Galac-1-phosphate uridyltran - sendout 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

$2,603.08

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.

$2,603.08

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.

$12.64 with Cook Childrens Health Plan vs $2,603.08 with National Healthcare Solutions — 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
Cook Childrens Health Plan CHIP $12.64 ↓ -100%
Cook Childrens Health Plan STAR $12.64 ↓ -100%
TEXAS HEALTH NETWORK MCD $17.43 ↓ -99%
United CHIP $17.70 ↓ -99%
Amerigroup CHIP $17.70 ↓ -99%
Amerigroup MGMCD $17.70 ↓ -99%
United STARPerinate $17.70 ↓ -99%
Parkland Community Health Plan MCD $17.70 ↓ -99%
United STARPLUS $17.70 ↓ -99%
United STARKids $17.70 ↓ -99%
United STAR $17.70 ↓ -99%
Cigna Healthspring MGMCD $18.59 ↓ -99%
Aetna Better Health CHIP $19.12 ↓ -99%
Aetna Better Health MCD $19.12 ↓ -99%
Molina STAR+PLUS $19.47 ↓ -99%
Molina CHIP $19.47 ↓ -99%
Molina MCDSTAR $19.47 ↓ -99%
Molina STARKIDS $19.47 ↓ -99%
WellMed MGMCR $20.96 ↓ -99%
Mutual of Omaha MGMCR $21.07 ↓ -99%
Devoted Health SNP $21.07 ↓ -99%
Devoted Health HMO $21.07 ↓ -99%
Devoted Health POS $21.07 ↓ -99%
Devoted Health MCR $21.07 ↓ -99%
Devoted Health MME $21.07 ↓ -99%
Devoted Health PPO $21.07 ↓ -99%
Humana MGMCR $21.07 ↓ -99%
United AllPayerAppendix $21.07 ↓ -99%
BCBS MGMCRHMO $21.07 ↓ -99%
United NarrowNetworkIndivExchange $21.07 ↓ -99%
United SmallGroup $21.07 ↓ -99%
BCBS MCRPPO $21.07 ↓ -99%
TriWest Health Alliance FEDERAL $21.07 ↓ -99%
Amerigroup DualEligible $21.07 ↓ -99%
United MGMCR $21.18 ↓ -99%
Aetna MCR $21.25 ↓ -99%
Care N Care MGMCR $21.28 ↓ -99%
Cigna Healthspring MGMCR $21.49 ↓ -99%
WellCare MGMCR $21.70 ↓ -99%
Integranet MGMCR $21.70 ↓ -99%
Superior Health Plan MGMCRDualEligible $22.12 ↓ -99%
American Health Plan of Texas, Inc. MGMCR $22.12 ↓ -99%
Superior Health Plan MGMCRSNP $22.12 ↓ -99%
Humana Tricare $22.12 ↓ -99%
Superior Health Plan MGMCRHMO $22.12 ↓ -99%
ProCare Advantge MCR $22.12 ↓ -99%
Superior Health Plan MGMCRPPO $22.12 ↓ -99%
Superior Health Plan MGMCRPOS $22.12 ↓ -99%
Superior Health Plan MGMCRPFFS $22.12 ↓ -99%
Humana MGMCD $22.13 ↓ -99%
Texas Independent Health Plan MGMCR $22.33 ↓ -99%
Provider Partners Health Plan MCR $22.33 ↓ -99%
Molina MCR $22.97 ↓ -99%
Molina MME $22.97 ↓ -99%
Molina MMP $22.97 ↓ -99%
Imperial Insurance Company MCR $23.18 ↓ -99%
Universal Healthcare Group MCR $25.28 ↓ -99%
Aetna QHPHIX $26.80 ↓ -99%
Verda Health Plan MGMCR $27.39 ↓ -99%
Bravo Health MCRPFFS $31.61 ↓ -99%
Bravo Health MCRHMO $31.61 ↓ -99%
Bravo Health MCRPOS $31.61 ↓ -99%
Bravo Health MCRPPO $31.61 ↓ -99%
Bravo Health MCRSNP $31.61 ↓ -99%
BCBS BluePremier $35.82 ↓ -99%
BCBS BlueAdvantageHMO $36.87 ↓ -99%
BCBS MyBlueHealth $36.87 ↓ -99%
Aetna NewBusiness $36.91 ↓ -99%
Superior ValueHMO $37.72 ↓ -99%
Aetna Meritain $39.31 ↓ -98%
Aetna COMM $39.31 ↓ -98%
USA Managed Care WORKERSCOMP $40.03 ↓ -98%
Corvel Corporation WORKERSCOMP $41.72 ↓ -98%
Aetna OON $46.26 ↓ -98%
Superior EPO $47.20 ↓ -98%
Superior HMO $47.20 ↓ -98%
BCBS BlueEssentials $52.04 ↓ -98%
BCBS BlueEssentialsAccess $52.04 ↓ -98%
BCBS EPOSOA $54.57 ↓ -98%
Oscar HIX $54.78 ↓ -98%
Molina Healthcare HIX $55.20 ↓ -98%
BCBS PPO $57.10 ↓ -98%
Cigna LocalPlus $80.06 ↓ -97%
Cigna NewBusiness $80.14 ↓ -97%
Cigna NetworkBenefit $89.42 ↓ -97%
Cigna OpenAccessPlus $89.42 ↓ -97%
Cigna HMO $89.42 ↓ -97%
Cigna AllOther $113.17 ↓ -96%
Superior Health Plan CHIP $182.22 ↓ -93%
Superior Health Plan STARHealth $182.22 ↓ -93%
Superior Health Plan MCDSTAR $182.22 ↓ -93%
Superior Health Plan STARPLUS $182.22 ↓ -93%
Superior Health Plan STARKids $182.22 ↓ -93%
Humana COMM $234.05 ↓ -91%
Cigna IFP $351.42 ↓ -86%
Cigna QHP $364.43 ↓ -86%
United OptionsPPO $518.01 ↓ -80%
Unicare CHIP $624.74 ↓ -76%
Healthcare Highways NarrowNetwork $637.75 ↓ -76%
Evry Health COMM $671.59 ↓ -74%
Healthcare Highways CityofPlano $879.84 ↓ -66%
BCBS Traditional $1,155.77 ↓ -56%
City of McKinney COMM $1,171.39 ↓ -55%
Fidelis SecureCare MGMCR $1,171.39 ↓ -55%
National ChoiceCare WCOMP $1,301.54 ↓ -50%
Aetna ASA $1,371.82 ↓ -47%
Aetna WCOMP $1,431.69 ↓ -45%
Rockport Health Group WORKERSCOMP $1,431.69 ↓ -45%
Physicians Coop of TX MGMCR $1,431.69 ↓ -45%
PC Texas Partners WCOMP $1,431.69 ↓ -45%
Averde Health, Inc PPO $1,509.79 ↓ -42%
USC Health Services COMM $1,561.85 ↓ -40%
Coastal Comp Health Networks WCOMP $1,822.16 ↓ -30%
Multiplan PHCS PrimaryNetwork $1,822.16 ↓ -30%
Jostens WCOMP $1,822.16 ↓ -30%
Mega Life MGMCRPPO $1,822.16 ↓ -30%
Aetna Coventry First Health COMM $1,892.44 ↓ -27%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $1,952.31 ↓ -25%
HealthSmart Preferred Care PPO $1,952.31 ↓ -25%
USA Managed Care COMM $2,082.46 ↓ -20%
Galaxy Health Network PPO $2,212.62 ↓ -15%
Unicare MCD $2,603.08 ↑ +0%
Independent Medical Systems COMM $2,603.08 ↑ +0%
National Healthcare Solutions COMM $2,603.08 ↑ +0%
Curative Administrators COMM not published by hospital

Visitor-reported prices

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Galac-1-phosphate uridyltran - sendout at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $135.08 $10.00 – $168.85
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $158.44 $12.00 – $237.65
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $139.72 $12.00 – $174.65
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $135.08 $10.00 – $168.85
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $158.44 $12.00 – $237.65
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $158.44 $8.00 – $237.65
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $139.72 $12.00 – $209.57
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $135.08 $10.00 – $168.85

All Texas hospitals for this procedure →