In situ hybridization per specimen initial single probe stain at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$1,345.73
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.
$1,345.73
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.
$94.20 with Superior Health Plan vs $1,345.73 with Independent Medical Systems — 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 | STARKids | $94.20 | ↓ -93% |
| Superior Health Plan | CHIP | $94.20 | ↓ -93% |
| Superior Health Plan | STARHealth | $94.20 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $94.20 | ↓ -93% |
| Superior Health Plan | STARPLUS | $94.20 | ↓ -93% |
| United | SmallGroup | $149.16 | ↓ -89% |
| United | NarrowNetworkIndivExchange | $149.16 | ↓ -89% |
| United | AllPayerAppendix | $149.16 | ↓ -89% |
| Aetna | QHPHIX | $181.13 | ↓ -87% |
| Cigna | IFP | $181.67 | ↓ -87% |
| Cigna | QHP | $188.40 | ↓ -86% |
| BCBS | BluePremier | $243.95 | ↓ -82% |
| Aetna | NewBusiness | $249.48 | ↓ -81% |
| BCBS | MyBlueHealth | $251.13 | ↓ -81% |
| BCBS | BlueAdvantageHMO | $251.13 | ↓ -81% |
| Aetna | Meritain | $265.72 | ↓ -80% |
| Aetna | COMM | $265.72 | ↓ -80% |
| United | OptionsPPO | $267.80 | ↓ -80% |
| Oscar | HIX | $279.91 | ↓ -79% |
| Aetna | OON | $312.71 | ↓ -77% |
| Unicare | CHIP | $322.98 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $329.70 | ↓ -76% |
| Evry Health | COMM | $347.20 | ↓ -74% |
| BCBS | BlueEssentialsAccess | $354.45 | ↓ -74% |
| BCBS | BlueEssentials | $354.45 | ↓ -74% |
| BCBS | EPOSOA | $371.66 | ↓ -72% |
| BCBS | PPO | $388.88 | ↓ -71% |
| Healthcare Highways | CityofPlano | $454.86 | ↓ -66% |
| Cigna | LocalPlus | $532.78 | ↓ -60% |
| Cigna | NewBusiness | $533.31 | ↓ -60% |
| Cigna | NetworkBenefit | $595.08 | ↓ -56% |
| Cigna | OpenAccessPlus | $595.08 | ↓ -56% |
| Cigna | HMO | $595.08 | ↓ -56% |
| BCBS | Traditional | $597.50 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $605.58 | ↓ -55% |
| City of McKinney | COMM | $605.58 | ↓ -55% |
| National ChoiceCare | WCOMP | $672.87 | ↓ -50% |
| Aetna | ASA | $709.20 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $740.15 | ↓ -45% |
| Aetna | WCOMP | $740.15 | ↓ -45% |
| PC Texas Partners | WCOMP | $740.15 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $740.15 | ↓ -45% |
| Cigna | AllOther | $753.15 | ↓ -44% |
| Averde Health, Inc | PPO | $780.52 | ↓ -42% |
| USC Health Services | COMM | $807.44 | ↓ -40% |
| Jostens | WCOMP | $942.01 | ↓ -30% |
| Mega Life | MGMCRPPO | $942.01 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $942.01 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $942.01 | ↓ -30% |
| Aetna Coventry First Health | COMM | $978.35 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $1,009.30 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,009.30 | ↓ -25% |
| USA Managed Care | COMM | $1,076.58 | ↓ -20% |
| Galaxy Health Network | PPO | $1,143.87 | ↓ -15% |
| Humana | COMM | $1,157.27 | ↓ -14% |
| Unicare | MCD | $1,345.73 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,345.73 | ↑ +0% |
| Independent Medical Systems | COMM | $1,345.73 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
In situ hybridization per specimen initial single probe stain at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $373.43 | $35.00 – $466.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $352.98 | $36.00 – $529.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $296.45 | $36.00 – $423.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $373.43 | $35.00 – $466.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $352.98 | $36.00 – $529.47 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $352.98 | $26.00 – $529.47 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $296.45 | $36.00 – $444.67 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $373.43 | $35.00 – $466.79 |