Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$605.33
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.
$605.33
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.
$22.36 with Cook Childrens Health Plan vs $605.33 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 |
|---|---|---|---|
| Cook Childrens Health Plan | CHIP | $22.36 | ↓ -96% |
| Cook Childrens Health Plan | STAR | $22.36 | ↓ -96% |
| TEXAS HEALTH NETWORK | MCD | $30.84 | ↓ -95% |
| United | CHIP | $31.31 | ↓ -95% |
| Amerigroup | CHIP | $31.31 | ↓ -95% |
| Amerigroup | MGMCD | $31.31 | ↓ -95% |
| United | STARPerinate | $31.31 | ↓ -95% |
| Parkland Community Health Plan | MCD | $31.31 | ↓ -95% |
| United | STARPLUS | $31.31 | ↓ -95% |
| United | STARKids | $31.31 | ↓ -95% |
| United | STAR | $31.31 | ↓ -95% |
| Cigna Healthspring | MGMCD | $32.88 | ↓ -95% |
| Aetna Better Health | CHIP | $33.81 | ↓ -94% |
| Aetna Better Health | MCD | $33.81 | ↓ -94% |
| Molina | STAR+PLUS | $34.44 | ↓ -94% |
| Molina | CHIP | $34.44 | ↓ -94% |
| Molina | MCDSTAR | $34.44 | ↓ -94% |
| Molina | STARKIDS | $34.44 | ↓ -94% |
| WellMed | MGMCR | $37.08 | ↓ -94% |
| Mutual of Omaha | MGMCR | $37.27 | ↓ -94% |
| Devoted Health | SNP | $37.27 | ↓ -94% |
| Devoted Health | HMO | $37.27 | ↓ -94% |
| Devoted Health | POS | $37.27 | ↓ -94% |
| Devoted Health | MCR | $37.27 | ↓ -94% |
| Devoted Health | MME | $37.27 | ↓ -94% |
| Devoted Health | PPO | $37.27 | ↓ -94% |
| Humana | MGMCR | $37.27 | ↓ -94% |
| United | AllPayerAppendix | $37.27 | ↓ -94% |
| United | NarrowNetworkIndivExchange | $37.27 | ↓ -94% |
| United | SmallGroup | $37.27 | ↓ -94% |
| Amerigroup | DualEligible | $37.27 | ↓ -94% |
| BCBS | MGMCRHMO | $37.27 | ↓ -94% |
| BCBS | MCRPPO | $37.27 | ↓ -94% |
| TriWest Health Alliance | FEDERAL | $37.27 | ↓ -94% |
| United | MGMCR | $37.46 | ↓ -94% |
| Aetna | MCR | $37.59 | ↓ -94% |
| Care N Care | MGMCR | $37.64 | ↓ -94% |
| Cigna Healthspring | MGMCR | $38.02 | ↓ -94% |
| WellCare | MGMCR | $38.39 | ↓ -94% |
| Integranet | MGMCR | $38.39 | ↓ -94% |
| Humana | Tricare | $39.13 | ↓ -94% |
| Superior Health Plan | MGMCRPPO | $39.13 | ↓ -94% |
| Superior Health Plan | MGMCRDualEligible | $39.13 | ↓ -94% |
| Superior Health Plan | MGMCRPFFS | $39.13 | ↓ -94% |
| Superior Health Plan | MGMCRHMO | $39.13 | ↓ -94% |
| Superior Health Plan | MGMCRSNP | $39.13 | ↓ -94% |
| Superior Health Plan | MGMCRPOS | $39.13 | ↓ -94% |
| ProCare Advantge | MCR | $39.13 | ↓ -94% |
| American Health Plan of Texas, Inc. | MGMCR | $39.13 | ↓ -94% |
| Humana | MGMCD | $39.14 | ↓ -94% |
| Texas Independent Health Plan | MGMCR | $39.51 | ↓ -93% |
| Provider Partners Health Plan | MCR | $39.51 | ↓ -93% |
| Molina | MCR | $40.62 | ↓ -93% |
| Molina | MMP | $40.62 | ↓ -93% |
| Molina | MME | $40.62 | ↓ -93% |
| Imperial Insurance Company | MCR | $41.00 | ↓ -93% |
| Superior Health Plan | STARHealth | $42.37 | ↓ -93% |
| Superior Health Plan | STARPLUS | $42.37 | ↓ -93% |
| Superior Health Plan | STARKids | $42.37 | ↓ -93% |
| Superior Health Plan | CHIP | $42.37 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $42.37 | ↓ -93% |
| Universal Healthcare Group | MCR | $44.72 | ↓ -93% |
| Aetna | QHPHIX | $47.40 | ↓ -92% |
| Verda Health Plan | MGMCR | $48.45 | ↓ -92% |
| Bravo Health | MCRPFFS | $55.91 | ↓ -91% |
| Bravo Health | MCRHMO | $55.91 | ↓ -91% |
| Bravo Health | MCRPOS | $55.91 | ↓ -91% |
| Bravo Health | MCRPPO | $55.91 | ↓ -91% |
| Bravo Health | MCRSNP | $55.91 | ↓ -91% |
| BCBS | BluePremier | $63.36 | ↓ -90% |
| BCBS | MyBlueHealth | $65.22 | ↓ -89% |
| BCBS | BlueAdvantageHMO | $65.22 | ↓ -89% |
| Aetna | NewBusiness | $65.29 | ↓ -89% |
| Superior | ValueHMO | $66.71 | ↓ -89% |
| Aetna | COMM | $69.54 | ↓ -89% |
| Aetna | Meritain | $69.54 | ↓ -89% |
| USA Managed Care | WORKERSCOMP | $70.81 | ↓ -88% |
| Corvel Corporation | WORKERSCOMP | $73.79 | ↓ -88% |
| Cigna | IFP | $81.72 | ↓ -86% |
| Aetna | OON | $81.84 | ↓ -86% |
| Superior | HMO | $83.48 | ↓ -86% |
| Superior | EPO | $83.48 | ↓ -86% |
| Cigna | QHP | $84.75 | ↓ -86% |
| BCBS | BlueEssentialsAccess | $92.06 | ↓ -85% |
| BCBS | BlueEssentials | $92.06 | ↓ -85% |
| BCBS | EPOSOA | $96.53 | ↓ -84% |
| Oscar | HIX | $96.90 | ↓ -84% |
| Molina Healthcare | HIX | $97.65 | ↓ -84% |
| BCBS | PPO | $101.00 | ↓ -83% |
| United | OptionsPPO | $120.46 | ↓ -80% |
| Cigna | LocalPlus | $142.03 | ↓ -77% |
| Cigna | NewBusiness | $142.17 | ↓ -77% |
| Unicare | CHIP | $145.28 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $148.31 | ↓ -75% |
| Evry Health | COMM | $156.18 | ↓ -74% |
| Cigna | HMO | $158.64 | ↓ -74% |
| Cigna | NetworkBenefit | $158.64 | ↓ -74% |
| Cigna | OpenAccessPlus | $158.64 | ↓ -74% |
| Cigna | AllOther | $200.77 | ↓ -67% |
| Healthcare Highways | CityofPlano | $204.60 | ↓ -66% |
| BCBS | Traditional | $268.77 | ↓ -56% |
| City of McKinney | COMM | $272.40 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $272.40 | ↓ -55% |
| National ChoiceCare | WCOMP | $302.67 | ↓ -50% |
| Aetna | ASA | $319.01 | ↓ -47% |
| PC Texas Partners | WCOMP | $332.93 | ↓ -45% |
| Aetna | WCOMP | $332.93 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $332.93 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $332.93 | ↓ -45% |
| Averde Health, Inc | PPO | $351.09 | ↓ -42% |
| USC Health Services | COMM | $363.20 | ↓ -40% |
| Humana | COMM | $389.90 | ↓ -36% |
| Jostens | WCOMP | $423.73 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $423.73 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $423.73 | ↓ -30% |
| Mega Life | MGMCRPPO | $423.73 | ↓ -30% |
| Aetna Coventry First Health | COMM | $440.07 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $454.00 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $454.00 | ↓ -25% |
| USA Managed Care | COMM | $484.26 | ↓ -20% |
| Galaxy Health Network | PPO | $514.53 | ↓ -15% |
| Unicare | MCD | $605.33 | ↑ +0% |
| Independent Medical Systems | COMM | $605.33 | ↑ +0% |
| National Healthcare Solutions | COMM | $605.33 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $318.55 | $33.54 – $143.49 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $215.18 | $10.00 – $268.98 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $157.88 | $12.00 – $236.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $209.30 | $12.00 – $261.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $215.18 | $10.00 – $268.98 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $157.88 | $12.00 – $236.83 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $157.88 | $8.00 – $236.83 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $209.30 | $12.00 – $313.95 |