_fragile x methylation-sendout 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.
$26.93 with Cook Childrens Health Plan vs $403.93 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 |
|---|---|---|---|
| Cook Childrens Health Plan | STAR | $26.93 | — |
| Cook Childrens Health Plan | CHIP | $26.93 | — |
| TEXAS HEALTH NETWORK | MCD | $37.14 | — |
| Amerigroup | CHIP | $37.71 | — |
| United | STARPerinate | $37.71 | — |
| United | STARPLUS | $37.71 | — |
| United | STARKids | $37.71 | — |
| United | CHIP | $37.71 | — |
| United | STAR | $37.71 | — |
| Parkland Community Health Plan | MCD | $37.71 | — |
| Amerigroup | MGMCD | $37.71 | — |
| Cigna Healthspring | MGMCD | $39.60 | — |
| Aetna Better Health | CHIP | $40.73 | — |
| Aetna Better Health | MCD | $40.73 | — |
| Molina | MCDSTAR | $41.48 | — |
| Molina | STARKIDS | $41.48 | — |
| Molina | STAR+PLUS | $41.48 | — |
| Molina | CHIP | $41.48 | — |
| WellMed | MGMCR | $44.67 | — |
| Devoted Health | POS | $44.89 | — |
| Mutual of Omaha | MGMCR | $44.89 | — |
| Devoted Health | MME | $44.89 | — |
| Amerigroup | DualEligible | $44.89 | — |
| Devoted Health | PPO | $44.89 | — |
| Devoted Health | MCR | $44.89 | — |
| Devoted Health | SNP | $44.89 | — |
| Devoted Health | HMO | $44.89 | — |
| BCBS | MCRPPO | $44.89 | — |
| United | AllPayerAppendix | $44.89 | — |
| United | NarrowNetworkIndivExchange | $44.89 | — |
| TriWest Health Alliance | FEDERAL | $44.89 | — |
| Humana | MGMCR | $44.89 | — |
| United | SmallGroup | $44.89 | — |
| BCBS | MGMCRHMO | $44.89 | — |
| United | MGMCR | $45.11 | — |
| Aetna | MCR | $45.27 | — |
| Care N Care | MGMCR | $45.34 | — |
| Cigna Healthspring | MGMCR | $45.79 | — |
| WellCare | MGMCR | $46.24 | — |
| Integranet | MGMCR | $46.24 | — |
| Superior Health Plan | MGMCRPPO | $47.13 | — |
| Superior Health Plan | MGMCRHMO | $47.13 | — |
| Superior Health Plan | MGMCRDualEligible | $47.13 | — |
| Superior Health Plan | MGMCRPFFS | $47.13 | — |
| Superior Health Plan | MGMCRPOS | $47.13 | — |
| Superior Health Plan | MGMCRSNP | $47.13 | — |
| American Health Plan of Texas, Inc. | MGMCR | $47.13 | — |
| ProCare Advantge | MCR | $47.13 | — |
| Humana | MGMCD | $47.14 | — |
| Texas Independent Health Plan | MGMCR | $47.58 | — |
| Provider Partners Health Plan | MCR | $47.58 | — |
| Molina | MMP | $48.93 | — |
| Molina | MCR | $48.93 | — |
| Molina | MME | $48.93 | — |
| Imperial Insurance Company | MCR | $49.38 | — |
| Universal Healthcare Group | MCR | $53.87 | — |
| Aetna | QHPHIX | $57.09 | — |
| Verda Health Plan | MGMCR | $58.36 | — |
| Bravo Health | MCRHMO | $67.34 | — |
| Bravo Health | MCRPOS | $67.34 | — |
| Bravo Health | MCRPPO | $67.34 | — |
| Bravo Health | MCRPFFS | $67.34 | — |
| Bravo Health | MCRSNP | $67.34 | — |
| BCBS | BluePremier | $76.31 | — |
| BCBS | BlueAdvantageHMO | $78.56 | — |
| BCBS | MyBlueHealth | $78.56 | — |
| Aetna | NewBusiness | $78.64 | — |
| Superior | ValueHMO | $80.35 | — |
| Aetna | COMM | $83.75 | — |
| Aetna | Meritain | $83.75 | — |
| USA Managed Care | WORKERSCOMP | $85.29 | — |
| Corvel Corporation | WORKERSCOMP | $88.88 | — |
| Aetna | OON | $98.56 | — |
| Superior | HMO | $100.55 | — |
| Superior | EPO | $100.55 | — |
| BCBS | BlueEssentials | $110.88 | — |
| BCBS | BlueEssentialsAccess | $110.88 | — |
| BCBS | EPOSOA | $116.27 | — |
| Oscar | HIX | $116.71 | — |
| Molina Healthcare | HIX | $117.61 | — |
| BCBS | PPO | $121.65 | — |
| Cigna | LocalPlus | $170.43 | — |
| Cigna | NewBusiness | $170.60 | — |
| Cigna | NetworkBenefit | $190.36 | — |
| Cigna | OpenAccessPlus | $190.36 | — |
| Cigna | HMO | $190.36 | — |
| Cigna | AllOther | $240.92 | — |
| Humana | COMM | $403.93 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
_fragile x methylation-sendout at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $391.65 | $35.00 – $489.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $426.13 | $12.00 – $639.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $327.79 | $12.00 – $409.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $391.65 | $35.00 – $489.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $426.13 | $12.00 – $639.20 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $426.13 | $8.00 – $639.20 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $327.79 | $12.00 – $491.69 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $391.65 | $35.00 – $489.56 |