Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) 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.

$1.45 with Humana vs $608.52 with Unicare — 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
Humana Tricare $1.45
United SmallGroup $2.41
United AllPayerAppendix $2.41
United NarrowNetworkIndivExchange $2.41
Aetna QHPHIX $3.87
Aetna NewBusiness $5.30
Aetna Meritain $5.68
Aetna COMM $5.68
BCBS BlueAdvantageHMO $6.11
BCBS MyBlueHealth $6.11
BCBS BluePremier $7.22
Cigna LocalPlus $8.89
Cigna NewBusiness $8.90
BCBS BlueEssentials $8.94
BCBS BlueEssentialsAccess $8.94
BCBS EPOSOA $9.38
BCBS PPO $9.82
Cigna OpenAccessPlus $9.94
Cigna HMO $9.94
Cigna NetworkBenefit $9.94
Humana COMM $12.30
Cigna AllOther $12.57
Superior Health Plan CHIP $42.60
Superior Health Plan STARHealth $42.60
Superior Health Plan MCDSTAR $42.60
Superior Health Plan STARPLUS $42.60
Superior Health Plan STARKids $42.60
Cigna IFP $82.15
Cigna QHP $85.19
United OptionsPPO $121.10
Unicare CHIP $146.04
Aetna OON $152.74
Healthcare Highways CityofPlano $205.68
BCBS Traditional $270.18
City of McKinney COMM $273.83
National ChoiceCare WCOMP $304.26
Aetna ASA $320.69
Rockport Health Group WORKERSCOMP $334.69
Physicians Coop of TX MGMCR $334.69
PC Texas Partners WCOMP $334.69
Aetna WCOMP $334.69
Averde Health, Inc PPO $352.94
USC Health Services COMM $365.11
Coastal Comp Health Networks WCOMP $425.96
Jostens WCOMP $425.96
Mega Life MGMCRPPO $425.96
Aetna Coventry First Health COMM $442.39
HealthSmart Preferred Care PPO $456.39
LEWISVILLE ISD/DLS CONSULTING COMMPPO $456.39
USA Managed Care COMM $486.82
Galaxy Health Network PPO $517.24
National Healthcare Solutions COMM $608.52
Independent Medical Systems COMM $608.52
Unicare MCD $608.52

Visitor-reported prices

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Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $386.61 $6.81 – $6.81
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $248.73 $1.59 – $222.46
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $248.73 $1.59 – $145.35
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $248.73 $1.59 – $129.20
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $248.73 $1.59 – $222.46
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $248.73 $1.59 – $222.46
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $248.73 $1.59 – $145.35
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $248.73 $1.59 – $222.46

All Texas hospitals for this procedure →