Ins cath ren art 1st bi 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.
$1,037.51 with Superior Health Plan vs $24,339.00 with Cigna — 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 | $1,037.51 | — |
| Superior Health Plan | STARHealth | $1,037.51 | — |
| Superior Health Plan | MCDSTAR | $1,037.51 | — |
| Superior Health Plan | STARPLUS | $1,037.51 | — |
| Superior Health Plan | STARKids | $1,037.51 | — |
| Fidelis SecureCare | MGMCR | $1,995.00 | — |
| Cigna | IFP | $2,000.91 | — |
| Cigna | QHP | $2,075.01 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| United | OptionsPPO | $2,949.48 | — |
| WellMed | MGMCR | $3,187.73 | — |
| BCBS | BluePremier | $3,436.39 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Unicare | CHIP | $3,557.16 | — |
| Aetna | Meritain | $3,682.00 | — |
| Aetna | COMM | $3,682.00 | — |
| Aetna | OON | $4,332.00 | — |
| Healthcare Highways | CityofPlano | $5,009.67 | — |
| Healthcare Highways | NarrowNetwork | $5,475.00 | — |
| Curative Administrators | COMM | $5,849.00 | — |
| Evry Health | COMM | $6,054.00 | — |
| BCBS | MyBlueHealth | $6,096.82 | — |
| BCBS | BlueAdvantageHMO | $6,096.82 | — |
| United | SmallGroup | $6,383.00 | — |
| BCBS | BlueEssentials | $6,512.51 | — |
| BCBS | BlueEssentialsAccess | $6,512.51 | — |
| BCBS | Traditional | $6,580.75 | — |
| City of McKinney | COMM | $6,669.68 | — |
| BCBS | EPOSOA | $6,845.06 | — |
| Humana | COMM | $7,113.00 | — |
| BCBS | PPO | $7,149.90 | — |
| Oscar | HIX | $7,168.00 | — |
| National ChoiceCare | WCOMP | $7,410.76 | — |
| United | NarrowNetworkIndivExchange | $7,513.00 | — |
| Aetna | ASA | $7,810.94 | — |
| PC Texas Partners | WCOMP | $8,151.84 | — |
| Physicians Coop of TX | MGMCR | $8,151.84 | — |
| Aetna | WCOMP | $8,151.84 | — |
| Rockport Health Group | WORKERSCOMP | $8,151.84 | — |
| Averde Health, Inc | PPO | $8,596.48 | — |
| USC Health Services | COMM | $8,892.91 | — |
| United | AllPayerAppendix | $10,300.00 | — |
| Multiplan PHCS | PrimaryNetwork | $10,375.06 | — |
| Mega Life | MGMCRPPO | $10,375.06 | — |
| Coastal Comp Health Networks | WCOMP | $10,375.06 | — |
| Jostens | WCOMP | $10,375.06 | — |
| Aetna Coventry First Health | COMM | $10,775.25 | — |
| HealthSmart Preferred Care | PPO | $11,116.14 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $11,116.14 | — |
| USA Managed Care | COMM | $11,857.22 | — |
| Galaxy Health Network | PPO | $12,598.29 | — |
| Unicare | MCD | $14,821.52 | — |
| Independent Medical Systems | COMM | $14,821.52 | — |
| National Healthcare Solutions | COMM | $14,821.52 | — |
| Cigna | LocalPlus | $17,220.00 | — |
| Cigna | NewBusiness | $17,238.00 | — |
| Cigna | OpenAccessPlus | $19,240.00 | — |
| Cigna | NetworkBenefit | $19,240.00 | — |
| Cigna | HMO | $19,240.00 | — |
| Cigna | AllOther | $24,339.00 | — |
Visitor-reported prices
Comments
Ins cath ren art 1st bi at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $6,115.51 | $1,732.73 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $6,815.98 | $71.00 – $10,223.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5,291.97 | $71.00 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $6,115.51 | $1,630.80 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $6,815.98 | $85.00 – $10,223.97 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $6,815.98 | $3,521.59 – $10,223.97 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $5,291.97 | $71.00 – $7,937.95 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $6,115.51 | $1,630.80 – $7,896.23 |