Gamunex-c/gammaked 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.
$46.90 with Humana vs $410.75 with Cigna — 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 |
|---|---|---|---|
| Humana | Tricare | $46.90 | — |
| United | AllPayerAppendix | $80.98 | — |
| United | NarrowNetworkIndivExchange | $80.98 | — |
| United | SmallGroup | $80.98 | — |
| BCBS | MyBlueHealth | $156.46 | — |
| BCBS | BlueAdvantageHMO | $156.46 | — |
| BCBS | BluePremier | $185.03 | — |
| BCBS | BlueEssentialsAccess | $229.02 | — |
| BCBS | BlueEssentials | $229.02 | — |
| BCBS | EPOSOA | $240.35 | — |
| BCBS | PPO | $251.69 | — |
| Humana | COMM | $282.50 | — |
| Cigna | LocalPlus | $290.63 | — |
| Cigna | NewBusiness | $290.92 | — |
| Cigna | NetworkBenefit | $324.68 | — |
| Cigna | OpenAccessPlus | $324.68 | — |
| Cigna | HMO | $324.68 | — |
| Cigna | AllOther | $410.75 | — |
Visitor-reported prices
Comments
Gamunex-c/gammaked at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $15,365.19 | $174.60 – $174.60 |
| Covenant Children's Hospital | Lubbock | $17,168.14 | $168.11 – $189.20 |
| St. Luke's Health - Patients Medical Center | Pasadena | $1,962.09 | $49.43 – $4,204.47 |
| Baylor St Luke's Medical Center | Houston | $7,978.45 | $40.82 – $3,157.82 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $7,978.45 | $49.43 – $3,157.82 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $7,978.45 | $49.43 – $3,157.82 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $7,978.45 | $49.43 – $3,157.82 |
| St. Luke's Health - The Vintage Hospital | Houston | $7,978.45 | $49.43 – $3,157.82 |