In-111 pentetreotide at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$17,666.28
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.
$17,666.28
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.
$70.00 with Imaging Providers of Texas vs $48,725.28 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 →
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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 |
|---|---|---|---|
| Imaging Providers of Texas | HMOBlue | $70.00 | ↓ -100% |
| Superior Health Plan | STARHealth | $1,236.64 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $1,236.64 | ↓ -93% |
| Superior Health Plan | STARKids | $1,236.64 | ↓ -93% |
| Superior Health Plan | CHIP | $1,236.64 | ↓ -93% |
| Superior Health Plan | STARPLUS | $1,236.64 | ↓ -93% |
| Cigna | IFP | $2,384.95 | ↓ -86% |
| Cigna | QHP | $2,473.28 | ↓ -86% |
| United | AllPayerAppendix | $3,301.55 | ↓ -81% |
| United | SmallGroup | $3,301.55 | ↓ -81% |
| United | NarrowNetworkIndivExchange | $3,301.55 | ↓ -81% |
| United | OptionsPPO | $3,515.59 | ↓ -80% |
| Oscar | HIX | $3,674.59 | ↓ -79% |
| Unicare | CHIP | $4,239.91 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $4,328.24 | ↓ -75% |
| Aetna | OON | $4,434.24 | ↓ -75% |
| Evry Health | COMM | $4,557.90 | ↓ -74% |
| Healthcare Highways | CityofPlano | $5,971.20 | ↓ -66% |
| Curative Administrators | COMM | $7,066.51 | ↓ -60% |
| BCBS | Traditional | $7,843.83 | ↓ -56% |
| City of McKinney | COMM | $7,949.83 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $7,949.83 | ↓ -55% |
| National ChoiceCare | WCOMP | $8,833.14 | ↓ -50% |
| Aetna | ASA | $9,310.13 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $9,716.45 | ↓ -45% |
| PC Texas Partners | WCOMP | $9,716.45 | ↓ -45% |
| Aetna | WCOMP | $9,716.45 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $9,716.45 | ↓ -45% |
| Averde Health, Inc | PPO | $10,246.44 | ↓ -42% |
| USC Health Services | COMM | $10,599.77 | ↓ -40% |
| Mega Life | MGMCRPPO | $12,366.40 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $12,366.40 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $12,366.40 | ↓ -30% |
| Jostens | WCOMP | $12,366.40 | ↓ -30% |
| Aetna Coventry First Health | COMM | $12,843.39 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $13,249.71 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $13,249.71 | ↓ -25% |
| Aetna | QHPHIX | $13,949.34 | ↓ -21% |
| USA Managed Care | COMM | $14,133.02 | ↓ -20% |
| Galaxy Health Network | PPO | $15,016.34 | ↓ -15% |
| Independent Medical Systems | COMM | $17,666.28 | ↑ +0% |
| National Healthcare Solutions | COMM | $17,666.28 | ↑ +0% |
| Unicare | MCD | $17,666.28 | ↑ +0% |
| Aetna | NewBusiness | $19,125.85 | ↑ +8% |
| BCBS | MyBlueHealth | $19,503.89 | ↑ +10% |
| BCBS | BlueAdvantageHMO | $19,503.89 | ↑ +10% |
| Aetna | COMM | $20,488.09 | ↑ +16% |
| Aetna | Meritain | $20,488.09 | ↑ +16% |
| BCBS | BluePremier | $23,065.46 | ↑ +31% |
| Cigna | LocalPlus | $23,885.72 | ↑ +35% |
| Cigna | NewBusiness | $23,909.40 | ↑ +35% |
| Cigna | OpenAccessPlus | $26,684.42 | ↑ +51% |
| Cigna | NetworkBenefit | $26,684.42 | ↑ +51% |
| Cigna | HMO | $26,684.42 | ↑ +51% |
| BCBS | BlueEssentialsAccess | $28,549.17 | ↑ +62% |
| BCBS | BlueEssentials | $28,549.17 | ↑ +62% |
| BCBS | EPOSOA | $29,962.49 | ↑ +70% |
| BCBS | PPO | $31,375.81 | ↑ +78% |
| Cigna | AllOther | $33,758.16 | ↑ +91% |
| Humana | COMM | $48,725.28 | ↑ +176% |
Visitor-reported prices
Comments
In-111 pentetreotide at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $10,116.34 | $3,301.55 – $66,341.09 |
| HCA HOUSTON KINGWOOD | HUMBLE | $6,884.13 | $3,301.55 – $66,341.09 |
| HCA HOUSTON NORTHWEST | SPRING | $1,349.34 | $3,301.55 – $66,341.09 |
| St. Luke's Health - Patients Medical Center | Pasadena | $5,771.75 | $100.00 – $12,368.03 |
| Baylor St Luke's Medical Center | Houston | $6,028.40 | $100.00 – $17,224.00 |
| St. Joseph Health Madison Hospital | Madisonville | $1,646.40 | $1,198.58 – $8,467.20 |
| St. Luke's Health Memorial Lufkin | Lufkin | $2,321.40 | $100.00 – $13,928.40 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $6,028.40 | $100.00 – $17,224.00 |