Gastric analy w/ph ea spec at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$273.48
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.
$273.48
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.
$4.03 with Cook Childrens Health Plan vs $273.48 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 →
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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 |
|---|---|---|---|
| Cook Childrens Health Plan | CHIP | $4.03 | ↓ -99% |
| Cook Childrens Health Plan | STAR | $4.03 | ↓ -99% |
| TEXAS HEALTH NETWORK | MCD | $5.56 | ↓ -98% |
| United | CHIP | $5.64 | ↓ -98% |
| Amerigroup | CHIP | $5.64 | ↓ -98% |
| Amerigroup | MGMCD | $5.64 | ↓ -98% |
| United | STARPerinate | $5.64 | ↓ -98% |
| Parkland Community Health Plan | MCD | $5.64 | ↓ -98% |
| United | STARPLUS | $5.64 | ↓ -98% |
| United | STARKids | $5.64 | ↓ -98% |
| United | STAR | $5.64 | ↓ -98% |
| Cigna Healthspring | MGMCD | $5.92 | ↓ -98% |
| Aetna Better Health | CHIP | $6.09 | ↓ -98% |
| Aetna Better Health | MCD | $6.09 | ↓ -98% |
| Molina | STAR+PLUS | $6.20 | ↓ -98% |
| Molina | CHIP | $6.20 | ↓ -98% |
| Molina | MCDSTAR | $6.20 | ↓ -98% |
| Molina | STARKIDS | $6.20 | ↓ -98% |
| WellMed | MGMCR | $6.68 | ↓ -98% |
| Mutual of Omaha | MGMCR | $6.71 | ↓ -98% |
| Devoted Health | SNP | $6.71 | ↓ -98% |
| Devoted Health | HMO | $6.71 | ↓ -98% |
| Devoted Health | POS | $6.71 | ↓ -98% |
| Devoted Health | MCR | $6.71 | ↓ -98% |
| Devoted Health | MME | $6.71 | ↓ -98% |
| Devoted Health | PPO | $6.71 | ↓ -98% |
| Humana | MGMCR | $6.71 | ↓ -98% |
| United | AllPayerAppendix | $6.71 | ↓ -98% |
| BCBS | MGMCRHMO | $6.71 | ↓ -98% |
| United | NarrowNetworkIndivExchange | $6.71 | ↓ -98% |
| United | SmallGroup | $6.71 | ↓ -98% |
| BCBS | MCRPPO | $6.71 | ↓ -98% |
| TriWest Health Alliance | FEDERAL | $6.71 | ↓ -98% |
| Amerigroup | DualEligible | $6.71 | ↓ -98% |
| United | MGMCR | $6.74 | ↓ -98% |
| Aetna | MCR | $6.77 | ↓ -98% |
| Care N Care | MGMCR | $6.78 | ↓ -98% |
| Cigna Healthspring | MGMCR | $6.84 | ↓ -97% |
| Integranet | MGMCR | $6.91 | ↓ -97% |
| WellCare | MGMCR | $6.91 | ↓ -97% |
| Humana | Tricare | $7.04 | ↓ -97% |
| Superior Health Plan | MGMCRDualEligible | $7.05 | ↓ -97% |
| American Health Plan of Texas, Inc. | MGMCR | $7.05 | ↓ -97% |
| Superior Health Plan | MGMCRSNP | $7.05 | ↓ -97% |
| ProCare Advantge | MCR | $7.05 | ↓ -97% |
| Humana | MGMCD | $7.05 | ↓ -97% |
| Superior Health Plan | MGMCRPPO | $7.05 | ↓ -97% |
| Superior Health Plan | MGMCRPOS | $7.05 | ↓ -97% |
| Superior Health Plan | MGMCRPFFS | $7.05 | ↓ -97% |
| Superior Health Plan | MGMCRHMO | $7.05 | ↓ -97% |
| Texas Independent Health Plan | MGMCR | $7.11 | ↓ -97% |
| Provider Partners Health Plan | MCR | $7.11 | ↓ -97% |
| Molina | MME | $7.31 | ↓ -97% |
| Molina | MCR | $7.31 | ↓ -97% |
| Molina | MMP | $7.31 | ↓ -97% |
| Imperial Insurance Company | MCR | $7.38 | ↓ -97% |
| Universal Healthcare Group | MCR | $8.05 | ↓ -97% |
| Aetna | QHPHIX | $8.54 | ↓ -97% |
| Verda Health Plan | MGMCR | $8.72 | ↓ -97% |
| Bravo Health | MCRPFFS | $10.06 | ↓ -96% |
| Bravo Health | MCRHMO | $10.06 | ↓ -96% |
| Bravo Health | MCRPOS | $10.06 | ↓ -96% |
| Bravo Health | MCRPPO | $10.06 | ↓ -96% |
| Bravo Health | MCRSNP | $10.06 | ↓ -96% |
| BCBS | BluePremier | $11.41 | ↓ -96% |
| BCBS | MyBlueHealth | $11.74 | ↓ -96% |
| BCBS | BlueAdvantageHMO | $11.74 | ↓ -96% |
| Aetna | NewBusiness | $11.77 | ↓ -96% |
| Superior | ValueHMO | $12.01 | ↓ -96% |
| Aetna | COMM | $12.53 | ↓ -95% |
| Aetna | Meritain | $12.53 | ↓ -95% |
| USA Managed Care | WORKERSCOMP | $12.75 | ↓ -95% |
| Corvel Corporation | WORKERSCOMP | $13.29 | ↓ -95% |
| Aetna | OON | $14.75 | ↓ -95% |
| Superior | HMO | $15.03 | ↓ -95% |
| Superior | EPO | $15.03 | ↓ -95% |
| BCBS | BlueEssentials | $16.57 | ↓ -94% |
| BCBS | BlueEssentialsAccess | $16.57 | ↓ -94% |
| BCBS | EPOSOA | $17.38 | ↓ -94% |
| Oscar | HIX | $17.45 | ↓ -94% |
| Molina Healthcare | HIX | $17.58 | ↓ -94% |
| BCBS | PPO | $18.18 | ↓ -93% |
| Superior Health Plan | CHIP | $19.14 | ↓ -93% |
| Superior Health Plan | STARHealth | $19.14 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $19.14 | ↓ -93% |
| Superior Health Plan | STARPLUS | $19.14 | ↓ -93% |
| Superior Health Plan | STARKids | $19.14 | ↓ -93% |
| Cigna | LocalPlus | $25.83 | ↓ -91% |
| Cigna | NewBusiness | $25.86 | ↓ -91% |
| Cigna | HMO | $28.85 | ↓ -89% |
| Cigna | OpenAccessPlus | $28.85 | ↓ -89% |
| Cigna | NetworkBenefit | $28.85 | ↓ -89% |
| Cigna | AllOther | $36.51 | ↓ -87% |
| Cigna | IFP | $36.92 | ↓ -86% |
| Cigna | QHP | $38.29 | ↓ -86% |
| United | OptionsPPO | $54.42 | ↓ -80% |
| Humana | COMM | $60.47 | ↓ -78% |
| Unicare | CHIP | $65.64 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $67.00 | ↓ -76% |
| Evry Health | COMM | $70.56 | ↓ -74% |
| Healthcare Highways | CityofPlano | $92.44 | ↓ -66% |
| BCBS | Traditional | $121.43 | ↓ -56% |
| City of McKinney | COMM | $123.07 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $123.07 | ↓ -55% |
| National ChoiceCare | WCOMP | $136.74 | ↓ -50% |
| Aetna | ASA | $144.12 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $150.41 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $150.41 | ↓ -45% |
| Aetna | WCOMP | $150.41 | ↓ -45% |
| PC Texas Partners | WCOMP | $150.41 | ↓ -45% |
| Averde Health, Inc | PPO | $158.62 | ↓ -42% |
| USC Health Services | COMM | $164.09 | ↓ -40% |
| Coastal Comp Health Networks | WCOMP | $191.44 | ↓ -30% |
| Jostens | WCOMP | $191.44 | ↓ -30% |
| Mega Life | MGMCRPPO | $191.44 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $191.44 | ↓ -30% |
| Aetna Coventry First Health | COMM | $198.82 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $205.11 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $205.11 | ↓ -25% |
| USA Managed Care | COMM | $218.78 | ↓ -20% |
| Galaxy Health Network | PPO | $232.46 | ↓ -15% |
| Independent Medical Systems | COMM | $273.48 | ↑ +0% |
| Unicare | MCD | $273.48 | ↑ +0% |
| National Healthcare Solutions | COMM | $273.48 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Gastric analy w/ph ea spec at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $23.01 | $5.64 – $28.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $27.67 | $5.69 – $41.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $25.61 | $5.64 – $32.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $23.01 | $5.64 – $28.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $27.67 | $6.03 – $41.50 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $27.67 | $5.64 – $41.50 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $25.61 | $5.64 – $38.42 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $23.01 | $5.64 – $28.76 |