Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug 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.
$28.99 with Superior Health Plan vs $414.17 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $28.99 | — |
| Superior Health Plan | STARHealth | $28.99 | — |
| Superior Health Plan | MCDSTAR | $28.99 | — |
| Superior Health Plan | STARPLUS | $28.99 | — |
| Superior Health Plan | STARKids | $28.99 | — |
| Cigna | IFP | $55.91 | — |
| Aetna | QHPHIX | $55.91 | — |
| BCBS | BluePremier | $56.14 | — |
| Cigna | QHP | $57.98 | — |
| BCBS | MyBlueHealth | $65.42 | — |
| BCBS | BlueAdvantageHMO | $65.42 | — |
| Imperial Insurance Company | MCR | $78.69 | — |
| Aetna | NewBusiness | $82.42 | — |
| United | OptionsPPO | $82.42 | — |
| Humana | COMM | $83.27 | — |
| Oscar | HIX | $86.15 | — |
| Aetna | Meritain | $88.22 | — |
| Aetna | COMM | $88.22 | — |
| Unicare | CHIP | $99.40 | — |
| Healthcare Highways | NarrowNetwork | $101.47 | — |
| Aetna | OON | $103.96 | — |
| Evry Health | COMM | $106.86 | — |
| Cigna | LocalPlus | $109.34 | — |
| Cigna | NewBusiness | $109.34 | — |
| BCBS | BlueEssentialsAccess | $115.86 | — |
| BCBS | BlueEssentials | $115.86 | — |
| BCBS | EPOSOA | $121.57 | — |
| Cigna | HMO | $122.18 | — |
| Cigna | NetworkBenefit | $122.18 | — |
| Cigna | OpenAccessPlus | $122.18 | — |
| BCBS | PPO | $127.28 | — |
| Healthcare Highways | CityofPlano | $139.99 | — |
| Cigna | AllOther | $154.49 | — |
| Curative Administrators | COMM | $165.67 | — |
| BCBS | Traditional | $183.89 | — |
| City of McKinney | COMM | $186.38 | — |
| Fidelis SecureCare | MGMCR | $186.38 | — |
| National ChoiceCare | WCOMP | $207.09 | — |
| Aetna | ASA | $218.27 | — |
| Physicians Coop of TX | MGMCR | $227.79 | — |
| PC Texas Partners | WCOMP | $227.79 | — |
| Aetna | WCOMP | $227.79 | — |
| Rockport Health Group | WORKERSCOMP | $227.79 | — |
| Averde Health, Inc | PPO | $240.22 | — |
| USC Health Services | COMM | $248.50 | — |
| Coastal Comp Health Networks | WCOMP | $289.92 | — |
| Jostens | WCOMP | $289.92 | — |
| Mega Life | MGMCRPPO | $289.92 | — |
| Multiplan PHCS | PrimaryNetwork | $289.92 | — |
| Aetna Coventry First Health | COMM | $301.10 | — |
| HealthSmart Preferred Care | PPO | $310.63 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $310.63 | — |
| USA Managed Care | COMM | $331.34 | — |
| Galaxy Health Network | PPO | $352.04 | — |
| Unicare | MCD | $414.17 | — |
| Independent Medical Systems | COMM | $414.17 | — |
| National Healthcare Solutions | COMM | $414.17 | — |
Visitor-reported prices
Comments
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $541.16 | $91.59 – $91.59 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $216.67 | $61.39 – $306.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $211.78 | $43.59 – $317.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $325.54 | $65.11 – $406.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $216.67 | $55.67 – $306.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $211.78 | $67.98 – $317.66 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $211.78 | $109.42 – $317.66 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $325.54 | $71.85 – $488.31 |