Gi tract capsule endoscopy (pillcam) 91110 at MEDICAL CITY LEWISVILLE HOSPITAL

1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

$5,995.31

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$5,995.31

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$419.67 with Superior Health Plan vs $5,995.31 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 →

Payer
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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
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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 STARHealth $419.67 ↓ -93%
Superior Health Plan CHIP $419.67 ↓ -93%
Superior Health Plan MCDSTAR $419.67 ↓ -93%
Superior Health Plan STARPLUS $419.67 ↓ -93%
Superior Health Plan STARKids $419.67 ↓ -93%
TEXAS HEALTH NETWORK MCD $771.68 ↓ -87%
Amerigroup CHIP $783.43 ↓ -87%
Parkland Community Health Plan MCD $783.43 ↓ -87%
United CHIP $783.43 ↓ -87%
Cook Childrens Health Plan STAR $783.43 ↓ -87%
Cook Childrens Health Plan CHIP $783.43 ↓ -87%
United STAR $783.43 ↓ -87%
United STARKids $783.43 ↓ -87%
United STARPLUS $783.43 ↓ -87%
United STARPerinate $783.43 ↓ -87%
Amerigroup MGMCD $783.43 ↓ -87%
Cigna IFP $809.37 ↓ -86%
Aetna QHPHIX $809.37 ↓ -86%
Cigna Healthspring MGMCD $822.60 ↓ -86%
Cigna QHP $839.34 ↓ -86%
Aetna Better Health MCD $846.10 ↓ -86%
Aetna Better Health CHIP $846.10 ↓ -86%
Molina CHIP $861.77 ↓ -86%
Molina STAR+PLUS $861.77 ↓ -86%
Molina MCDSTAR $861.77 ↓ -86%
Molina STARKIDS $861.77 ↓ -86%
Humana MGMCD $979.29 ↓ -84%
United OptionsPPO $1,193.07 ↓ -80%
Aetna NewBusiness $1,193.07 ↓ -80%
Aetna Meritain $1,277.00 ↓ -79%
Aetna COMM $1,277.00 ↓ -79%
Unicare CHIP $1,438.87 ↓ -76%
Aetna OON $1,504.82 ↓ -75%
Cigna NewBusiness $1,582.76 ↓ -74%
Cigna LocalPlus $1,582.76 ↓ -74%
Cigna NetworkBenefit $1,768.62 ↓ -70%
Cigna HMO $1,768.62 ↓ -70%
Cigna OpenAccessPlus $1,768.62 ↓ -70%
BCBS BluePremier $1,797.16 ↓ -70%
United SmallGroup $2,011.00 ↓ -66%
Healthcare Highways CityofPlano $2,026.41 ↓ -66%
BCBS BlueAdvantageHMO $2,094.15 ↓ -65%
BCBS MyBlueHealth $2,094.15 ↓ -65%
Healthcare Highways NarrowNetwork $2,129.00 ↓ -64%
Cigna AllOther $2,236.25 ↓ -63%
United NarrowNetworkIndivExchange $2,329.00 ↓ -61%
Evry Health COMM $2,356.00 ↓ -61%
Curative Administrators COMM $2,613.00 ↓ -56%
BCBS Traditional $2,661.92 ↓ -56%
City of McKinney COMM $2,697.89 ↓ -55%
Fidelis SecureCare MGMCR $2,697.89 ↓ -55%
National ChoiceCare WCOMP $2,997.66 ↓ -50%
United AllPayerAppendix $3,150.00 ↓ -47%
Aetna ASA $3,159.53 ↓ -47%
Aetna WCOMP $3,297.42 ↓ -45%
PC Texas Partners WCOMP $3,297.42 ↓ -45%
Physicians Coop of TX MGMCR $3,297.42 ↓ -45%
Rockport Health Group WORKERSCOMP $3,297.42 ↓ -45%
Averde Health, Inc PPO $3,477.28 ↓ -42%
USC Health Services COMM $3,597.19 ↓ -40%
BCBS BlueEssentialsAccess $3,708.55 ↓ -38%
BCBS BlueEssentials $3,708.55 ↓ -38%
BCBS EPOSOA $3,891.32 ↓ -35%
BCBS PPO $4,074.08 ↓ -32%
Mega Life MGMCRPPO $4,196.72 ↓ -30%
Multiplan PHCS PrimaryNetwork $4,196.72 ↓ -30%
Coastal Comp Health Networks WCOMP $4,196.72 ↓ -30%
Jostens WCOMP $4,196.72 ↓ -30%
Aetna Coventry First Health COMM $4,358.59 ↓ -27%
HealthSmart Preferred Care PPO $4,496.48 ↓ -25%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $4,496.48 ↓ -25%
Oscar HIX $4,723.00 ↓ -21%
USA Managed Care COMM $4,796.25 ↓ -20%
Galaxy Health Network PPO $5,096.01 ↓ -15%
Humana COMM $5,323.71 ↓ -11%
National Healthcare Solutions COMM $5,995.31 ↑ +0%
Independent Medical Systems COMM $5,995.31 ↑ +0%
Unicare MCD $5,995.31 ↑ +0%

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Gi tract capsule endoscopy (pillcam) 91110 at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $2,418.92 $732.90 – $3,023.65
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $1,992.73 $410.17 – $2,989.09
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $2,539.87 $732.90 – $3,174.83
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $2,418.92 $732.90 – $3,023.65
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $1,992.73 $784.20 – $2,989.09
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $1,992.73 $732.90 – $2,989.09
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $2,539.87 $732.90 – $3,809.80
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $2,418.92 $732.90 – $3,023.65

All Texas hospitals for this procedure →