Hpa-1 genotyping at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$2,047.79
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.
$2,047.79
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.
$73.33 with Cook Childrens Health Plan vs $2,047.79 with National Healthcare Solutions — 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 |
|---|---|---|---|
| Cook Childrens Health Plan | STAR | $73.33 | ↓ -96% |
| Cook Childrens Health Plan | CHIP | $73.33 | ↓ -96% |
| TEXAS HEALTH NETWORK | MCD | $101.12 | ↓ -95% |
| United | CHIP | $102.66 | ↓ -95% |
| United | STARKids | $102.66 | ↓ -95% |
| United | STARPLUS | $102.66 | ↓ -95% |
| United | STARPerinate | $102.66 | ↓ -95% |
| Parkland Community Health Plan | MCD | $102.66 | ↓ -95% |
| Amerigroup | MGMCD | $102.66 | ↓ -95% |
| United | STAR | $102.66 | ↓ -95% |
| Amerigroup | CHIP | $102.66 | ↓ -95% |
| Cigna Healthspring | MGMCD | $107.79 | ↓ -95% |
| Aetna Better Health | CHIP | $110.87 | ↓ -95% |
| Aetna Better Health | MCD | $110.87 | ↓ -95% |
| Molina | STAR+PLUS | $112.93 | ↓ -94% |
| Molina | MCDSTAR | $112.93 | ↓ -94% |
| Molina | STARKIDS | $112.93 | ↓ -94% |
| Molina | CHIP | $112.93 | ↓ -94% |
| WellMed | MGMCR | $121.61 | ↓ -94% |
| Mutual of Omaha | MGMCR | $122.22 | ↓ -94% |
| Devoted Health | SNP | $122.22 | ↓ -94% |
| Devoted Health | HMO | $122.22 | ↓ -94% |
| Devoted Health | POS | $122.22 | ↓ -94% |
| Devoted Health | MCR | $122.22 | ↓ -94% |
| Devoted Health | MME | $122.22 | ↓ -94% |
| Devoted Health | PPO | $122.22 | ↓ -94% |
| Humana | MGMCR | $122.22 | ↓ -94% |
| United | AllPayerAppendix | $122.22 | ↓ -94% |
| United | NarrowNetworkIndivExchange | $122.22 | ↓ -94% |
| United | SmallGroup | $122.22 | ↓ -94% |
| Amerigroup | DualEligible | $122.22 | ↓ -94% |
| BCBS | MGMCRHMO | $122.22 | ↓ -94% |
| BCBS | MCRPPO | $122.22 | ↓ -94% |
| TriWest Health Alliance | FEDERAL | $122.22 | ↓ -94% |
| United | MGMCR | $122.83 | ↓ -94% |
| Aetna | MCR | $123.26 | ↓ -94% |
| Care N Care | MGMCR | $123.44 | ↓ -94% |
| Cigna Healthspring | MGMCR | $124.66 | ↓ -94% |
| WellCare | MGMCR | $125.89 | ↓ -94% |
| Integranet | MGMCR | $125.89 | ↓ -94% |
| Humana | MGMCD | $128.32 | ↓ -94% |
| Superior Health Plan | MGMCRDualEligible | $128.33 | ↓ -94% |
| American Health Plan of Texas, Inc. | MGMCR | $128.33 | ↓ -94% |
| ProCare Advantge | MCR | $128.33 | ↓ -94% |
| Superior Health Plan | MGMCRPPO | $128.33 | ↓ -94% |
| Superior Health Plan | MGMCRSNP | $128.33 | ↓ -94% |
| Superior Health Plan | MGMCRHMO | $128.33 | ↓ -94% |
| Superior Health Plan | MGMCRPOS | $128.33 | ↓ -94% |
| Superior Health Plan | MGMCRPFFS | $128.33 | ↓ -94% |
| Texas Independent Health Plan | MGMCR | $129.55 | ↓ -94% |
| Provider Partners Health Plan | MCR | $129.55 | ↓ -94% |
| Molina | MCR | $133.22 | ↓ -93% |
| Molina | MMP | $133.22 | ↓ -93% |
| Molina | MME | $133.22 | ↓ -93% |
| Imperial Insurance Company | MCR | $134.44 | ↓ -93% |
| Superior Health Plan | STARKids | $143.35 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $143.35 | ↓ -93% |
| Superior Health Plan | STARPLUS | $143.35 | ↓ -93% |
| Superior Health Plan | STARHealth | $143.35 | ↓ -93% |
| Superior Health Plan | CHIP | $143.35 | ↓ -93% |
| Universal Healthcare Group | MCR | $146.66 | ↓ -93% |
| Aetna | QHPHIX | $155.46 | ↓ -92% |
| Verda Health Plan | MGMCR | $158.89 | ↓ -92% |
| Bravo Health | MCRPFFS | $183.33 | ↓ -91% |
| Bravo Health | MCRHMO | $183.33 | ↓ -91% |
| Bravo Health | MCRPOS | $183.33 | ↓ -91% |
| Bravo Health | MCRPPO | $183.33 | ↓ -91% |
| Bravo Health | MCRSNP | $183.33 | ↓ -91% |
| BCBS | BluePremier | $207.77 | ↓ -90% |
| BCBS | MyBlueHealth | $213.88 | ↓ -90% |
| BCBS | BlueAdvantageHMO | $213.88 | ↓ -90% |
| Aetna | NewBusiness | $214.12 | ↓ -90% |
| Superior | ValueHMO | $218.77 | ↓ -89% |
| Aetna | COMM | $228.06 | ↓ -89% |
| Aetna | Meritain | $228.06 | ↓ -89% |
| USA Managed Care | WORKERSCOMP | $232.22 | ↓ -89% |
| Corvel Corporation | WORKERSCOMP | $242.00 | ↓ -88% |
| Aetna | OON | $268.39 | ↓ -87% |
| Superior | HMO | $273.77 | ↓ -87% |
| Superior | EPO | $273.77 | ↓ -87% |
| Cigna | IFP | $276.45 | ↓ -87% |
| Cigna | QHP | $286.69 | ↓ -86% |
| BCBS | BlueEssentialsAccess | $301.88 | ↓ -85% |
| BCBS | BlueEssentials | $301.88 | ↓ -85% |
| BCBS | EPOSOA | $316.55 | ↓ -85% |
| Oscar | HIX | $317.77 | ↓ -84% |
| Molina Healthcare | HIX | $320.22 | ↓ -84% |
| BCBS | PPO | $331.22 | ↓ -84% |
| United | OptionsPPO | $407.51 | ↓ -80% |
| Cigna | LocalPlus | $466.16 | ↓ -77% |
| Cigna | NewBusiness | $466.62 | ↓ -77% |
| Unicare | CHIP | $491.47 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $501.71 | ↓ -75% |
| Cigna | OpenAccessPlus | $520.67 | ↓ -75% |
| Cigna | NetworkBenefit | $520.67 | ↓ -75% |
| Cigna | HMO | $520.67 | ↓ -75% |
| Evry Health | COMM | $528.33 | ↓ -74% |
| Cigna | AllOther | $658.97 | ↓ -68% |
| Healthcare Highways | CityofPlano | $692.15 | ↓ -66% |
| BCBS | Traditional | $909.22 | ↓ -56% |
| City of McKinney | COMM | $921.51 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $921.51 | ↓ -55% |
| National ChoiceCare | WCOMP | $1,023.89 | ↓ -50% |
| Aetna | ASA | $1,079.19 | ↓ -47% |
| PC Texas Partners | WCOMP | $1,126.28 | ↓ -45% |
| Aetna | WCOMP | $1,126.28 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $1,126.28 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $1,126.28 | ↓ -45% |
| Averde Health, Inc | PPO | $1,187.72 | ↓ -42% |
| USC Health Services | COMM | $1,228.67 | ↓ -40% |
| Humana | COMM | $1,357.75 | ↓ -34% |
| Jostens | WCOMP | $1,433.45 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $1,433.45 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $1,433.45 | ↓ -30% |
| Mega Life | MGMCRPPO | $1,433.45 | ↓ -30% |
| Aetna Coventry First Health | COMM | $1,488.74 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,535.84 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $1,535.84 | ↓ -25% |
| USA Managed Care | COMM | $1,638.23 | ↓ -20% |
| Galaxy Health Network | PPO | $1,740.62 | ↓ -15% |
| Unicare | MCD | $2,047.79 | ↑ +0% |
| Independent Medical Systems | COMM | $2,047.79 | ↑ +0% |
| National Healthcare Solutions | COMM | $2,047.79 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Hpa-1 genotyping at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $147.17 | $35.00 – $293.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $147.17 | $18.07 – $293.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $147.17 | $36.00 – $293.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $147.17 | $35.00 – $293.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $147.17 | $36.00 – $293.33 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $147.17 | $26.00 – $293.33 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $147.17 | $36.00 – $293.33 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $147.17 | $35.00 – $293.33 |