I-123 sod iodide diag per 100 uci 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

$1,246.23

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.

$1,246.23

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 $1,552.50 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 →

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 ↓ -94%
Superior Health Plan STARHealth $87.24 ↓ -93%
Superior Health Plan STARKids $87.24 ↓ -93%
Superior Health Plan MCDSTAR $87.24 ↓ -93%
Superior Health Plan CHIP $87.24 ↓ -93%
Superior Health Plan STARPLUS $87.24 ↓ -93%
Cigna IFP $168.24 ↓ -87%
Cigna QHP $174.47 ↓ -86%
United NarrowNetworkIndivExchange $199.50 ↓ -84%
United SmallGroup $199.50 ↓ -84%
United AllPayerAppendix $199.50 ↓ -84%
Aetna QHPHIX $235.52 ↓ -81%
Imperial Insurance Company MCR $236.78 ↓ -81%
United OptionsPPO $248.00 ↓ -80%
Oscar HIX $259.22 ↓ -79%
Unicare CHIP $299.10 ↓ -76%
Healthcare Highways NarrowNetwork $305.33 ↓ -75%
Aetna OON $312.80 ↓ -75%
Evry Health COMM $321.53 ↓ -74%
Aetna NewBusiness $322.92 ↓ -74%
Aetna Meritain $345.92 ↓ -72%
Aetna COMM $345.92 ↓ -72%
Healthcare Highways CityofPlano $421.23 ↓ -66%
Curative Administrators COMM $498.49 ↓ -60%
BCBS Traditional $553.33 ↓ -56%
City of McKinney COMM $560.80 ↓ -55%
Fidelis SecureCare MGMCR $560.80 ↓ -55%
BCBS BlueAdvantageHMO $621.45 ↓ -50%
BCBS MyBlueHealth $621.45 ↓ -50%
National ChoiceCare WCOMP $623.12 ↓ -50%
Cigna LocalPlus $655.69 ↓ -47%
Cigna NewBusiness $656.34 ↓ -47%
Physicians Coop of TX MGMCR $685.43 ↓ -45%
Rockport Health Group WORKERSCOMP $685.43 ↓ -45%
Aetna WCOMP $685.43 ↓ -45%
PC Texas Partners WCOMP $685.43 ↓ -45%
Averde Health, Inc PPO $722.81 ↓ -42%
Cigna OpenAccessPlus $732.51 ↓ -41%
Cigna HMO $732.51 ↓ -41%
Cigna NetworkBenefit $732.51 ↓ -41%
BCBS BluePremier $734.93 ↓ -41%
USC Health Services COMM $747.74 ↓ -40%
Coastal Comp Health Networks WCOMP $872.36 ↓ -30%
Mega Life MGMCRPPO $872.36 ↓ -30%
Jostens WCOMP $872.36 ↓ -30%
Multiplan PHCS PrimaryNetwork $872.36 ↓ -30%
Aetna Coventry First Health COMM $906.01 ↓ -27%
BCBS BlueEssentialsAccess $909.66 ↓ -27%
BCBS BlueEssentials $909.66 ↓ -27%
Cigna AllOther $926.69 ↓ -26%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $934.67 ↓ -25%
HealthSmart Preferred Care PPO $934.67 ↓ -25%
BCBS EPOSOA $954.69 ↓ -23%
USA Managed Care COMM $996.98 ↓ -20%
BCBS PPO $999.72 ↓ -20%
Galaxy Health Network PPO $1,059.30 ↓ -15%
Unicare MCD $1,246.23 ↑ +0%
National Healthcare Solutions COMM $1,246.23 ↑ +0%
Independent Medical Systems COMM $1,246.23 ↑ +0%
Humana COMM $1,552.50 ↑ +25%
Aetna ASA not published by hospital

Visitor-reported prices

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I-123 sod iodide diag per 100 uci at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $1,026.00 $199.50 – $2,113.77
St. Luke's Health - Patients Medical Center Pasadena $198.60 $100.00 – $425.56
Baylor St Luke's Medical Center Houston $198.45 $100.00 – $567.00
St. Joseph Health Madison Hospital Madisonville $92.93 $67.65 – $477.90
St. Luke's Health Memorial Lufkin Lufkin $21.00 $71.40 – $140.00
HCA HOUSTON PEARLAND Pearland $884.09 $199.50 – $2,113.77
St. Luke's Health - Springwoods Village Hospital Spring $198.45 $100.00 – $567.00
St. Luke's Health - Sugar Land Hospital Sugar Land $198.45 $100.00 – $567.00

All Texas hospitals for this procedure →