Infect ag ia optc obs influenza 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.
$9.93 with Cook Childrens Health Plan vs $400.22 with Independent Medical Systems — 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 |
|---|---|---|---|
| Cook Childrens Health Plan | CHIP | $9.93 | — |
| Cook Childrens Health Plan | STAR | $9.93 | — |
| TEXAS HEALTH NETWORK | MCD | $13.69 | — |
| United | CHIP | $13.90 | — |
| Amerigroup | CHIP | $13.90 | — |
| Amerigroup | MGMCD | $13.90 | — |
| United | STARPerinate | $13.90 | — |
| Parkland Community Health Plan | MCD | $13.90 | — |
| United | STARPLUS | $13.90 | — |
| United | STARKids | $13.90 | — |
| United | STAR | $13.90 | — |
| Cigna Healthspring | MGMCD | $14.60 | — |
| Aetna Better Health | CHIP | $15.01 | — |
| Aetna Better Health | MCD | $15.01 | — |
| Molina | STAR+PLUS | $15.29 | — |
| Molina | CHIP | $15.29 | — |
| Molina | MCDSTAR | $15.29 | — |
| Molina | STARKIDS | $15.29 | — |
| WellMed | MGMCR | $16.47 | — |
| Mutual of Omaha | MGMCR | $16.55 | — |
| Devoted Health | SNP | $16.55 | — |
| Devoted Health | HMO | $16.55 | — |
| Devoted Health | POS | $16.55 | — |
| Devoted Health | MCR | $16.55 | — |
| Devoted Health | MME | $16.55 | — |
| Devoted Health | PPO | $16.55 | — |
| Humana | MGMCR | $16.55 | — |
| United | AllPayerAppendix | $16.55 | — |
| BCBS | MGMCRHMO | $16.55 | — |
| United | NarrowNetworkIndivExchange | $16.55 | — |
| United | SmallGroup | $16.55 | — |
| BCBS | MCRPPO | $16.55 | — |
| TriWest Health Alliance | FEDERAL | $16.55 | — |
| Amerigroup | DualEligible | $16.55 | — |
| United | MGMCR | $16.63 | — |
| Aetna | MCR | $16.69 | — |
| Care N Care | MGMCR | $16.72 | — |
| Cigna Healthspring | MGMCR | $16.88 | — |
| Integranet | MGMCR | $17.05 | — |
| WellCare | MGMCR | $17.05 | — |
| Humana | Tricare | $17.37 | — |
| Superior Health Plan | MGMCRDualEligible | $17.38 | — |
| American Health Plan of Texas, Inc. | MGMCR | $17.38 | — |
| Superior Health Plan | MGMCRSNP | $17.38 | — |
| ProCare Advantge | MCR | $17.38 | — |
| Humana | MGMCD | $17.38 | — |
| Superior Health Plan | MGMCRPPO | $17.38 | — |
| Superior Health Plan | MGMCRPOS | $17.38 | — |
| Superior Health Plan | MGMCRPFFS | $17.38 | — |
| Superior Health Plan | MGMCRHMO | $17.38 | — |
| Texas Independent Health Plan | MGMCR | $17.54 | — |
| Provider Partners Health Plan | MCR | $17.54 | — |
| Molina | MME | $18.04 | — |
| Molina | MCR | $18.04 | — |
| Molina | MMP | $18.04 | — |
| Imperial Insurance Company | MCR | $18.21 | — |
| Universal Healthcare Group | MCR | $19.86 | — |
| Aetna | QHPHIX | $21.05 | — |
| Verda Health Plan | MGMCR | $21.52 | — |
| Bravo Health | MCRPFFS | $24.83 | — |
| Bravo Health | MCRHMO | $24.83 | — |
| Bravo Health | MCRPOS | $24.83 | — |
| Bravo Health | MCRPPO | $24.83 | — |
| Bravo Health | MCRSNP | $24.83 | — |
| Superior Health Plan | CHIP | $28.02 | — |
| Superior Health Plan | STARHealth | $28.02 | — |
| Superior Health Plan | MCDSTAR | $28.02 | — |
| Superior Health Plan | STARPLUS | $28.02 | — |
| Superior Health Plan | STARKids | $28.02 | — |
| BCBS | BluePremier | $28.14 | — |
| BCBS | BlueAdvantageHMO | $28.96 | — |
| BCBS | MyBlueHealth | $28.96 | — |
| Aetna | NewBusiness | $29.00 | — |
| Superior | ValueHMO | $29.62 | — |
| Aetna | COMM | $30.88 | — |
| Aetna | Meritain | $30.88 | — |
| USA Managed Care | WORKERSCOMP | $31.45 | — |
| Corvel Corporation | WORKERSCOMP | $32.77 | — |
| Aetna | OON | $36.34 | — |
| Superior | EPO | $37.07 | — |
| Superior | HMO | $37.07 | — |
| BCBS | BlueEssentialsAccess | $40.88 | — |
| BCBS | BlueEssentials | $40.88 | — |
| BCBS | EPOSOA | $42.86 | — |
| Oscar | HIX | $43.03 | — |
| Molina Healthcare | HIX | $43.36 | — |
| BCBS | PPO | $44.85 | — |
| Cigna | IFP | $54.03 | — |
| Cigna | QHP | $56.03 | — |
| Cigna | LocalPlus | $63.25 | — |
| Cigna | NewBusiness | $63.32 | — |
| Cigna | HMO | $70.65 | — |
| Cigna | OpenAccessPlus | $70.65 | — |
| Cigna | NetworkBenefit | $70.65 | — |
| United | OptionsPPO | $79.64 | — |
| Cigna | AllOther | $89.42 | — |
| Unicare | CHIP | $96.05 | — |
| Healthcare Highways | NarrowNetwork | $98.05 | — |
| Evry Health | COMM | $103.26 | — |
| Healthcare Highways | CityofPlano | $135.27 | — |
| Humana | COMM | $148.92 | — |
| BCBS | Traditional | $177.70 | — |
| City of McKinney | COMM | $180.10 | — |
| Fidelis SecureCare | MGMCR | $180.10 | — |
| National ChoiceCare | WCOMP | $200.11 | — |
| Aetna | ASA | $210.92 | — |
| Physicians Coop of TX | MGMCR | $220.12 | — |
| Aetna | WCOMP | $220.12 | — |
| PC Texas Partners | WCOMP | $220.12 | — |
| Rockport Health Group | WORKERSCOMP | $220.12 | — |
| Averde Health, Inc | PPO | $232.13 | — |
| USC Health Services | COMM | $240.13 | — |
| Multiplan PHCS | PrimaryNetwork | $280.15 | — |
| Jostens | WCOMP | $280.15 | — |
| Mega Life | MGMCRPPO | $280.15 | — |
| Coastal Comp Health Networks | WCOMP | $280.15 | — |
| Aetna Coventry First Health | COMM | $290.96 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $300.17 | — |
| HealthSmart Preferred Care | PPO | $300.17 | — |
| USA Managed Care | COMM | $320.18 | — |
| Galaxy Health Network | PPO | $340.19 | — |
| Unicare | MCD | $400.22 | — |
| National Healthcare Solutions | COMM | $400.22 | — |
| Independent Medical Systems | COMM | $400.22 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Infect ag ia optc obs influenza at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $93.18 | $10.00 – $116.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $95.32 | $12.00 – $142.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $114.50 | $12.00 – $143.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $93.18 | $10.00 – $116.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $95.32 | $12.00 – $142.97 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $95.32 | $8.00 – $142.97 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $114.50 | $12.00 – $171.76 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $93.18 | $10.00 – $116.47 |