Implant ureth bulk agent 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$261.31 with Humana vs $2,095.00 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 |
|---|---|---|---|
| Humana | Tricare | $261.31 | — |
| BCBS | MCRPPO | $264.11 | — |
| BCBS | MGMCRHMO | $264.11 | — |
| WellMed | MGMCR | $268.04 | — |
| Devoted Health | SNP | $269.39 | — |
| Amerigroup | DualEligible | $269.39 | — |
| TriWest Health Alliance | FEDERAL | $269.39 | — |
| Humana | MGMCR | $269.39 | — |
| Mutual of Omaha | MGMCR | $269.39 | — |
| Devoted Health | POS | $269.39 | — |
| Devoted Health | MCR | $269.39 | — |
| Devoted Health | MME | $269.39 | — |
| Devoted Health | HMO | $269.39 | — |
| Devoted Health | PPO | $269.39 | — |
| United | MGMCR | $270.74 | — |
| Aetna | MCR | $271.68 | — |
| Care N Care | MGMCR | $272.08 | — |
| Cigna Healthspring | MGMCR | $274.78 | — |
| WellCare | MGMCR | $277.47 | — |
| Integranet | MGMCR | $277.47 | — |
| Cigna | IFP | $282.82 | — |
| Superior Health Plan | MGMCRPOS | $282.86 | — |
| American Health Plan of Texas, Inc. | MGMCR | $282.86 | — |
| Superior Health Plan | MGMCRHMO | $282.86 | — |
| Superior Health Plan | MGMCRPPO | $282.86 | — |
| Superior Health Plan | MGMCRDualEligible | $282.86 | — |
| Superior Health Plan | MGMCRPFFS | $282.86 | — |
| Superior Health Plan | MGMCRSNP | $282.86 | — |
| ProCare Advantge | MCR | $282.86 | — |
| Texas Independent Health Plan | MGMCR | $285.55 | — |
| Provider Partners Health Plan | MCR | $285.55 | — |
| Cigna | QHP | $293.30 | — |
| Molina | MCR | $293.64 | — |
| Molina | MMP | $293.64 | — |
| Molina | MME | $293.64 | — |
| Imperial Insurance Company | MCR | $296.33 | — |
| Universal Healthcare Group | MCR | $323.27 | — |
| Verda Health Plan | MGMCR | $350.21 | — |
| Bravo Health | MCRHMO | $404.08 | — |
| Bravo Health | MCRPOS | $404.08 | — |
| Bravo Health | MCRPPO | $404.08 | — |
| Bravo Health | MCRSNP | $404.08 | — |
| Bravo Health | MCRPFFS | $404.08 | — |
| United | OptionsPPO | $416.90 | — |
| Superior | ValueHMO | $482.21 | — |
| Unicare | CHIP | $502.80 | — |
| USA Managed Care | WORKERSCOMP | $511.84 | — |
| BCBS | BlueAdvantageHMO | $517.47 | — |
| BCBS | MyBlueHealth | $517.47 | — |
| Corvel Corporation | WORKERSCOMP | $533.39 | — |
| Cigna | NewBusiness | $553.08 | — |
| Cigna | LocalPlus | $553.08 | — |
| Superior | HMO | $603.43 | — |
| Superior | EPO | $603.43 | — |
| Cigna | OpenAccessPlus | $618.02 | — |
| Cigna | HMO | $618.02 | — |
| Cigna | NetworkBenefit | $618.02 | — |
| BCBS | BlueEssentialsAccess | $668.30 | — |
| BCBS | BlueEssentials | $668.30 | — |
| BCBS | EPOSOA | $701.83 | — |
| Molina Healthcare | HIX | $705.80 | — |
| Healthcare Highways | CityofPlano | $708.11 | — |
| BCBS | PPO | $733.25 | — |
| Cigna | AllOther | $781.43 | — |
| BCBS | Traditional | $930.18 | — |
| City of McKinney | COMM | $942.75 | — |
| National ChoiceCare | WCOMP | $1,047.50 | — |
| Aetna | ASA | $1,104.07 | — |
| Physicians Coop of TX | MGMCR | $1,152.25 | — |
| Aetna | WCOMP | $1,152.25 | — |
| PC Texas Partners | WCOMP | $1,152.25 | — |
| Rockport Health Group | WORKERSCOMP | $1,152.25 | — |
| Averde Health, Inc | PPO | $1,215.10 | — |
| USC Health Services | COMM | $1,257.00 | — |
| Mega Life | MGMCRPPO | $1,466.50 | — |
| Jostens | WCOMP | $1,466.50 | — |
| Humana | COMM | $1,521.95 | — |
| Aetna Coventry First Health | COMM | $1,523.07 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,571.25 | — |
| HealthSmart Preferred Care | PPO | $1,571.25 | — |
| USA Managed Care | COMM | $1,676.00 | — |
| Galaxy Health Network | PPO | $1,780.75 | — |
| Unicare | MCD | $2,095.00 | — |
| Independent Medical Systems | COMM | $2,095.00 | — |
| National Healthcare Solutions | COMM | $2,095.00 | — |
Visitor-reported prices
Comments
Implant ureth bulk agent at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,507.67 | $147.62 – $694.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,507.67 | $107.24 – $781.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,507.67 | $104.20 – $694.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,507.67 | $138.94 – $694.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $4,507.67 | $167.25 – $781.53 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $4,507.67 | $269.19 – $781.53 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $4,507.67 | $173.67 – $781.53 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $4,507.67 | $138.94 – $694.70 |