Ghs moderate sedation < 5 yr, 30 min at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$141.93
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.
$141.93
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.
$9.94 with Superior Health Plan vs $362.33 with Humana — 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $9.94 | ↓ -93% |
| Superior Health Plan | STARPLUS | $9.94 | ↓ -93% |
| Superior Health Plan | STARHealth | $9.94 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $9.94 | ↓ -93% |
| Superior Health Plan | STARKids | $9.94 | ↓ -93% |
| Aetna | QHPHIX | $19.16 | ↓ -87% |
| Cigna | IFP | $19.16 | ↓ -87% |
| Cigna | QHP | $19.87 | ↓ -86% |
| Imperial Insurance Company | MCR | $26.97 | ↓ -81% |
| United | OptionsPPO | $28.24 | ↓ -80% |
| Aetna | NewBusiness | $28.24 | ↓ -80% |
| Oscar | HIX | $29.52 | ↓ -79% |
| Aetna | Meritain | $30.23 | ↓ -79% |
| Aetna | COMM | $30.23 | ↓ -79% |
| Unicare | CHIP | $34.06 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $34.77 | ↓ -76% |
| Aetna | OON | $35.62 | ↓ -75% |
| Evry Health | COMM | $36.62 | ↓ -74% |
| Cigna | NewBusiness | $37.47 | ↓ -74% |
| Cigna | LocalPlus | $37.47 | ↓ -74% |
| Cigna | HMO | $41.87 | ↓ -70% |
| Cigna | NetworkBenefit | $41.87 | ↓ -70% |
| Cigna | OpenAccessPlus | $41.87 | ↓ -70% |
| Healthcare Highways | CityofPlano | $47.97 | ↓ -66% |
| Cigna | AllOther | $52.94 | ↓ -63% |
| Curative Administrators | COMM | $56.77 | ↓ -60% |
| BCBS | BluePremier | $61.24 | ↓ -57% |
| BCBS | Traditional | $63.02 | ↓ -56% |
| City of McKinney | COMM | $63.87 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $63.87 | ↓ -55% |
| National ChoiceCare | WCOMP | $70.97 | ↓ -50% |
| BCBS | BlueAdvantageHMO | $71.36 | ↓ -50% |
| BCBS | MyBlueHealth | $71.36 | ↓ -50% |
| Aetna | ASA | $74.80 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $78.06 | ↓ -45% |
| Aetna | WCOMP | $78.06 | ↓ -45% |
| PC Texas Partners | WCOMP | $78.06 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $78.06 | ↓ -45% |
| Averde Health, Inc | PPO | $82.32 | ↓ -42% |
| USC Health Services | COMM | $85.16 | ↓ -40% |
| Multiplan PHCS | PrimaryNetwork | $99.35 | ↓ -30% |
| Mega Life | MGMCRPPO | $99.35 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $99.35 | ↓ -30% |
| Jostens | WCOMP | $99.35 | ↓ -30% |
| Aetna Coventry First Health | COMM | $103.18 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $106.45 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $106.45 | ↓ -25% |
| USA Managed Care | COMM | $113.54 | ↓ -20% |
| Galaxy Health Network | PPO | $120.64 | ↓ -15% |
| BCBS | BlueEssentials | $126.38 | ↓ -11% |
| BCBS | BlueEssentialsAccess | $126.38 | ↓ -11% |
| BCBS | EPOSOA | $132.60 | ↓ -7% |
| BCBS | PPO | $138.83 | ↓ -2% |
| Unicare | MCD | $141.93 | ↑ +0% |
| National Healthcare Solutions | COMM | $141.93 | ↑ +0% |
| Independent Medical Systems | COMM | $141.93 | ↑ +0% |
| Humana | COMM | $362.33 | ↑ +155% |
Visitor-reported prices
Comments
Ghs moderate sedation < 5 yr, 30 min at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,290.89 | $99.91 – $99.91 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $240.00 | $68.00 – $340.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $240.00 | $49.40 – $360.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $240.00 | $48.00 – $300.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $240.00 | $60.72 – $340.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $240.00 | $77.04 – $360.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $240.00 | $124.00 – $360.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $240.00 | $78.37 – $360.00 |