Full mouth x-ray of teeth at MEDICAL CITY LEWISVILLE HOSPITAL

1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

not published by hospital

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

not published by hospital

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$52.66 with TEXAS HEALTH NETWORK vs $995.08 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 →

Payer
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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
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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
TEXAS HEALTH NETWORK MCD $52.66
Cook Childrens Health Plan CHIP $53.46
United CHIP $53.46
Parkland Community Health Plan MCD $53.46
United STAR $53.46
United STARKids $53.46
United STARPLUS $53.46
Cook Childrens Health Plan STAR $53.46
United STARPerinate $53.46
Amerigroup CHIP $53.46
Amerigroup MGMCD $53.46
Cigna Healthspring MGMCD $56.13
Aetna Better Health CHIP $57.74
Aetna Better Health MCD $57.74
Molina STARKIDS $58.81
Molina MCDSTAR $58.81
Molina CHIP $58.81
Molina STAR+PLUS $58.81
Humana MGMCD $66.83
Aetna QHPHIX $73.55
Aetna NewBusiness $100.84
Aetna COMM $108.02
Aetna Meritain $108.02
Aetna OON $126.70
Humana COMM $162.14
Cigna LocalPlus $162.45
Cigna NewBusiness $162.61
Cigna OpenAccessPlus $181.44
Cigna HMO $181.44
Cigna NetworkBenefit $181.44
Cigna AllOther $229.63
BCBS MyBlueHealth $305.28
BCBS BlueAdvantageHMO $305.28
United SmallGroup $313.62
United NarrowNetworkIndivExchange $313.62
BCBS BluePremier $316.93
United AllPayerAppendix $517.79
BCBS BlueEssentialsAccess $906.53
BCBS BlueEssentials $906.53
BCBS EPOSOA $950.80
BCBS PPO $995.08

Visitor-reported prices

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Full mouth x-ray of teeth at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $204.53 $53.46 – $607.02
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $204.53 $53.46 – $607.02
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $204.53 $53.46 – $607.02
BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE Grapevine $204.53 $53.46 – $607.02
BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING Irving $204.53 $53.46 – $607.02
BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE Rowlett $204.53 $53.46 – $607.02
BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY McKinney $204.53 $53.46 – $607.02
BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY Frisco $204.53 $53.46 – $515.33

All Texas hospitals for this procedure →