Insulin tolerance panel 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.
$61.80 with Cook Childrens Health Plan vs $1,144.40 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 |
|---|---|---|---|
| Cook Childrens Health Plan | STAR | $61.80 | — |
| Cook Childrens Health Plan | CHIP | $61.80 | — |
| TEXAS HEALTH NETWORK | MCD | $85.22 | — |
| Amerigroup | CHIP | $86.52 | — |
| United | STARPerinate | $86.52 | — |
| United | STARPLUS | $86.52 | — |
| United | STARKids | $86.52 | — |
| United | CHIP | $86.52 | — |
| United | STAR | $86.52 | — |
| Parkland Community Health Plan | MCD | $86.52 | — |
| Amerigroup | MGMCD | $86.52 | — |
| Cigna Healthspring | MGMCD | $90.85 | — |
| Aetna Better Health | MCD | $93.44 | — |
| Aetna Better Health | CHIP | $93.44 | — |
| Molina | STARKIDS | $95.17 | — |
| Molina | CHIP | $95.17 | — |
| Molina | MCDSTAR | $95.17 | — |
| Molina | STAR+PLUS | $95.17 | — |
| WellMed | MGMCR | $102.48 | — |
| TriWest Health Alliance | FEDERAL | $103.00 | — |
| Mutual of Omaha | MGMCR | $103.00 | — |
| Devoted Health | MME | $103.00 | — |
| Amerigroup | DualEligible | $103.00 | — |
| Devoted Health | PPO | $103.00 | — |
| United | NarrowNetworkIndivExchange | $103.00 | — |
| Devoted Health | SNP | $103.00 | — |
| Devoted Health | HMO | $103.00 | — |
| Devoted Health | POS | $103.00 | — |
| Devoted Health | MCR | $103.00 | — |
| BCBS | MGMCRHMO | $103.00 | — |
| BCBS | MCRPPO | $103.00 | — |
| United | SmallGroup | $103.00 | — |
| United | AllPayerAppendix | $103.00 | — |
| Humana | MGMCR | $103.00 | — |
| United | MGMCR | $103.51 | — |
| Aetna | MCR | $103.88 | — |
| Care N Care | MGMCR | $104.03 | — |
| Cigna Healthspring | MGMCR | $105.06 | — |
| WellCare | MGMCR | $106.09 | — |
| Integranet | MGMCR | $106.09 | — |
| Humana | Tricare | $108.14 | — |
| Humana | MGMCD | $108.15 | — |
| American Health Plan of Texas, Inc. | MGMCR | $108.15 | — |
| Superior Health Plan | MGMCRHMO | $108.15 | — |
| Superior Health Plan | MGMCRPPO | $108.15 | — |
| Superior Health Plan | MGMCRDualEligible | $108.15 | — |
| Superior Health Plan | MGMCRPFFS | $108.15 | — |
| Superior Health Plan | MGMCRSNP | $108.15 | — |
| ProCare Advantge | MCR | $108.15 | — |
| Superior Health Plan | MGMCRPOS | $108.15 | — |
| Provider Partners Health Plan | MCR | $109.18 | — |
| Texas Independent Health Plan | MGMCR | $109.18 | — |
| Molina | MMP | $112.27 | — |
| Molina | MME | $112.27 | — |
| Molina | MCR | $112.27 | — |
| Imperial Insurance Company | MCR | $113.30 | — |
| Universal Healthcare Group | MCR | $123.60 | — |
| Aetna | QHPHIX | $131.02 | — |
| Verda Health Plan | MGMCR | $133.90 | — |
| Bravo Health | MCRPPO | $154.50 | — |
| Bravo Health | MCRHMO | $154.50 | — |
| Bravo Health | MCRSNP | $154.50 | — |
| Bravo Health | MCRPFFS | $154.50 | — |
| Bravo Health | MCRPOS | $154.50 | — |
| BCBS | BluePremier | $175.10 | — |
| BCBS | BlueAdvantageHMO | $180.25 | — |
| BCBS | MyBlueHealth | $180.25 | — |
| Aetna | NewBusiness | $180.46 | — |
| Superior | ValueHMO | $184.37 | — |
| Aetna | Meritain | $192.20 | — |
| Aetna | COMM | $192.20 | — |
| USA Managed Care | WORKERSCOMP | $195.70 | — |
| Corvel Corporation | WORKERSCOMP | $203.94 | — |
| Aetna | OON | $226.19 | — |
| Superior | HMO | $230.72 | — |
| Superior | EPO | $230.72 | — |
| BCBS | BlueEssentialsAccess | $254.41 | — |
| BCBS | BlueEssentials | $254.41 | — |
| BCBS | EPOSOA | $266.77 | — |
| Oscar | HIX | $267.80 | — |
| Molina Healthcare | HIX | $269.86 | — |
| BCBS | PPO | $279.13 | — |
| Cigna | LocalPlus | $392.56 | — |
| Cigna | NewBusiness | $392.95 | — |
| Cigna | NetworkBenefit | $438.46 | — |
| Cigna | OpenAccessPlus | $438.46 | — |
| Cigna | HMO | $438.46 | — |
| Cigna | AllOther | $554.92 | — |
| Humana | COMM | $1,144.40 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Insulin tolerance panel at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | not published | $92.70 – $396.55 |
| CHRISTUS Children's Hospital | San Antonio | not published | $96.14 – $382.95 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $84.79 – $423.78 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $86.52 – $423.78 |
| Covenant Children's Hospital | Lubbock | not published | $224.95 – $449.08 |
| HCA HOUSTON CONROE | CONROE | not published | $84.79 – $423.78 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $84.79 – $423.78 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $86.52 – $423.78 |