health Plan | MGMCRPPO | $11.18 | ↓ -76% |
| Superior Health Plan | MGMCRHMO | $11.18 | ↓ -76% |
| Superior Health Plan | MGMCRDualEligible | $11.18 | ↓ -76% |
| Superior Health Plan | MGMCRPFFS | $11.18 | ↓ -76% |
| Superior Health Plan | MGMCRPOS | $11.18 | ↓ -76% |
| Superior Health Plan | MGMCRSNP | $11.18 | ↓ -76% |
| American Health Plan of Texas, Inc. | MGMCR | $11.18 | ↓ -76% |
| ProCare Advantge | MCR | $11.18 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $11.27 | ↓ -76% |
| Provider Partners Health Plan | MCR | $11.29 | ↓ -75% |
| Texas Independent Health Plan | MGMCR | $11.29 | ↓ -75% |
| Aetna | OON | $11.55 | ↓ -75% |
| Molina | MCR | $11.61 | ↓ -75% |
| Molina | MME | $11.61 | ↓ -75% |
| Molina | MMP | $11.61 | ↓ -75% |
| BCBS | BlueEssentialsAccess | $11.72 | ↓ -75% |
| Imperial Insurance Company | MCR | $11.72 | ↓ -75% |
| BCBS | BlueEssentials | $11.72 | ↓ -75% |
| Evry Health | COMM | $11.87 | ↓ -74% |
| Cigna | NewBusiness | $12.14 | ↓ -74% |
| Cigna | LocalPlus | $12.14 | ↓ -74% |
| BCBS | EPOSOA | $12.33 | ↓ -73% |
| Universal Healthcare Group | MCR | $12.78 | ↓ -72% |
| BCBS | PPO | $12.85 | ↓ -72% |
| Cigna | NetworkBenefit | $13.57 | ↓ -71% |
| Cigna | OpenAccessPlus | $13.57 | ↓ -71% |
| Cigna | HMO | $13.57 | ↓ -71% |
| Verda Health Plan | MGMCR | $13.85 | ↓ -70% |
| Healthcare Highways | CityofPlano | $15.55 | ↓ -66% |
| Bravo Health | MCRPFFS | $15.98 | ↓ -65% |
| Bravo Health | MCRHMO | $15.98 | ↓ -65% |
| Bravo Health | MCRPOS | $15.98 | ↓ -65% |
| Bravo Health | MCRPPO | $15.98 | ↓ -65% |
| Bravo Health | MCRSNP | $15.98 | ↓ -65% |
| Cigna | AllOther | $17.16 | ↓ -63% |
| Curative Administrators | COMM | $18.40 | ↓ -60% |
| Superior | ValueHMO | $19.06 | ↓ -59% |
| USA Managed Care | WORKERSCOMP | $20.23 | ↓ -56% |
| BCBS | Traditional | $20.42 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $20.70 | ↓ -55% |
| City of McKinney | COMM | $20.70 | ↓ -55% |
| Corvel Corporation | WORKERSCOMP | $21.09 | ↓ -54% |
| National ChoiceCare | WCOMP | $23.00 | ↓ -50% |
| Superior | HMO | $23.86 | ↓ -48% |
| Superior | EPO | $23.86 | ↓ -48% |
| Aetna | ASA | $24.24 | ↓ -47% |
| Aetna | WCOMP | $25.30 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $25.30 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $25.30 | ↓ -45% |
| PC Texas Partners | WCOMP | $25.30 | ↓ -45% |
| Averde Health, Inc | PPO | $26.68 | ↓ -42% |
| USC Health Services | COMM | $27.60 | ↓ -40% |
| Molina Healthcare | HIX | $27.90 | ↓ -39% |
| Coastal Comp Health Networks | WCOMP | $32.20 | ↓ -30% |
| Jostens | WCOMP | $32.20 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $32.20 | ↓ -30% |
| Mega Life | MGMCRPPO | $32.20 | ↓ -30% |
| Aetna Coventry First Health | COMM | $33.44 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $34.50 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $34.50 | ↓ -25% |
| USA Managed Care | COMM | $36.80 | ↓ -20% |
| Galaxy Health Network | PPO | $39.10 | ↓ -15% |
| Unicare | MCD | $46.00 | ↑ +0% |
| Independent Medical Systems | COMM | $46.00 | ↑ +0% |
| National Healthcare Solutions | COMM | $46.00 | ↑ +0% |
| Humana | COMM | $60.16 | ↑ +31% |
Visitor-reported prices
Comments
Foam drsg <=16 sq in without bdr at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $27.42 | $5.64 – $41.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $27.42 | $5.48 – $34.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $27.42 | $8.80 – $41.13 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $27.42 | $14.17 – $41.13 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $27.42 | $9.14 – $41.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $27.42 | $5.48 – $38.84 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $27.42 | $6.86 – $41.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $27.42 | $5.03 – $41.13 |