I-123 ioflupane diag at MEDICAL CITY LEWISVILLE HOSPITAL

1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

$12,505.31

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$12,505.31

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$70.00 with Imaging Providers of Texas vs $22,610.12 with Cigna — 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 →

Payer
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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
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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
Imaging Providers of Texas HMOBlue $70.00 ↓ -99%
Superior Health Plan STARHealth $875.37 ↓ -93%
Superior Health Plan MCDSTAR $875.37 ↓ -93%
Superior Health Plan STARPLUS $875.37 ↓ -93%
Superior Health Plan STARKids $875.37 ↓ -93%
Superior Health Plan CHIP $875.37 ↓ -93%
Cigna IFP $1,688.22 ↓ -86%
Cigna QHP $1,750.74 ↓ -86%
United AllPayerAppendix $2,289.77 ↓ -82%
United SmallGroup $2,289.77 ↓ -82%
United NarrowNetworkIndivExchange $2,289.77 ↓ -82%
United OptionsPPO $2,488.56 ↓ -80%
Oscar HIX $2,601.10 ↓ -79%
Unicare CHIP $3,001.27 ↓ -76%
Healthcare Highways NarrowNetwork $3,063.80 ↓ -76%
Aetna OON $3,138.83 ↓ -75%
Evry Health COMM $3,226.37 ↓ -74%
Healthcare Highways CityofPlano $4,226.79 ↓ -66%
Curative Administrators COMM $5,002.12 ↓ -60%
BCBS Traditional $5,552.36 ↓ -56%
Fidelis SecureCare MGMCR $5,627.39 ↓ -55%
City of McKinney COMM $5,627.39 ↓ -55%
Aetna QHPHIX $6,065.36 ↓ -51%
National ChoiceCare WCOMP $6,252.65 ↓ -50%
Aetna ASA $6,590.30 ↓ -47%
Rockport Health Group WORKERSCOMP $6,877.92 ↓ -45%
Physicians Coop of TX MGMCR $6,877.92 ↓ -45%
PC Texas Partners WCOMP $6,877.92 ↓ -45%
Aetna WCOMP $6,877.92 ↓ -45%
Averde Health, Inc PPO $7,253.08 ↓ -42%
USC Health Services COMM $7,503.19 ↓ -40%
Aetna NewBusiness $8,316.17 ↓ -33%
BCBS MyBlueHealth $8,480.55 ↓ -32%
BCBS BlueAdvantageHMO $8,480.55 ↓ -32%
Mega Life MGMCRPPO $8,753.72 ↓ -30%
Multiplan PHCS PrimaryNetwork $8,753.72 ↓ -30%
Coastal Comp Health Networks WCOMP $8,753.72 ↓ -30%
Jostens WCOMP $8,753.72 ↓ -30%
Aetna COMM $8,908.49 ↓ -29%
Aetna Meritain $8,908.49 ↓ -29%
Aetna Coventry First Health COMM $9,091.36 ↓ -27%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $9,378.98 ↓ -25%
HealthSmart Preferred Care PPO $9,378.98 ↓ -25%
USA Managed Care COMM $10,004.25 ↓ -20%
BCBS BluePremier $10,029.17 ↓ -20%
Galaxy Health Network PPO $10,629.51 ↓ -15%
BCBS BlueEssentials $12,413.56 ↓ -1%
BCBS BlueEssentialsAccess $12,413.56 ↓ -1%
Independent Medical Systems COMM $12,505.31 ↑ +0%
National Healthcare Solutions COMM $12,505.31 ↑ +0%
Unicare MCD $12,505.31 ↑ +0%
BCBS EPOSOA $13,028.09 ↑ +4%
BCBS PPO $13,642.62 ↑ +9%
Cigna LocalPlus $15,997.88 ↑ +28%
Cigna NewBusiness $16,013.74 ↑ +28%
Cigna NetworkBenefit $17,872.36 ↑ +43%
Cigna OpenAccessPlus $17,872.36 ↑ +43%
Cigna HMO $17,872.36 ↑ +43%
Humana COMM $21,186.40 ↑ +69%
Cigna AllOther $22,610.12 ↑ +81%

Visitor-reported prices

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I-123 ioflupane diag at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $8,291.92 $2,289.77 – $28,845.98
HCA HOUSTON MEDICAL CENTER Houston $21,984.36 $2,289.77 – $28,845.98
HCA HOUSTON CONROE CONROE $10,149.81 $2,289.77 – $28,845.98
HCA HOUSTON KINGWOOD HUMBLE $5,822.50 $2,289.77 – $28,845.98
Baylor St Luke's Medical Center Houston $4,077.15 $100.00 – $11,649.00
St. Luke's Health - Springwoods Village Hospital Spring $4,077.15 $100.00 – $11,649.00
St. Luke's Health - Sugar Land Hospital Sugar Land $4,077.15 $100.00 – $11,649.00
St. Luke's Health - Lakeside Hospital The Woodlands $4,077.15 $100.00 – $11,649.00

All Texas hospitals for this procedure →