Iron binding capacity at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$395.20
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.
$395.20
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.
$5.24 with Cook Childrens Health Plan vs $395.20 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 |
|---|---|---|---|
| Cook Childrens Health Plan | CHIP | $5.24 | ↓ -99% |
| Cook Childrens Health Plan | STAR | $5.24 | ↓ -99% |
| TEXAS HEALTH NETWORK | MCD | $7.23 | ↓ -98% |
| United | CHIP | $7.34 | ↓ -98% |
| Amerigroup | CHIP | $7.34 | ↓ -98% |
| Amerigroup | MGMCD | $7.34 | ↓ -98% |
| United | STARPerinate | $7.34 | ↓ -98% |
| Parkland Community Health Plan | MCD | $7.34 | ↓ -98% |
| United | STARPLUS | $7.34 | ↓ -98% |
| United | STARKids | $7.34 | ↓ -98% |
| United | STAR | $7.34 | ↓ -98% |
| Cigna Healthspring | MGMCD | $7.71 | ↓ -98% |
| Aetna Better Health | CHIP | $7.93 | ↓ -98% |
| Aetna Better Health | MCD | $7.93 | ↓ -98% |
| Molina | STAR+PLUS | $8.07 | ↓ -98% |
| Molina | CHIP | $8.07 | ↓ -98% |
| Molina | MCDSTAR | $8.07 | ↓ -98% |
| Molina | STARKIDS | $8.07 | ↓ -98% |
| WellMed | MGMCR | $8.70 | ↓ -98% |
| Mutual of Omaha | MGMCR | $8.74 | ↓ -98% |
| Devoted Health | SNP | $8.74 | ↓ -98% |
| Devoted Health | HMO | $8.74 | ↓ -98% |
| Devoted Health | POS | $8.74 | ↓ -98% |
| Devoted Health | MCR | $8.74 | ↓ -98% |
| Devoted Health | MME | $8.74 | ↓ -98% |
| Devoted Health | PPO | $8.74 | ↓ -98% |
| Humana | MGMCR | $8.74 | ↓ -98% |
| United | AllPayerAppendix | $8.74 | ↓ -98% |
| BCBS | MGMCRHMO | $8.74 | ↓ -98% |
| United | NarrowNetworkIndivExchange | $8.74 | ↓ -98% |
| United | SmallGroup | $8.74 | ↓ -98% |
| BCBS | MCRPPO | $8.74 | ↓ -98% |
| TriWest Health Alliance | FEDERAL | $8.74 | ↓ -98% |
| Amerigroup | DualEligible | $8.74 | ↓ -98% |
| United | MGMCR | $8.78 | ↓ -98% |
| Aetna | MCR | $8.81 | ↓ -98% |
| Care N Care | MGMCR | $8.83 | ↓ -98% |
| Cigna Healthspring | MGMCR | $8.91 | ↓ -98% |
| WellCare | MGMCR | $9.00 | ↓ -98% |
| Integranet | MGMCR | $9.00 | ↓ -98% |
| Superior Health Plan | MGMCRDualEligible | $9.18 | ↓ -98% |
| American Health Plan of Texas, Inc. | MGMCR | $9.18 | ↓ -98% |
| Superior Health Plan | MGMCRSNP | $9.18 | ↓ -98% |
| Humana | Tricare | $9.18 | ↓ -98% |
| ProCare Advantge | MCR | $9.18 | ↓ -98% |
| Humana | MGMCD | $9.18 | ↓ -98% |
| Superior Health Plan | MGMCRPPO | $9.18 | ↓ -98% |
| Superior Health Plan | MGMCRPOS | $9.18 | ↓ -98% |
| Superior Health Plan | MGMCRPFFS | $9.18 | ↓ -98% |
| Superior Health Plan | MGMCRHMO | $9.18 | ↓ -98% |
| Texas Independent Health Plan | MGMCR | $9.26 | ↓ -98% |
| Provider Partners Health Plan | MCR | $9.26 | ↓ -98% |
| Molina | MME | $9.53 | ↓ -98% |
| Molina | MCR | $9.53 | ↓ -98% |
| Molina | MMP | $9.53 | ↓ -98% |
| Imperial Insurance Company | MCR | $9.61 | ↓ -98% |
| Universal Healthcare Group | MCR | $10.49 | ↓ -97% |
| Aetna | QHPHIX | $11.11 | ↓ -97% |
| Verda Health Plan | MGMCR | $11.36 | ↓ -97% |
| Bravo Health | MCRPFFS | $13.11 | ↓ -97% |
| Bravo Health | MCRHMO | $13.11 | ↓ -97% |
| Bravo Health | MCRPOS | $13.11 | ↓ -97% |
| Bravo Health | MCRPPO | $13.11 | ↓ -97% |
| Bravo Health | MCRSNP | $13.11 | ↓ -97% |
| BCBS | BluePremier | $14.86 | ↓ -96% |
| BCBS | MyBlueHealth | $15.29 | ↓ -96% |
| BCBS | BlueAdvantageHMO | $15.29 | ↓ -96% |
| Aetna | NewBusiness | $15.30 | ↓ -96% |
| Superior | ValueHMO | $15.64 | ↓ -96% |
| Aetna | COMM | $16.30 | ↓ -96% |
| Aetna | Meritain | $16.30 | ↓ -96% |
| USA Managed Care | WORKERSCOMP | $16.61 | ↓ -96% |
| Corvel Corporation | WORKERSCOMP | $17.31 | ↓ -96% |
| Aetna | OON | $19.18 | ↓ -95% |
| Superior | HMO | $19.58 | ↓ -95% |
| Superior | EPO | $19.58 | ↓ -95% |
| BCBS | BlueEssentials | $21.59 | ↓ -95% |
| BCBS | BlueEssentialsAccess | $21.59 | ↓ -95% |
| BCBS | EPOSOA | $22.64 | ↓ -94% |
| Oscar | HIX | $22.72 | ↓ -94% |
| Molina Healthcare | HIX | $22.90 | ↓ -94% |
| BCBS | PPO | $23.69 | ↓ -94% |
| Superior Health Plan | CHIP | $27.66 | ↓ -93% |
| Superior Health Plan | STARHealth | $27.66 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $27.66 | ↓ -93% |
| Superior Health Plan | STARPLUS | $27.66 | ↓ -93% |
| Superior Health Plan | STARKids | $27.66 | ↓ -93% |
| Cigna | LocalPlus | $33.57 | ↓ -92% |
| Cigna | NewBusiness | $33.61 | ↓ -91% |
| Cigna | HMO | $37.50 | ↓ -91% |
| Cigna | OpenAccessPlus | $37.50 | ↓ -91% |
| Cigna | NetworkBenefit | $37.50 | ↓ -91% |
| Cigna | AllOther | $47.46 | ↓ -88% |
| Cigna | IFP | $53.35 | ↓ -87% |
| Cigna | QHP | $55.33 | ↓ -86% |
| United | OptionsPPO | $78.64 | ↓ -80% |
| Unicare | CHIP | $94.85 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $96.82 | ↓ -76% |
| Humana | COMM | $97.09 | ↓ -75% |
| Evry Health | COMM | $101.96 | ↓ -74% |
| Healthcare Highways | CityofPlano | $133.58 | ↓ -66% |
| BCBS | Traditional | $175.47 | ↓ -56% |
| City of McKinney | COMM | $177.84 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $177.84 | ↓ -55% |
| National ChoiceCare | WCOMP | $197.60 | ↓ -50% |
| Aetna | ASA | $208.27 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $217.36 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $217.36 | ↓ -45% |
| Aetna | WCOMP | $217.36 | ↓ -45% |
| PC Texas Partners | WCOMP | $217.36 | ↓ -45% |
| Averde Health, Inc | PPO | $229.22 | ↓ -42% |
| USC Health Services | COMM | $237.12 | ↓ -40% |
| Coastal Comp Health Networks | WCOMP | $276.64 | ↓ -30% |
| Jostens | WCOMP | $276.64 | ↓ -30% |
| Mega Life | MGMCRPPO | $276.64 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $276.64 | ↓ -30% |
| Aetna Coventry First Health | COMM | $287.31 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $296.40 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $296.40 | ↓ -25% |
| USA Managed Care | COMM | $316.16 | ↓ -20% |
| Galaxy Health Network | PPO | $335.92 | ↓ -15% |
| Independent Medical Systems | COMM | $395.20 | ↑ +0% |
| Unicare | MCD | $395.20 | ↑ +0% |
| National Healthcare Solutions | COMM | $395.20 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Iron binding capacity at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $160.38 | $7.87 – $33.65 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $98.05 | $7.34 – $122.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $100.85 | $12.00 – $151.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $89.65 | $7.34 – $112.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $98.05 | $7.34 – $122.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $100.85 | $7.85 – $151.28 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $100.85 | $7.34 – $151.28 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $89.65 | $7.34 – $134.47 |