Immunofluorescence per specimen initial single antibody stain 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$124.32 with Superior Health Plan vs $1,775.96 with Unicare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $124.32 | — |
| Superior Health Plan | STARHealth | $124.32 | — |
| Superior Health Plan | MCDSTAR | $124.32 | — |
| Superior Health Plan | STARPLUS | $124.32 | — |
| Superior Health Plan | STARKids | $124.32 | — |
| Aetna | QHPHIX | $156.05 | — |
| Aetna | NewBusiness | $214.94 | — |
| Aetna | COMM | $228.93 | — |
| Aetna | Meritain | $228.93 | — |
| Cigna | IFP | $239.75 | — |
| Cigna | QHP | $248.63 | — |
| Aetna | OON | $269.41 | — |
| United | NarrowNetworkIndivExchange | $291.26 | — |
| United | SmallGroup | $291.26 | — |
| United | AllPayerAppendix | $291.26 | — |
| United | OptionsPPO | $353.42 | — |
| Oscar | HIX | $369.40 | — |
| Unicare | CHIP | $426.23 | — |
| Healthcare Highways | NarrowNetwork | $435.11 | — |
| Cigna | LocalPlus | $450.40 | — |
| Cigna | NewBusiness | $450.84 | — |
| Evry Health | COMM | $458.20 | — |
| BCBS | BluePremier | $481.80 | — |
| Humana | COMM | $488.70 | — |
| BCBS | BlueAdvantageHMO | $495.97 | — |
| BCBS | MyBlueHealth | $495.97 | — |
| Cigna | NetworkBenefit | $503.06 | — |
| Cigna | HMO | $503.06 | — |
| Cigna | OpenAccessPlus | $503.06 | — |
| Healthcare Highways | CityofPlano | $600.27 | — |
| Cigna | AllOther | $636.68 | — |
| BCBS | BlueEssentials | $700.02 | — |
| BCBS | BlueEssentialsAccess | $700.02 | — |
| BCBS | EPOSOA | $734.03 | — |
| BCBS | PPO | $768.04 | — |
| BCBS | Traditional | $788.53 | — |
| Fidelis SecureCare | MGMCR | $799.18 | — |
| City of McKinney | COMM | $799.18 | — |
| National ChoiceCare | WCOMP | $887.98 | — |
| Aetna | ASA | $935.93 | — |
| Physicians Coop of TX | MGMCR | $976.78 | — |
| Rockport Health Group | WORKERSCOMP | $976.78 | — |
| Aetna | WCOMP | $976.78 | — |
| PC Texas Partners | WCOMP | $976.78 | — |
| Averde Health, Inc | PPO | $1,030.06 | — |
| USC Health Services | COMM | $1,065.58 | — |
| Jostens | WCOMP | $1,243.17 | — |
| Multiplan PHCS | PrimaryNetwork | $1,243.17 | — |
| Coastal Comp Health Networks | WCOMP | $1,243.17 | — |
| Mega Life | MGMCRPPO | $1,243.17 | — |
| Aetna Coventry First Health | COMM | $1,291.12 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,331.97 | — |
| HealthSmart Preferred Care | PPO | $1,331.97 | — |
| USA Managed Care | COMM | $1,420.77 | — |
| Galaxy Health Network | PPO | $1,509.57 | — |
| Independent Medical Systems | COMM | $1,775.96 | — |
| National Healthcare Solutions | COMM | $1,775.96 | — |
| Unicare | MCD | $1,775.96 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Immunofluorescence per specimen initial single antibody stain at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,007.00 | $13.80 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,007.00 | $10.03 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,007.00 | $9.74 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,007.00 | $12.99 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,007.00 | $15.64 – $423.12 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,007.00 | $25.17 – $423.12 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,007.00 | $16.24 – $423.12 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,007.00 | $12.99 – $423.12 |