Ghs moderate sedation ea addtl 15 min 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.
$5.46 with Superior Health Plan vs $78.06 with Unicare — 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 | $5.46 | — |
| Superior Health Plan | STARPLUS | $5.46 | — |
| Superior Health Plan | STARHealth | $5.46 | — |
| Superior Health Plan | MCDSTAR | $5.46 | — |
| Superior Health Plan | STARKids | $5.46 | — |
| Aetna | QHPHIX | $10.54 | — |
| Cigna | IFP | $10.54 | — |
| Cigna | QHP | $10.93 | — |
| Imperial Insurance Company | MCR | $14.83 | — |
| United | OptionsPPO | $15.53 | — |
| Aetna | NewBusiness | $15.53 | — |
| Oscar | HIX | $16.24 | — |
| Aetna | Meritain | $16.63 | — |
| Aetna | COMM | $16.63 | — |
| Unicare | CHIP | $18.73 | — |
| Healthcare Highways | NarrowNetwork | $19.12 | — |
| Aetna | OON | $19.59 | — |
| Evry Health | COMM | $20.14 | — |
| Cigna | NewBusiness | $20.61 | — |
| Cigna | LocalPlus | $20.61 | — |
| Cigna | HMO | $23.03 | — |
| Cigna | NetworkBenefit | $23.03 | — |
| Cigna | OpenAccessPlus | $23.03 | — |
| BCBS | BluePremier | $25.51 | — |
| Healthcare Highways | CityofPlano | $26.38 | — |
| Cigna | AllOther | $29.12 | — |
| BCBS | MyBlueHealth | $29.73 | — |
| BCBS | BlueAdvantageHMO | $29.73 | — |
| Curative Administrators | COMM | $31.22 | — |
| BCBS | Traditional | $34.66 | — |
| City of McKinney | COMM | $35.13 | — |
| Fidelis SecureCare | MGMCR | $35.13 | — |
| National ChoiceCare | WCOMP | $39.03 | — |
| Aetna | ASA | $41.14 | — |
| Rockport Health Group | WORKERSCOMP | $42.93 | — |
| Physicians Coop of TX | MGMCR | $42.93 | — |
| Aetna | WCOMP | $42.93 | — |
| PC Texas Partners | WCOMP | $42.93 | — |
| Averde Health, Inc | PPO | $45.27 | — |
| USC Health Services | COMM | $46.84 | — |
| BCBS | BlueEssentials | $52.64 | — |
| BCBS | BlueEssentialsAccess | $52.64 | — |
| Jostens | WCOMP | $54.64 | — |
| Multiplan PHCS | PrimaryNetwork | $54.64 | — |
| Coastal Comp Health Networks | WCOMP | $54.64 | — |
| Mega Life | MGMCRPPO | $54.64 | — |
| BCBS | EPOSOA | $55.24 | — |
| Aetna Coventry First Health | COMM | $56.75 | — |
| BCBS | PPO | $57.83 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $58.55 | — |
| HealthSmart Preferred Care | PPO | $58.55 | — |
| USA Managed Care | COMM | $62.45 | — |
| Galaxy Health Network | PPO | $66.35 | — |
| Humana | COMM | $74.54 | — |
| Independent Medical Systems | COMM | $78.06 | — |
| National Healthcare Solutions | COMM | $78.06 | — |
| Unicare | MCD | $78.06 | — |
Visitor-reported prices
Comments
Ghs moderate sedation ea addtl 15 min at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $322.73 | $41.62 – $41.62 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $107.42 | $30.44 – $152.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $119.22 | $24.54 – $178.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $119.22 | $23.84 – $149.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $107.42 | $25.30 – $152.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $119.22 | $38.27 – $178.83 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $119.22 | $61.60 – $178.83 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $119.22 | $32.65 – $178.83 |