Iodine i-123 sod iodide mil at MEDICAL CITY LEWISVILLE HOSPITAL

1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

$2,061.64

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.

Full explanation →

What you pay up front if you don't use insurance.

$2,061.64

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$70.00 with Imaging Providers of Texas vs $15,524.96 with Humana — same scan, same building. Share

Negotiated rates by payer
?

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
Imaging Providers of Texas HMOBlue $70.00 ↓ -97%
Superior Health Plan STARKids $144.31 ↓ -93%
Superior Health Plan STARPLUS $144.31 ↓ -93%
Superior Health Plan CHIP $144.31 ↓ -93%
Superior Health Plan STARHealth $144.31 ↓ -93%
Superior Health Plan MCDSTAR $144.31 ↓ -93%
Cigna IFP $278.32 ↓ -87%
United NarrowNetworkIndivExchange $287.13 ↓ -86%
United SmallGroup $287.13 ↓ -86%
United AllPayerAppendix $287.13 ↓ -86%
Cigna QHP $288.63 ↓ -86%
Imperial Insurance Company MCR $391.71 ↓ -81%
United OptionsPPO $410.27 ↓ -80%
Oscar HIX $428.82 ↓ -79%
Unicare CHIP $494.79 ↓ -76%
Aetna QHPHIX $499.69 ↓ -76%
Healthcare Highways NarrowNetwork $505.10 ↓ -76%
Aetna OON $517.47 ↓ -75%
Evry Health COMM $531.90 ↓ -74%
Aetna NewBusiness $685.12 ↓ -67%
Healthcare Highways CityofPlano $696.83 ↓ -66%
Aetna Meritain $733.91 ↓ -64%
Aetna COMM $733.91 ↓ -64%
Curative Administrators COMM $824.66 ↓ -60%
Cigna LocalPlus $868.56 ↓ -58%
Cigna NewBusiness $869.42 ↓ -58%
BCBS Traditional $915.37 ↓ -56%
City of McKinney COMM $927.74 ↓ -55%
Fidelis SecureCare MGMCR $927.74 ↓ -55%
Cigna HMO $970.33 ↓ -53%
Cigna NetworkBenefit $970.33 ↓ -53%
Cigna OpenAccessPlus $970.33 ↓ -53%
National ChoiceCare WCOMP $1,030.82 ↓ -50%
Aetna ASA $1,086.48 ↓ -47%
Physicians Coop of TX MGMCR $1,133.90 ↓ -45%
PC Texas Partners WCOMP $1,133.90 ↓ -45%
Rockport Health Group WORKERSCOMP $1,133.90 ↓ -45%
Aetna WCOMP $1,133.90 ↓ -45%
Averde Health, Inc PPO $1,195.75 ↓ -42%
Cigna AllOther $1,227.55 ↓ -40%
USC Health Services COMM $1,236.98 ↓ -40%
Multiplan PHCS PrimaryNetwork $1,443.15 ↓ -30%
Coastal Comp Health Networks WCOMP $1,443.15 ↓ -30%
Mega Life MGMCRPPO $1,443.15 ↓ -30%
Jostens WCOMP $1,443.15 ↓ -30%
Aetna Coventry First Health COMM $1,498.81 ↓ -27%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $1,546.23 ↓ -25%
HealthSmart Preferred Care PPO $1,546.23 ↓ -25%
USA Managed Care COMM $1,649.31 ↓ -20%
Galaxy Health Network PPO $1,752.39 ↓ -15%
Unicare MCD $2,061.64 ↑ +0%
National Healthcare Solutions COMM $2,061.64 ↑ +0%
Independent Medical Systems COMM $2,061.64 ↑ +0%
BCBS BlueAdvantageHMO $6,214.38 ↑ +201%
BCBS MyBlueHealth $6,214.38 ↑ +201%
BCBS BluePremier $7,349.18 ↑ +256%
BCBS BlueEssentials $9,096.41 ↑ +341%
BCBS BlueEssentialsAccess $9,096.41 ↑ +341%
BCBS EPOSOA $9,546.73 ↑ +363%
BCBS PPO $9,997.05 ↑ +385%
Humana COMM $15,524.96 ↑ +653%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Iodine i-123 sod iodide mil at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $395.40 $287.13 – $21,137.75
HCA HOUSTON MEDICAL CENTER Houston $772.75 $287.13 – $21,137.75
Baylor St Luke's Medical Center Houston $871.50 $100.00 – $2,490.00
St. Luke's Health Memorial Lufkin Lufkin $193.35 $100.00 – $1,289.00
HCA HOUSTON PEARLAND Pearland $338.68 $287.13 – $21,137.75
St. Luke's Health - Springwoods Village Hospital Spring $871.50 $100.00 – $2,490.00
St. Luke's Health - Sugar Land Hospital Sugar Land $871.50 $100.00 – $2,490.00
St. Luke's Health - Lakeside Hospital The Woodlands $871.50 $100.00 – $2,490.00

All Texas hospitals for this procedure →