IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour 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.
$84.58 with Superior Health Plan vs $1,208.29 with Unicare — 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 | $84.58 | — |
| Superior Health Plan | STARHealth | $84.58 | — |
| Superior Health Plan | MCDSTAR | $84.58 | — |
| Superior Health Plan | STARPLUS | $84.58 | — |
| Superior Health Plan | STARKids | $84.58 | — |
| Cigna | IFP | $163.12 | — |
| Aetna | QHPHIX | $163.12 | — |
| Cigna | QHP | $169.16 | — |
| BCBS | BluePremier | $171.81 | — |
| BCBS | BlueAdvantageHMO | $200.20 | — |
| BCBS | MyBlueHealth | $200.20 | — |
| United | OptionsPPO | $240.45 | — |
| Aetna | NewBusiness | $240.45 | — |
| Oscar | HIX | $251.32 | — |
| Aetna | COMM | $257.37 | — |
| Aetna | Meritain | $257.37 | — |
| Unicare | CHIP | $289.99 | — |
| Healthcare Highways | NarrowNetwork | $296.03 | — |
| Aetna | OON | $303.28 | — |
| Evry Health | COMM | $311.74 | — |
| Cigna | LocalPlus | $318.99 | — |
| Cigna | NewBusiness | $318.99 | — |
| BCBS | BlueEssentialsAccess | $354.54 | — |
| BCBS | BlueEssentials | $354.54 | — |
| Cigna | HMO | $356.45 | — |
| Cigna | NetworkBenefit | $356.45 | — |
| Cigna | OpenAccessPlus | $356.45 | — |
| BCBS | EPOSOA | $372.01 | — |
| BCBS | PPO | $389.48 | — |
| Healthcare Highways | CityofPlano | $408.40 | — |
| Cigna | AllOther | $450.69 | — |
| Curative Administrators | COMM | $483.32 | — |
| Humana | COMM | $499.54 | — |
| BCBS | Traditional | $536.48 | — |
| City of McKinney | COMM | $543.73 | — |
| Fidelis SecureCare | MGMCR | $543.73 | — |
| National ChoiceCare | WCOMP | $604.14 | — |
| Aetna | ASA | $636.77 | — |
| Physicians Coop of TX | MGMCR | $664.56 | — |
| Aetna | WCOMP | $664.56 | — |
| PC Texas Partners | WCOMP | $664.56 | — |
| Rockport Health Group | WORKERSCOMP | $664.56 | — |
| Averde Health, Inc | PPO | $700.81 | — |
| USC Health Services | COMM | $724.97 | — |
| Jostens | WCOMP | $845.80 | — |
| Multiplan PHCS | PrimaryNetwork | $845.80 | — |
| Coastal Comp Health Networks | WCOMP | $845.80 | — |
| Mega Life | MGMCRPPO | $845.80 | — |
| Aetna Coventry First Health | COMM | $878.43 | — |
| HealthSmart Preferred Care | PPO | $906.22 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $906.22 | — |
| USA Managed Care | COMM | $966.63 | — |
| Galaxy Health Network | PPO | $1,027.05 | — |
| National Healthcare Solutions | COMM | $1,208.29 | — |
| Independent Medical Systems | COMM | $1,208.29 | — |
| Unicare | MCD | $1,208.29 | — |
Visitor-reported prices
Comments
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,876.96 | $280.28 – $280.28 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $541.27 | $153.36 – $676.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $506.74 | $104.30 – $760.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $590.25 | $118.05 – $737.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $541.27 | $144.34 – $676.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $506.74 | $162.66 – $760.11 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $506.74 | $261.82 – $760.11 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $590.25 | $196.75 – $885.38 |