Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$4,814.00
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.
$4,814.00
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.
$132.28 with Humana vs $4,814.00 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 |
|---|---|---|---|
| Humana | Tricare | $132.28 | ↓ -97% |
| United | SmallGroup | $209.78 | ↓ -96% |
| United | AllPayerAppendix | $209.78 | ↓ -96% |
| United | NarrowNetworkIndivExchange | $209.78 | ↓ -96% |
| Superior Health Plan | MCDSTAR | $336.98 | ↓ -93% |
| Superior Health Plan | CHIP | $336.98 | ↓ -93% |
| Superior Health Plan | STARKids | $336.98 | ↓ -93% |
| Superior Health Plan | STARPLUS | $336.98 | ↓ -93% |
| Superior Health Plan | STARHealth | $336.98 | ↓ -93% |
| Cigna | IFP | $649.89 | ↓ -87% |
| Aetna | QHPHIX | $649.89 | ↓ -87% |
| Cigna | QHP | $673.96 | ↓ -86% |
| Cigna | LocalPlus | $824.03 | ↓ -83% |
| Cigna | NewBusiness | $824.84 | ↓ -83% |
| Cigna | NetworkBenefit | $920.58 | ↓ -81% |
| Cigna | OpenAccessPlus | $920.58 | ↓ -81% |
| Cigna | HMO | $920.58 | ↓ -81% |
| Humana | COMM | $942.79 | ↓ -80% |
| Aetna | NewBusiness | $957.99 | ↓ -80% |
| United | OptionsPPO | $957.99 | ↓ -80% |
| Aetna | COMM | $1,025.38 | ↓ -79% |
| Aetna | Meritain | $1,025.38 | ↓ -79% |
| Unicare | CHIP | $1,155.36 | ↓ -76% |
| Cigna | AllOther | $1,164.61 | ↓ -76% |
| BCBS | BlueAdvantageHMO | $1,189.06 | ↓ -75% |
| BCBS | MyBlueHealth | $1,189.06 | ↓ -75% |
| Aetna | OON | $1,208.31 | ↓ -75% |
| BCBS | BluePremier | $1,405.69 | ↓ -71% |
| BCBS | BlueEssentials | $1,535.67 | ↓ -68% |
| BCBS | BlueEssentialsAccess | $1,535.67 | ↓ -68% |
| BCBS | EPOSOA | $1,612.69 | ↓ -67% |
| Healthcare Highways | CityofPlano | $1,627.13 | ↓ -66% |
| BCBS | PPO | $1,684.90 | ↓ -65% |
| BCBS | Traditional | $2,137.42 | ↓ -56% |
| City of McKinney | COMM | $2,166.30 | ↓ -55% |
| National ChoiceCare | WCOMP | $2,407.00 | ↓ -50% |
| Aetna | ASA | $2,536.98 | ↓ -47% |
| PC Texas Partners | WCOMP | $2,647.70 | ↓ -45% |
| Aetna | WCOMP | $2,647.70 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $2,647.70 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $2,647.70 | ↓ -45% |
| Averde Health, Inc | PPO | $2,792.12 | ↓ -42% |
| USC Health Services | COMM | $2,888.40 | ↓ -40% |
| Mega Life | MGMCRPPO | $3,369.80 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $3,369.80 | ↓ -30% |
| Jostens | WCOMP | $3,369.80 | ↓ -30% |
| Aetna Coventry First Health | COMM | $3,499.78 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3,610.50 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $3,610.50 | ↓ -25% |
| USA Managed Care | COMM | $3,851.20 | ↓ -20% |
| Galaxy Health Network | PPO | $4,091.90 | ↓ -15% |
| Independent Medical Systems | COMM | $4,814.00 | ↑ +0% |
| National Healthcare Solutions | COMM | $4,814.00 | ↑ +0% |
| Unicare | MCD | $4,814.00 | ↑ +0% |
Visitor-reported prices
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Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $765.06 | $53.21 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $765.06 | $38.66 – $281.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $765.06 | $37.56 – $234.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $765.06 | $50.08 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $765.06 | $60.28 – $281.70 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $765.06 | $97.03 – $281.70 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $765.06 | $62.60 – $281.70 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $765.06 | $50.08 – $268.77 |