Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution 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

$85.68

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.

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

$85.68

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.

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

$0.12 with Humana vs $85.68 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 $0.12 ↓ -100%
United NarrowNetworkIndivExchange $0.17 ↓ -100%
United AllPayerAppendix $0.17 ↓ -100%
United SmallGroup $0.17 ↓ -100%
Aetna QHPHIX $0.31 ↓ -100%
Aetna NewBusiness $0.42 ↓ -100%
Aetna COMM $0.45 ↓ -99%
Aetna Meritain $0.45 ↓ -99%
BCBS BlueAdvantageHMO $0.69 ↓ -99%
BCBS MyBlueHealth $0.69 ↓ -99%
Cigna LocalPlus $0.73 ↓ -99%
Cigna NewBusiness $0.73 ↓ -99%
Cigna OpenAccessPlus $0.81 ↓ -99%
Cigna HMO $0.81 ↓ -99%
Cigna NetworkBenefit $0.81 ↓ -99%
BCBS BluePremier $0.82 ↓ -99%
BCBS BlueEssentials $1.01 ↓ -99%
BCBS BlueEssentialsAccess $1.01 ↓ -99%
Cigna AllOther $1.03 ↓ -99%
BCBS EPOSOA $1.06 ↓ -99%
BCBS PPO $1.11 ↓ -99%
Humana COMM $1.50 ↓ -98%
Superior Health Plan STARPLUS $6.00 ↓ -93%
Superior Health Plan STARKids $6.00 ↓ -93%
Superior Health Plan CHIP $6.00 ↓ -93%
Superior Health Plan STARHealth $6.00 ↓ -93%
Superior Health Plan MCDSTAR $6.00 ↓ -93%
Cigna IFP $11.57 ↓ -86%
Cigna QHP $12.00 ↓ -86%
United OptionsPPO $17.05 ↓ -80%
Unicare CHIP $20.56 ↓ -76%
Aetna OON $21.51 ↓ -75%
Healthcare Highways CityofPlano $28.96 ↓ -66%
BCBS Traditional $38.04 ↓ -56%
City of McKinney COMM $38.56 ↓ -55%
National ChoiceCare WCOMP $42.84 ↓ -50%
Physicians Coop of TX MGMCR $47.12 ↓ -45%
Aetna WCOMP $47.12 ↓ -45%
Rockport Health Group WORKERSCOMP $47.12 ↓ -45%
PC Texas Partners WCOMP $47.12 ↓ -45%
Averde Health, Inc PPO $49.69 ↓ -42%
USC Health Services COMM $51.41 ↓ -40%
Coastal Comp Health Networks WCOMP $59.98 ↓ -30%
Jostens WCOMP $59.98 ↓ -30%
Mega Life MGMCRPPO $59.98 ↓ -30%
Aetna Coventry First Health COMM $62.29 ↓ -27%
HealthSmart Preferred Care PPO $64.26 ↓ -25%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $64.26 ↓ -25%
USA Managed Care COMM $68.54 ↓ -20%
Galaxy Health Network PPO $72.83 ↓ -15%
Independent Medical Systems COMM $85.68 ↑ +0%
National Healthcare Solutions COMM $85.68 ↑ +0%
Unicare MCD $85.68 ↑ +0%
Aetna ASA not published by hospital

Visitor-reported prices

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Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $551.33 $0.77 – $0.77
HCA HOUSTON KINGWOOD HUMBLE $1,007.07 $0.10 – $2.05
Baylor St Luke's Medical Center Houston $86.54 $0.18 – $7.00
St. Luke's Health - Springwoods Village Hospital Spring $86.54 $0.17 – $7.00
St. Luke's Health - Sugar Land Hospital Sugar Land $86.54 $0.17 – $7.00
St. Luke's Health - Lakeside Hospital The Woodlands $86.54 $0.17 – $7.00
St. Luke's Health - The Vintage Hospital Houston $86.54 $0.17 – $7.00
Texas Health Presbyterian Hospital Plano Plano $7.50 $0.26 – $0.26

All Texas hospitals for this procedure →