Ghs fish hybrid in situ 100-300 at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$1,310.73
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.
$1,310.73
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.
$30.71 with Cook Childrens Health Plan vs $1,310.73 with Independent Medical Systems — 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 | $30.71 | ↓ -98% |
| Cook Childrens Health Plan | STAR | $30.71 | ↓ -98% |
| TEXAS HEALTH NETWORK | MCD | $42.35 | ↓ -97% |
| United | CHIP | $43.00 | ↓ -97% |
| Amerigroup | CHIP | $43.00 | ↓ -97% |
| Amerigroup | MGMCD | $43.00 | ↓ -97% |
| United | STARPerinate | $43.00 | ↓ -97% |
| Parkland Community Health Plan | MCD | $43.00 | ↓ -97% |
| United | STARPLUS | $43.00 | ↓ -97% |
| United | STARKids | $43.00 | ↓ -97% |
| United | STAR | $43.00 | ↓ -97% |
| Cigna Healthspring | MGMCD | $45.15 | ↓ -97% |
| Aetna Better Health | CHIP | $46.44 | ↓ -96% |
| Aetna Better Health | MCD | $46.44 | ↓ -96% |
| Molina | STAR+PLUS | $47.30 | ↓ -96% |
| Molina | CHIP | $47.30 | ↓ -96% |
| Molina | MCDSTAR | $47.30 | ↓ -96% |
| Molina | STARKIDS | $47.30 | ↓ -96% |
| WellMed | MGMCR | $50.93 | ↓ -96% |
| Mutual of Omaha | MGMCR | $51.19 | ↓ -96% |
| Devoted Health | SNP | $51.19 | ↓ -96% |
| Devoted Health | HMO | $51.19 | ↓ -96% |
| Devoted Health | POS | $51.19 | ↓ -96% |
| Devoted Health | MCR | $51.19 | ↓ -96% |
| Devoted Health | MME | $51.19 | ↓ -96% |
| Devoted Health | PPO | $51.19 | ↓ -96% |
| Humana | MGMCR | $51.19 | ↓ -96% |
| United | AllPayerAppendix | $51.19 | ↓ -96% |
| BCBS | MGMCRHMO | $51.19 | ↓ -96% |
| United | NarrowNetworkIndivExchange | $51.19 | ↓ -96% |
| United | SmallGroup | $51.19 | ↓ -96% |
| BCBS | MCRPPO | $51.19 | ↓ -96% |
| TriWest Health Alliance | FEDERAL | $51.19 | ↓ -96% |
| Amerigroup | DualEligible | $51.19 | ↓ -96% |
| United | MGMCR | $51.45 | ↓ -96% |
| Aetna | MCR | $51.63 | ↓ -96% |
| Care N Care | MGMCR | $51.70 | ↓ -96% |
| Cigna Healthspring | MGMCR | $52.21 | ↓ -96% |
| Integranet | MGMCR | $52.73 | ↓ -96% |
| WellCare | MGMCR | $52.73 | ↓ -96% |
| Humana | Tricare | $53.74 | ↓ -96% |
| Superior Health Plan | MGMCRDualEligible | $53.75 | ↓ -96% |
| American Health Plan of Texas, Inc. | MGMCR | $53.75 | ↓ -96% |
| Superior Health Plan | MGMCRSNP | $53.75 | ↓ -96% |
| ProCare Advantge | MCR | $53.75 | ↓ -96% |
| Humana | MGMCD | $53.75 | ↓ -96% |
| Superior Health Plan | MGMCRPPO | $53.75 | ↓ -96% |
| Superior Health Plan | MGMCRPOS | $53.75 | ↓ -96% |
| Superior Health Plan | MGMCRPFFS | $53.75 | ↓ -96% |
| Superior Health Plan | MGMCRHMO | $53.75 | ↓ -96% |
| Texas Independent Health Plan | MGMCR | $54.26 | ↓ -96% |
| Provider Partners Health Plan | MCR | $54.26 | ↓ -96% |
| Molina | MME | $55.80 | ↓ -96% |
| Molina | MCR | $55.80 | ↓ -96% |
| Molina | MMP | $55.80 | ↓ -96% |
| Imperial Insurance Company | MCR | $56.31 | ↓ -96% |
| Universal Healthcare Group | MCR | $61.43 | ↓ -95% |
| Aetna | QHPHIX | $65.11 | ↓ -95% |
| Verda Health Plan | MGMCR | $66.55 | ↓ -95% |
| Bravo Health | MCRPFFS | $76.78 | ↓ -94% |
| Bravo Health | MCRHMO | $76.78 | ↓ -94% |
| Bravo Health | MCRPOS | $76.78 | ↓ -94% |
| Bravo Health | MCRPPO | $76.78 | ↓ -94% |
| Bravo Health | MCRSNP | $76.78 | ↓ -94% |
| BCBS | BluePremier | $87.02 | ↓ -93% |
| BCBS | BlueAdvantageHMO | $89.58 | ↓ -93% |
| BCBS | MyBlueHealth | $89.58 | ↓ -93% |
| Aetna | NewBusiness | $89.67 | ↓ -93% |
| Superior | ValueHMO | $91.63 | ↓ -93% |
| Superior Health Plan | CHIP | $91.75 | ↓ -93% |
| Superior Health Plan | STARKids | $91.75 | ↓ -93% |
| Superior Health Plan | STARPLUS | $91.75 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $91.75 | ↓ -93% |
| Superior Health Plan | STARHealth | $91.75 | ↓ -93% |
| Aetna | COMM | $95.51 | ↓ -93% |
| Aetna | Meritain | $95.51 | ↓ -93% |
| USA Managed Care | WORKERSCOMP | $97.26 | ↓ -93% |
| Corvel Corporation | WORKERSCOMP | $101.36 | ↓ -92% |
| Aetna | OON | $112.40 | ↓ -91% |
| Superior | EPO | $114.67 | ↓ -91% |
| Superior | HMO | $114.67 | ↓ -91% |
| BCBS | BlueEssentialsAccess | $126.44 | ↓ -90% |
| BCBS | BlueEssentials | $126.44 | ↓ -90% |
| BCBS | EPOSOA | $132.58 | ↓ -90% |
| Oscar | HIX | $133.09 | ↓ -90% |
| Molina Healthcare | HIX | $134.12 | ↓ -90% |
| BCBS | PPO | $138.72 | ↓ -89% |
| Cigna | IFP | $176.95 | ↓ -86% |
| Cigna | QHP | $183.50 | ↓ -86% |
| Cigna | LocalPlus | $194.97 | ↓ -85% |
| Cigna | NewBusiness | $195.17 | ↓ -85% |
| Cigna | HMO | $217.77 | ↓ -83% |
| Cigna | OpenAccessPlus | $217.77 | ↓ -83% |
| Cigna | NetworkBenefit | $217.77 | ↓ -83% |
| United | OptionsPPO | $260.84 | ↓ -80% |
| Cigna | AllOther | $275.62 | ↓ -79% |
| Unicare | CHIP | $314.58 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $321.13 | ↓ -75% |
| Evry Health | COMM | $338.17 | ↓ -74% |
| Healthcare Highways | CityofPlano | $443.03 | ↓ -66% |
| Humana | COMM | $460.62 | ↓ -65% |
| BCBS | Traditional | $581.96 | ↓ -56% |
| City of McKinney | COMM | $589.83 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $589.83 | ↓ -55% |
| National ChoiceCare | WCOMP | $655.37 | ↓ -50% |
| Aetna | ASA | $690.75 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $720.90 | ↓ -45% |
| Aetna | WCOMP | $720.90 | ↓ -45% |
| PC Texas Partners | WCOMP | $720.90 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $720.90 | ↓ -45% |
| Averde Health, Inc | PPO | $760.22 | ↓ -42% |
| USC Health Services | COMM | $786.44 | ↓ -40% |
| Multiplan PHCS | PrimaryNetwork | $917.51 | ↓ -30% |
| Jostens | WCOMP | $917.51 | ↓ -30% |
| Mega Life | MGMCRPPO | $917.51 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $917.51 | ↓ -30% |
| Aetna Coventry First Health | COMM | $952.90 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $983.05 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $983.05 | ↓ -25% |
| USA Managed Care | COMM | $1,048.58 | ↓ -20% |
| Galaxy Health Network | PPO | $1,114.12 | ↓ -15% |
| Unicare | MCD | $1,310.73 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,310.73 | ↑ +0% |
| Independent Medical Systems | COMM | $1,310.73 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Ghs fish hybrid in situ 100-300 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $492.77 | $23.57 – $122.86 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $492.77 | $8.08 – $122.86 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $492.77 | $30.37 – $122.86 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $492.77 | $30.77 – $122.86 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $492.77 | $30.37 – $122.86 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $492.77 | $26.00 – $122.86 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $492.77 | $30.37 – $122.86 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $492.77 | $30.77 – $122.86 |