Homogenization tissue at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$48.36
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.
$48.36
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.
$3.39 with Superior Health Plan vs $65.33 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $3.39 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $3.39 | ↓ -93% |
| Superior Health Plan | STARHealth | $3.39 | ↓ -93% |
| Superior Health Plan | STARPLUS | $3.39 | ↓ -93% |
| Superior Health Plan | STARKids | $3.39 | ↓ -93% |
| Cook Childrens Health Plan | STAR | $3.53 | ↓ -93% |
| Cook Childrens Health Plan | CHIP | $3.53 | ↓ -93% |
| TEXAS HEALTH NETWORK | MCD | $4.87 | ↓ -90% |
| United | STAR | $4.94 | ↓ -90% |
| United | CHIP | $4.94 | ↓ -90% |
| United | STARPLUS | $4.94 | ↓ -90% |
| United | STARPerinate | $4.94 | ↓ -90% |
| Parkland Community Health Plan | MCD | $4.94 | ↓ -90% |
| Amerigroup | MGMCD | $4.94 | ↓ -90% |
| Amerigroup | CHIP | $4.94 | ↓ -90% |
| United | STARKids | $4.94 | ↓ -90% |
| Cigna Healthspring | MGMCD | $5.19 | ↓ -89% |
| Aetna Better Health | MCD | $5.34 | ↓ -89% |
| Aetna Better Health | CHIP | $5.34 | ↓ -89% |
| Molina | STAR+PLUS | $5.43 | ↓ -89% |
| Molina | STARKIDS | $5.43 | ↓ -89% |
| Molina | MCDSTAR | $5.43 | ↓ -89% |
| Molina | CHIP | $5.43 | ↓ -89% |
| WellMed | MGMCR | $5.85 | ↓ -88% |
| Mutual of Omaha | MGMCR | $5.88 | ↓ -88% |
| Humana | MGMCR | $5.88 | ↓ -88% |
| United | AllPayerAppendix | $5.88 | ↓ -88% |
| United | NarrowNetworkIndivExchange | $5.88 | ↓ -88% |
| Devoted Health | MME | $5.88 | ↓ -88% |
| United | SmallGroup | $5.88 | ↓ -88% |
| Devoted Health | MCR | $5.88 | ↓ -88% |
| BCBS | MGMCRHMO | $5.88 | ↓ -88% |
| BCBS | MCRPPO | $5.88 | ↓ -88% |
| Devoted Health | PPO | $5.88 | ↓ -88% |
| Devoted Health | POS | $5.88 | ↓ -88% |
| Devoted Health | HMO | $5.88 | ↓ -88% |
| Amerigroup | DualEligible | $5.88 | ↓ -88% |
| Devoted Health | SNP | $5.88 | ↓ -88% |
| TriWest Health Alliance | FEDERAL | $5.88 | ↓ -88% |
| United | MGMCR | $5.91 | ↓ -88% |
| Aetna | MCR | $5.93 | ↓ -88% |
| Care N Care | MGMCR | $5.94 | ↓ -88% |
| Cigna Healthspring | MGMCR | $6.00 | ↓ -88% |
| Integranet | MGMCR | $6.06 | ↓ -87% |
| WellCare | MGMCR | $6.06 | ↓ -87% |
| Humana | Tricare | $6.17 | ↓ -87% |
| American Health Plan of Texas, Inc. | MGMCR | $6.17 | ↓ -87% |
| Superior Health Plan | MGMCRHMO | $6.17 | ↓ -87% |
| Superior Health Plan | MGMCRPPO | $6.17 | ↓ -87% |
| Superior Health Plan | MGMCRDualEligible | $6.17 | ↓ -87% |
| Superior Health Plan | MGMCRPFFS | $6.17 | ↓ -87% |
| Superior Health Plan | MGMCRPOS | $6.17 | ↓ -87% |
| Superior Health Plan | MGMCRSNP | $6.17 | ↓ -87% |
| ProCare Advantge | MCR | $6.17 | ↓ -87% |
| Humana | MGMCD | $6.18 | ↓ -87% |
| Provider Partners Health Plan | MCR | $6.23 | ↓ -87% |
| Texas Independent Health Plan | MGMCR | $6.23 | ↓ -87% |
| Molina | MMP | $6.41 | ↓ -87% |
| Molina | MME | $6.41 | ↓ -87% |
| Molina | MCR | $6.41 | ↓ -87% |
| Imperial Insurance Company | MCR | $6.47 | ↓ -87% |
| Cigna | IFP | $6.53 | ↓ -86% |
| Cigna | QHP | $6.77 | ↓ -86% |
| Universal Healthcare Group | MCR | $7.06 | ↓ -85% |
| Aetna | QHPHIX | $7.48 | ↓ -85% |
| Verda Health Plan | MGMCR | $7.64 | ↓ -84% |
| Bravo Health | MCRPFFS | $8.82 | ↓ -82% |
| Bravo Health | MCRPOS | $8.82 | ↓ -82% |
| Bravo Health | MCRHMO | $8.82 | ↓ -82% |
| Bravo Health | MCRPPO | $8.82 | ↓ -82% |
| Bravo Health | MCRSNP | $8.82 | ↓ -82% |
| United | OptionsPPO | $9.62 | ↓ -80% |
| BCBS | BluePremier | $10.00 | ↓ -79% |
| BCBS | BlueAdvantageHMO | $10.29 | ↓ -79% |
| BCBS | MyBlueHealth | $10.29 | ↓ -79% |
| Aetna | NewBusiness | $10.31 | ↓ -79% |
| Superior | ValueHMO | $10.53 | ↓ -78% |
| Aetna | COMM | $10.98 | ↓ -77% |
| Aetna | Meritain | $10.98 | ↓ -77% |
| USA Managed Care | WORKERSCOMP | $11.17 | ↓ -77% |
| Unicare | CHIP | $11.61 | ↓ -76% |
| Corvel Corporation | WORKERSCOMP | $11.64 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $11.85 | ↓ -75% |
| Evry Health | COMM | $12.48 | ↓ -74% |
| Aetna | OON | $12.92 | ↓ -73% |
| Superior | HMO | $13.17 | ↓ -73% |
| Superior | EPO | $13.17 | ↓ -73% |
| BCBS | BlueEssentialsAccess | $14.52 | ↓ -70% |
| BCBS | BlueEssentials | $14.52 | ↓ -70% |
| BCBS | EPOSOA | $15.23 | ↓ -69% |
| Oscar | HIX | $15.29 | ↓ -68% |
| Molina Healthcare | HIX | $15.41 | ↓ -68% |
| BCBS | PPO | $15.93 | ↓ -67% |
| Healthcare Highways | CityofPlano | $16.35 | ↓ -66% |
| BCBS | Traditional | $21.47 | ↓ -56% |
| City of McKinney | COMM | $21.76 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $21.76 | ↓ -55% |
| Cigna | LocalPlus | $21.94 | ↓ -55% |
| Cigna | NewBusiness | $21.96 | ↓ -55% |
| National ChoiceCare | WCOMP | $24.18 | ↓ -50% |
| Cigna | HMO | $24.51 | ↓ -49% |
| Cigna | NetworkBenefit | $24.51 | ↓ -49% |
| Cigna | OpenAccessPlus | $24.51 | ↓ -49% |
| Aetna | ASA | $25.49 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $26.60 | ↓ -45% |
| Aetna | WCOMP | $26.60 | ↓ -45% |
| PC Texas Partners | WCOMP | $26.60 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $26.60 | ↓ -45% |
| Averde Health, Inc | PPO | $28.05 | ↓ -42% |
| USC Health Services | COMM | $29.02 | ↓ -40% |
| Cigna | AllOther | $31.01 | ↓ -36% |
| Mega Life | MGMCRPPO | $33.85 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $33.85 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $33.85 | ↓ -30% |
| Jostens | WCOMP | $33.85 | ↓ -30% |
| Aetna Coventry First Health | COMM | $35.16 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $36.27 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $36.27 | ↓ -25% |
| USA Managed Care | COMM | $38.69 | ↓ -20% |
| Galaxy Health Network | PPO | $41.11 | ↓ -15% |
| Unicare | MCD | $48.36 | ↑ +0% |
| Independent Medical Systems | COMM | $48.36 | ↑ +0% |
| National Healthcare Solutions | COMM | $48.36 | ↑ +0% |
| Humana | COMM | $65.33 | ↑ +35% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Homogenization tissue at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $70.83 | $5.29 – $22.64 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $45.72 | $4.94 – $43.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $58.72 | $7.22 – $52.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $55.96 | $4.94 – $43.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $45.72 | $4.94 – $43.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $58.72 | $5.29 – $52.60 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $58.72 | $4.94 – $52.60 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $55.96 | $4.94 – $52.60 |