Gi tract capsule endoscopy (pillcam) 91110 at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$5,995.31
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.
$5,995.31
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.
$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 →
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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 | 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% |
Visitor-reported prices
Comments
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 |