Hmes or trach valve housing 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.
$5.72 with BCBS vs $37.77 with Humana — 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 | MyBlueHealth | $5.72 | — |
| BCBS | BlueAdvantageHMO | $5.72 | — |
| Humana | Tricare | $6.48 | — |
| BCBS | BluePremier | $6.49 | — |
| BCBS | MGMCRHMO | $6.55 | — |
| BCBS | MCRPPO | $6.55 | — |
| WellMed | MGMCR | $6.65 | — |
| Mutual of Omaha | MGMCR | $6.68 | — |
| Devoted Health | MME | $6.68 | — |
| TriWest Health Alliance | FEDERAL | $6.68 | — |
| Amerigroup | DualEligible | $6.68 | — |
| Humana | MGMCR | $6.68 | — |
| Devoted Health | PPO | $6.68 | — |
| Devoted Health | SNP | $6.68 | — |
| Devoted Health | HMO | $6.68 | — |
| Devoted Health | POS | $6.68 | — |
| Devoted Health | MCR | $6.68 | — |
| United | MGMCR | $6.71 | — |
| Aetna | MCR | $6.74 | — |
| Care N Care | MGMCR | $6.75 | — |
| Cigna Healthspring | MGMCR | $6.81 | — |
| WellCare | MGMCR | $6.88 | — |
| Integranet | MGMCR | $6.88 | — |
| Superior Health Plan | MGMCRHMO | $7.01 | — |
| Superior Health Plan | MGMCRPPO | $7.01 | — |
| Superior Health Plan | MGMCRDualEligible | $7.01 | — |
| Superior Health Plan | MGMCRPFFS | $7.01 | — |
| Superior Health Plan | MGMCRPOS | $7.01 | — |
| Superior Health Plan | MGMCRSNP | $7.01 | — |
| American Health Plan of Texas, Inc. | MGMCR | $7.01 | — |
| ProCare Advantge | MCR | $7.01 | — |
| Provider Partners Health Plan | MCR | $7.08 | — |
| Texas Independent Health Plan | MGMCR | $7.08 | — |
| Molina | MMP | $7.28 | — |
| Molina | MME | $7.28 | — |
| Molina | MCR | $7.28 | — |
| Imperial Insurance Company | MCR | $7.35 | — |
| BCBS | BlueEssentials | $7.36 | — |
| BCBS | BlueEssentialsAccess | $7.36 | — |
| BCBS | EPOSOA | $7.74 | — |
| Universal Healthcare Group | MCR | $8.02 | — |
| BCBS | PPO | $8.07 | — |
| Verda Health Plan | MGMCR | $8.68 | — |
| Bravo Health | MCRSNP | $10.02 | — |
| Bravo Health | MCRPFFS | $10.02 | — |
| Bravo Health | MCRHMO | $10.02 | — |
| Bravo Health | MCRPOS | $10.02 | — |
| Bravo Health | MCRPPO | $10.02 | — |
| Superior | ValueHMO | $11.96 | — |
| USA Managed Care | WORKERSCOMP | $12.69 | — |
| Corvel Corporation | WORKERSCOMP | $13.23 | — |
| Superior | HMO | $14.96 | — |
| Superior | EPO | $14.96 | — |
| Molina Healthcare | HIX | $17.50 | — |
| Humana | COMM | $37.77 | — |
Visitor-reported prices
Comments
Hmes or trach valve housing at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $75.63 | $15.57 – $113.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $75.63 | $15.13 – $100.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $75.63 | $21.96 – $113.44 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $75.63 | $39.08 – $113.44 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $75.63 | $17.98 – $113.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $75.63 | $15.13 – $100.84 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $75.63 | $17.98 – $113.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $75.63 | $13.87 – $113.44 |