Ghs ot dds rom at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$638.42
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.
$638.42
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.
$18.71 with BCBS vs $638.42 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 |
|---|---|---|---|
| BCBS | BluePremier | $18.71 | ↓ -97% |
| BCBS | MyBlueHealth | $21.81 | ↓ -97% |
| BCBS | BlueAdvantageHMO | $21.81 | ↓ -97% |
| Humana | Tricare | $21.91 | ↓ -97% |
| BCBS | MCRPPO | $22.60 | ↓ -96% |
| BCBS | MGMCRHMO | $22.60 | ↓ -96% |
| WellMed | MGMCR | $24.86 | ↓ -96% |
| Mutual of Omaha | MGMCR | $24.98 | ↓ -96% |
| Devoted Health | POS | $24.98 | ↓ -96% |
| Devoted Health | MCR | $24.98 | ↓ -96% |
| Devoted Health | MME | $24.98 | ↓ -96% |
| Humana | MGMCR | $24.98 | ↓ -96% |
| Devoted Health | HMO | $24.98 | ↓ -96% |
| Devoted Health | PPO | $24.98 | ↓ -96% |
| Devoted Health | SNP | $24.98 | ↓ -96% |
| Amerigroup | DualEligible | $24.98 | ↓ -96% |
| TriWest Health Alliance | FEDERAL | $24.98 | ↓ -96% |
| United | MGMCR | $25.10 | ↓ -96% |
| Aetna | MCR | $25.19 | ↓ -96% |
| Care N Care | MGMCR | $25.23 | ↓ -96% |
| Cigna Healthspring | MGMCR | $25.48 | ↓ -96% |
| Integranet | MGMCR | $25.73 | ↓ -96% |
| WellCare | MGMCR | $25.73 | ↓ -96% |
| American Health Plan of Texas, Inc. | MGMCR | $26.23 | ↓ -96% |
| ProCare Advantge | MCR | $26.23 | ↓ -96% |
| Superior Health Plan | MGMCRHMO | $26.23 | ↓ -96% |
| Superior Health Plan | MGMCRPPO | $26.23 | ↓ -96% |
| Superior Health Plan | MGMCRDualEligible | $26.23 | ↓ -96% |
| Superior Health Plan | MGMCRPFFS | $26.23 | ↓ -96% |
| Superior Health Plan | MGMCRPOS | $26.23 | ↓ -96% |
| Superior Health Plan | MGMCRSNP | $26.23 | ↓ -96% |
| Texas Independent Health Plan | MGMCR | $26.48 | ↓ -96% |
| Provider Partners Health Plan | MCR | $26.48 | ↓ -96% |
| Molina | MCR | $27.23 | ↓ -96% |
| Molina | MMP | $27.23 | ↓ -96% |
| Molina | MME | $27.23 | ↓ -96% |
| Imperial Insurance Company | MCR | $27.48 | ↓ -96% |
| Universal Healthcare Group | MCR | $29.98 | ↓ -95% |
| Verda Health Plan | MGMCR | $32.47 | ↓ -95% |
| Bravo Health | MCRHMO | $37.47 | ↓ -94% |
| Bravo Health | MCRPFFS | $37.47 | ↓ -94% |
| Bravo Health | MCRSNP | $37.47 | ↓ -94% |
| Bravo Health | MCRPPO | $37.47 | ↓ -94% |
| Bravo Health | MCRPOS | $37.47 | ↓ -94% |
| BCBS | BlueEssentialsAccess | $38.62 | ↓ -94% |
| BCBS | BlueEssentials | $38.62 | ↓ -94% |
| BCBS | EPOSOA | $40.52 | ↓ -94% |
| BCBS | PPO | $42.43 | ↓ -93% |
| Superior Health Plan | STARHealth | $44.69 | ↓ -93% |
| Superior Health Plan | CHIP | $44.69 | ↓ -93% |
| Superior Health Plan | STARKids | $44.69 | ↓ -93% |
| Superior Health Plan | STARPLUS | $44.69 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $44.69 | ↓ -93% |
| Superior | ValueHMO | $44.71 | ↓ -93% |
| USA Managed Care | WORKERSCOMP | $47.46 | ↓ -93% |
| Corvel Corporation | WORKERSCOMP | $49.46 | ↓ -92% |
| Superior | HMO | $55.96 | ↓ -91% |
| Superior | EPO | $55.96 | ↓ -91% |
| Molina Healthcare | HIX | $65.45 | ↓ -90% |
| Cigna | IFP | $86.19 | ↓ -86% |
| Aetna | QHPHIX | $86.19 | ↓ -86% |
| Cigna | QHP | $89.38 | ↓ -86% |
| Aetna | NewBusiness | $127.05 | ↓ -80% |
| United | OptionsPPO | $127.05 | ↓ -80% |
| Oscar | HIX | $132.79 | ↓ -79% |
| Aetna | COMM | $135.98 | ↓ -79% |
| Aetna | Meritain | $135.98 | ↓ -79% |
| Humana | COMM | $139.85 | ↓ -78% |
| Unicare | CHIP | $153.22 | ↓ -76% |
| Aetna | OON | $160.24 | ↓ -75% |
| Healthcare Highways | CityofPlano | $215.79 | ↓ -66% |
| BCBS | Traditional | $283.46 | ↓ -56% |
| City of McKinney | COMM | $287.29 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $287.29 | ↓ -55% |
| National ChoiceCare | WCOMP | $319.21 | ↓ -50% |
| Aetna | ASA | $336.45 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $351.13 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $351.13 | ↓ -45% |
| PC Texas Partners | WCOMP | $351.13 | ↓ -45% |
| Aetna | WCOMP | $351.13 | ↓ -45% |
| Averde Health, Inc | PPO | $370.28 | ↓ -42% |
| USC Health Services | COMM | $383.05 | ↓ -40% |
| Mega Life | MGMCRPPO | $446.89 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $446.89 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $446.89 | ↓ -30% |
| Jostens | WCOMP | $446.89 | ↓ -30% |
| Aetna Coventry First Health | COMM | $464.13 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $478.81 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $478.81 | ↓ -25% |
| USA Managed Care | COMM | $510.74 | ↓ -20% |
| Galaxy Health Network | PPO | $542.66 | ↓ -15% |
| Independent Medical Systems | COMM | $638.42 | ↑ +0% |
| Unicare | MCD | $638.42 | ↑ +0% |
| National Healthcare Solutions | COMM | $638.42 | ↑ +0% |
Visitor-reported prices
Comments
Ghs ot dds rom at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $134.00 | $23.95 – $201.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $106.09 | $21.22 – $157.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $134.00 | $29.26 – $201.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $134.00 | $69.23 – $253.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $106.09 | $23.95 – $159.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $134.00 | $23.95 – $189.83 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $134.00 | $23.95 – $201.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $106.09 | $19.45 – $159.14 |