In-111 satumomab pend at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$23,711.06
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.
$23,711.06
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.
$1,659.77 with Superior Health Plan vs $23,711.06 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $1,659.77 | ↓ -93% |
| Superior Health Plan | STARHealth | $1,659.77 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $1,659.77 | ↓ -93% |
| Superior Health Plan | STARPLUS | $1,659.77 | ↓ -93% |
| Superior Health Plan | STARKids | $1,659.77 | ↓ -93% |
| United | SmallGroup | $2,766.04 | ↓ -88% |
| United | AllPayerAppendix | $2,766.04 | ↓ -88% |
| United | NarrowNetworkIndivExchange | $2,766.04 | ↓ -88% |
| Cigna | IFP | $3,200.99 | ↓ -87% |
| Cigna | QHP | $3,319.55 | ↓ -86% |
| Aetna | QHPHIX | $3,430.40 | ↓ -86% |
| Imperial Insurance Company | MCR | $4,505.10 | ↓ -81% |
| Aetna | NewBusiness | $4,703.40 | ↓ -80% |
| United | OptionsPPO | $4,718.50 | ↓ -80% |
| Oscar | HIX | $4,931.90 | ↓ -79% |
| Aetna | COMM | $5,038.40 | ↓ -79% |
| Aetna | Meritain | $5,038.40 | ↓ -79% |
| Unicare | CHIP | $5,690.65 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $5,809.21 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $5,856.63 | ↓ -75% |
| BCBS | MyBlueHealth | $5,856.63 | ↓ -75% |
| Aetna | OON | $5,951.48 | ↓ -75% |
| Evry Health | COMM | $6,117.45 | ↓ -74% |
| BCBS | BluePremier | $6,923.63 | ↓ -71% |
| Humana | COMM | $7,348.06 | ↓ -69% |
| BCBS | BlueEssentials | $7,563.83 | ↓ -68% |
| BCBS | BlueEssentialsAccess | $7,563.83 | ↓ -68% |
| BCBS | EPOSOA | $7,943.21 | ↓ -66% |
| Healthcare Highways | CityofPlano | $8,014.34 | ↓ -66% |
| BCBS | PPO | $8,298.87 | ↓ -65% |
| Cigna | LocalPlus | $8,350.99 | ↓ -65% |
| Cigna | NewBusiness | $8,359.27 | ↓ -65% |
| Cigna | OpenAccessPlus | $9,329.48 | ↓ -61% |
| Cigna | HMO | $9,329.48 | ↓ -61% |
| Cigna | NetworkBenefit | $9,329.48 | ↓ -61% |
| Curative Administrators | COMM | $9,484.42 | ↓ -60% |
| BCBS | Traditional | $10,527.71 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $10,669.98 | ↓ -55% |
| City of McKinney | COMM | $10,669.98 | ↓ -55% |
| Cigna | AllOther | $11,802.62 | ↓ -50% |
| National ChoiceCare | WCOMP | $11,855.53 | ↓ -50% |
| Rockport Health Group | WORKERSCOMP | $13,041.08 | ↓ -45% |
| Aetna | WCOMP | $13,041.08 | ↓ -45% |
| PC Texas Partners | WCOMP | $13,041.08 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $13,041.08 | ↓ -45% |
| Averde Health, Inc | PPO | $13,752.41 | ↓ -42% |
| USC Health Services | COMM | $14,226.64 | ↓ -40% |
| Coastal Comp Health Networks | WCOMP | $16,597.74 | ↓ -30% |
| Jostens | WCOMP | $16,597.74 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $16,597.74 | ↓ -30% |
| Mega Life | MGMCRPPO | $16,597.74 | ↓ -30% |
| Aetna Coventry First Health | COMM | $17,237.94 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $17,783.29 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $17,783.29 | ↓ -25% |
| USA Managed Care | COMM | $18,968.85 | ↓ -20% |
| Galaxy Health Network | PPO | $20,154.40 | ↓ -15% |
| Unicare | MCD | $23,711.06 | ↑ +0% |
| Independent Medical Systems | COMM | $23,711.06 | ↑ +0% |
| National Healthcare Solutions | COMM | $23,711.06 | ↑ +0% |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
In-111 satumomab pend at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $1,160.78 | $845.05 – $6,633.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $3,450.15 | $100.00 – $20,700.90 |
| St. Joseph Health College Station Hospital | College Station | $1,160.78 | $1,326.60 – $6,633.00 |
| St. Joseph Health Grimes Hospital | Navasota | $1,160.78 | $1,326.60 – $7,362.63 |
| St. Luke's Health Memorial Livingston | Livingston | $3,450.15 | $100.00 – $20,700.90 |
| St. Luke's Health Memorial San Augustine | San Augustine | $3,450.15 | $100.00 – $23,921.04 |
| St. Joseph Health Burleson Hospital | Caldwell | $1,160.78 | $1,326.60 – $6,633.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $8,090.22 | $2,766.04 – $3,339.84 |