Injection glatiramer acetate 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.
$51.01 with Superior Health Plan vs $1,083.71 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $51.01 | — |
| Superior Health Plan | STARHealth | $51.01 | — |
| Superior Health Plan | MCDSTAR | $51.01 | — |
| Superior Health Plan | STARPLUS | $51.01 | — |
| Superior Health Plan | STARKids | $51.01 | — |
| Cigna | IFP | $98.38 | — |
| Aetna | QHPHIX | $98.38 | — |
| Cigna | QHP | $102.02 | — |
| Imperial Insurance Company | MCR | $138.46 | — |
| United | OptionsPPO | $145.02 | — |
| Aetna | NewBusiness | $145.02 | — |
| Superior | EPO | $145.75 | — |
| Superior | HMO | $145.75 | — |
| Superior | ValueHMO | $145.75 | — |
| Oscar | HIX | $151.58 | — |
| Aetna | COMM | $155.22 | — |
| Aetna | Meritain | $155.22 | — |
| Unicare | CHIP | $174.90 | — |
| Healthcare Highways | NarrowNetwork | $178.54 | — |
| Molina Healthcare | HIX | $182.18 | — |
| Aetna | OON | $182.91 | — |
| Evry Health | COMM | $188.01 | — |
| Healthcare Highways | CityofPlano | $246.31 | — |
| Curative Administrators | COMM | $291.49 | — |
| BCBS | MyBlueHealth | $322.54 | — |
| BCBS | BlueAdvantageHMO | $322.54 | — |
| BCBS | Traditional | $323.56 | — |
| City of McKinney | COMM | $327.93 | — |
| Fidelis SecureCare | MGMCR | $327.93 | — |
| National ChoiceCare | WCOMP | $364.37 | — |
| BCBS | BluePremier | $381.44 | — |
| Aetna | ASA | $384.04 | — |
| Cigna | LocalPlus | $385.75 | — |
| Cigna | NewBusiness | $386.13 | — |
| Rockport Health Group | WORKERSCOMP | $400.80 | — |
| Aetna | WCOMP | $400.80 | — |
| PC Texas Partners | WCOMP | $400.80 | — |
| Physicians Coop of TX | MGMCR | $400.80 | — |
| Averde Health, Inc | PPO | $422.66 | — |
| United | SmallGroup | $427.81 | — |
| United | NarrowNetworkIndivExchange | $427.81 | — |
| United | AllPayerAppendix | $427.81 | — |
| Cigna | OpenAccessPlus | $430.95 | — |
| Cigna | HMO | $430.95 | — |
| Cigna | NetworkBenefit | $430.95 | — |
| USC Health Services | COMM | $437.24 | — |
| BCBS | BlueEssentials | $472.12 | — |
| BCBS | BlueEssentialsAccess | $472.12 | — |
| BCBS | EPOSOA | $495.50 | — |
| Multiplan PHCS | PrimaryNetwork | $510.11 | — |
| Coastal Comp Health Networks | WCOMP | $510.11 | — |
| Jostens | WCOMP | $510.11 | — |
| Mega Life | MGMCRPPO | $510.11 | — |
| BCBS | PPO | $518.87 | — |
| Aetna Coventry First Health | COMM | $529.79 | — |
| Cigna | AllOther | $545.19 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $546.55 | — |
| HealthSmart Preferred Care | PPO | $546.55 | — |
| USA Managed Care | COMM | $582.98 | — |
| Galaxy Health Network | PPO | $619.42 | — |
| Unicare | MCD | $728.73 | — |
| National Healthcare Solutions | COMM | $728.73 | — |
| Independent Medical Systems | COMM | $728.73 | — |
| Humana | COMM | $1,083.71 | — |
Visitor-reported prices
Comments
Injection glatiramer acetate at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $358.05 | $84.14 – $1,022.99 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $358.05 | $101.90 – $1,022.99 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $358.05 | $101.90 – $1,022.99 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $358.05 | $101.90 – $1,022.99 |
| Texas Health Presbyterian Hospital Allen | Allen | $865.10 | $122.00 – $585.30 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $865.10 | $191.47 – $585.30 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $865.10 | $122.00 – $585.30 |
| Texas Health Arlington Memorial Hospital | Arlington | $865.10 | $122.00 – $585.30 |