Formoterol fumarate, inh at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$31.10
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.
$31.10
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.
$1.65 with Humana vs $94.41 with BCBS — 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 |
|---|---|---|---|
| Humana | Tricare | $1.65 | ↓ -95% |
| Superior Health Plan | STARKids | $2.18 | ↓ -93% |
| Superior Health Plan | CHIP | $2.18 | ↓ -93% |
| Superior Health Plan | STARPLUS | $2.18 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $2.18 | ↓ -93% |
| Superior Health Plan | STARHealth | $2.18 | ↓ -93% |
| United | NarrowNetworkIndivExchange | $3.63 | ↓ -88% |
| United | SmallGroup | $3.63 | ↓ -88% |
| United | AllPayerAppendix | $3.63 | ↓ -88% |
| Aetna | QHPHIX | $4.20 | ↓ -86% |
| Cigna | IFP | $4.20 | ↓ -86% |
| Cigna | QHP | $4.35 | ↓ -86% |
| United | OptionsPPO | $6.19 | ↓ -80% |
| Aetna | NewBusiness | $6.19 | ↓ -80% |
| Aetna | COMM | $6.62 | ↓ -79% |
| Aetna | Meritain | $6.62 | ↓ -79% |
| Unicare | CHIP | $7.46 | ↓ -76% |
| Aetna | OON | $7.81 | ↓ -75% |
| Healthcare Highways | CityofPlano | $10.51 | ↓ -66% |
| Cigna | LocalPlus | $11.92 | ↓ -62% |
| Cigna | NewBusiness | $11.93 | ↓ -62% |
| Cigna | OpenAccessPlus | $13.32 | ↓ -57% |
| Cigna | HMO | $13.32 | ↓ -57% |
| Cigna | NetworkBenefit | $13.32 | ↓ -57% |
| BCBS | Traditional | $13.81 | ↓ -56% |
| City of McKinney | COMM | $13.99 | ↓ -55% |
| National ChoiceCare | WCOMP | $15.55 | ↓ -50% |
| Aetna | ASA | $16.39 | ↓ -47% |
| Cigna | AllOther | $16.85 | ↓ -46% |
| PC Texas Partners | WCOMP | $17.11 | ↓ -45% |
| Aetna | WCOMP | $17.11 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $17.11 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $17.11 | ↓ -45% |
| Averde Health, Inc | PPO | $18.04 | ↓ -42% |
| USC Health Services | COMM | $18.66 | ↓ -40% |
| Jostens | WCOMP | $21.77 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $21.77 | ↓ -30% |
| Mega Life | MGMCRPPO | $21.77 | ↓ -30% |
| Aetna Coventry First Health | COMM | $22.61 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $23.32 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $23.32 | ↓ -25% |
| USA Managed Care | COMM | $24.88 | ↓ -20% |
| Galaxy Health Network | PPO | $26.43 | ↓ -15% |
| National Healthcare Solutions | COMM | $31.10 | ↑ +0% |
| Independent Medical Systems | COMM | $31.10 | ↑ +0% |
| Unicare | MCD | $31.10 | ↑ +0% |
| BCBS | BlueAdvantageHMO | $58.68 | ↑ +89% |
| BCBS | MyBlueHealth | $58.68 | ↑ +89% |
| BCBS | BluePremier | $69.40 | ↑ +123% |
| Humana | COMM | $78.55 | ↑ +153% |
| BCBS | BlueEssentialsAccess | $85.90 | ↑ +176% |
| BCBS | BlueEssentials | $85.90 | ↑ +176% |
| BCBS | EPOSOA | $90.15 | ↑ +190% |
| BCBS | PPO | $94.41 | ↑ +204% |
Visitor-reported prices
Comments
Formoterol fumarate, inh at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $72.86 | $65.49 – $65.49 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $18.14 | $1.70 – $106.95 |
| HCA HOUSTON MEDICAL CENTER | Houston | $14.09 | $1.70 – $106.95 |
| HCA HOUSTON CONROE | CONROE | $158.98 | $2.20 – $106.95 |
| HCA HOUSTON KINGWOOD | HUMBLE | $22.26 | $2.20 – $106.95 |
| HCA HOUSTON PEARLAND | Pearland | $104.49 | $1.70 – $106.95 |
| HCA HOUSTON SOUTHEAST | PASADENA | $107.78 | $1.70 – $106.95 |
| HCA HOUSTON WEST | HOUSTON | $33.00 | $2.20 – $106.95 |