Fusion of knuckle joints 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.
$1,995.00 with Fidelis SecureCare vs $15,433.43 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 |
|---|---|---|---|
| Fidelis SecureCare | MGMCR | $1,995.00 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| TEXAS HEALTH NETWORK | MCD | $3,075.70 | — |
| Cook Childrens Health Plan | STAR | $3,122.54 | — |
| United | STARPLUS | $3,122.54 | — |
| United | STARPerinate | $3,122.54 | — |
| Parkland Community Health Plan | MCD | $3,122.54 | — |
| Cook Childrens Health Plan | CHIP | $3,122.54 | — |
| United | CHIP | $3,122.54 | — |
| United | STAR | $3,122.54 | — |
| United | STARKids | $3,122.54 | — |
| Cigna Healthspring | MGMCD | $3,278.67 | — |
| Amerigroup | MGMCD | $3,278.67 | — |
| Amerigroup | CHIP | $3,278.67 | — |
| Molina | STAR+PLUS | $3,434.79 | — |
| Molina | STARKIDS | $3,434.79 | — |
| Molina | MCDSTAR | $3,434.79 | — |
| Molina | CHIP | $3,434.79 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Aetna | Meritain | $3,682.00 | — |
| Aetna | COMM | $3,682.00 | — |
| Aetna Better Health | MCD | $3,747.05 | — |
| Aetna Better Health | CHIP | $3,747.05 | — |
| Humana | MGMCD | $3,903.18 | — |
| Aetna | OON | $4,332.00 | — |
| Healthcare Highways | NarrowNetwork | $5,475.00 | — |
| Multiplan PHCS | PrimaryNetwork | $5,674.00 | — |
| Curative Administrators | COMM | $5,849.00 | — |
| Cigna | LocalPlus | $6,004.00 | — |
| Cigna | NewBusiness | $6,010.00 | — |
| Evry Health | COMM | $6,054.00 | — |
| United | SmallGroup | $6,383.00 | — |
| Cigna | OpenAccessPlus | $6,708.00 | — |
| Cigna | NetworkBenefit | $6,708.00 | — |
| Cigna | HMO | $6,708.00 | — |
| Oscar | HIX | $7,168.00 | — |
| WellMed | MGMCR | $7,325.73 | — |
| BCBS | BluePremier | $7,417.62 | — |
| United | NarrowNetworkIndivExchange | $7,513.00 | — |
| Cigna | AllOther | $8,485.00 | — |
| Humana | COMM | $9,302.00 | — |
| United | AllPayerAppendix | $10,300.00 | — |
| BCBS | BlueAdvantageHMO | $13,160.29 | — |
| BCBS | MyBlueHealth | $13,160.29 | — |
| BCBS | BlueEssentials | $14,057.58 | — |
| BCBS | BlueEssentialsAccess | $14,057.58 | — |
| BCBS | EPOSOA | $14,775.42 | — |
| BCBS | PPO | $15,433.43 | — |
Visitor-reported prices
Comments
Fusion of knuckle joints at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | not published | $7,477.44 – $8,715.36 |
| CHRISTUS Children's Hospital | San Antonio | not published | $2,736.00 – $3,278.67 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | not published | $2,763.00 – $17,722.46 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $3,060.09 – $9,571.12 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $3,350.61 – $12,263.00 |
| Covenant Children's Hospital | Lubbock | not published | $2,300.00 – $12,741.55 |
| HCA HOUSTON CONROE | CONROE | not published | $3,060.09 – $10,408.59 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $3,060.09 – $10,647.87 |