Injection, renflexis at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$3,638.11
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.
$3,638.11
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.
$27.01 with Humana vs $3,638.11 with Unicare — 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 |
|---|---|---|---|
| Humana | Tricare | $27.01 | ↓ -99% |
| United | NarrowNetworkIndivExchange | $45.79 | ↓ -99% |
| United | AllPayerAppendix | $45.79 | ↓ -99% |
| United | SmallGroup | $45.79 | ↓ -99% |
| Cigna | LocalPlus | $151.58 | ↓ -96% |
| Cigna | NewBusiness | $151.73 | ↓ -96% |
| Cigna | HMO | $169.34 | ↓ -95% |
| Cigna | NetworkBenefit | $169.34 | ↓ -95% |
| Cigna | OpenAccessPlus | $169.34 | ↓ -95% |
| Cigna | AllOther | $214.23 | ↓ -94% |
| BCBS | MyBlueHealth | $246.19 | ↓ -93% |
| BCBS | BlueAdvantageHMO | $246.19 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $254.67 | ↓ -93% |
| Superior Health Plan | CHIP | $254.67 | ↓ -93% |
| Superior Health Plan | STARHealth | $254.67 | ↓ -93% |
| Superior Health Plan | STARKids | $254.67 | ↓ -93% |
| Superior Health Plan | STARPLUS | $254.67 | ↓ -93% |
| BCBS | BluePremier | $291.15 | ↓ -92% |
| BCBS | BlueEssentials | $360.37 | ↓ -90% |
| BCBS | BlueEssentialsAccess | $360.37 | ↓ -90% |
| BCBS | EPOSOA | $378.21 | ↓ -90% |
| BCBS | PPO | $396.05 | ↓ -89% |
| Humana | COMM | $460.56 | ↓ -87% |
| Cigna | IFP | $491.14 | ↓ -87% |
| Aetna | QHPHIX | $491.14 | ↓ -87% |
| Cigna | QHP | $509.34 | ↓ -86% |
| Aetna | NewBusiness | $723.98 | ↓ -80% |
| United | OptionsPPO | $723.98 | ↓ -80% |
| Aetna | Meritain | $774.92 | ↓ -79% |
| Aetna | COMM | $774.92 | ↓ -79% |
| Unicare | CHIP | $873.15 | ↓ -76% |
| Aetna | OON | $913.17 | ↓ -75% |
| Healthcare Highways | CityofPlano | $1,229.68 | ↓ -66% |
| BCBS | Traditional | $1,615.32 | ↓ -56% |
| City of McKinney | COMM | $1,637.15 | ↓ -55% |
| National ChoiceCare | WCOMP | $1,819.06 | ↓ -50% |
| Aetna | ASA | $1,917.28 | ↓ -47% |
| PC Texas Partners | WCOMP | $2,000.96 | ↓ -45% |
| Aetna | WCOMP | $2,000.96 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $2,000.96 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $2,000.96 | ↓ -45% |
| Averde Health, Inc | PPO | $2,110.10 | ↓ -42% |
| USC Health Services | COMM | $2,182.87 | ↓ -40% |
| Mega Life | MGMCRPPO | $2,546.68 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $2,546.68 | ↓ -30% |
| Jostens | WCOMP | $2,546.68 | ↓ -30% |
| Aetna Coventry First Health | COMM | $2,644.91 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $2,728.58 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $2,728.58 | ↓ -25% |
| USA Managed Care | COMM | $2,910.49 | ↓ -20% |
| Galaxy Health Network | PPO | $3,092.39 | ↓ -15% |
| Independent Medical Systems | COMM | $3,638.11 | ↑ +0% |
| National Healthcare Solutions | COMM | $3,638.11 | ↑ +0% |
| Unicare | MCD | $3,638.11 | ↑ +0% |
Visitor-reported prices
Comments
Injection, renflexis at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,356.10 | $25.46 – $1,695.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,356.10 | $29.48 – $2,034.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,356.10 | $25.46 – $1,695.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,356.10 | $25.46 – $1,695.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,356.10 | $25.46 – $2,034.15 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,356.10 | $29.48 – $2,034.15 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,356.10 | $25.46 – $2,034.15 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,356.10 | $25.46 – $1,695.13 |