Ivp w/wo kub w/wo tomography 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

not published by hospital

Cash price

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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.

not published by hospital

Gross charge

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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.

$125.58 with BCBS vs $2,690.92 with Independent Medical Systems — 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 →

Payer
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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
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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
BCBS MyBlueHealth $125.58
BCBS BlueAdvantageHMO $125.58
BCBS BluePremier $130.37
TEXAS HEALTH NETWORK MCD $133.30
Amerigroup CHIP $135.33
Cook Childrens Health Plan STAR $135.33
United STARPerinate $135.33
United STARPLUS $135.33
United STARKids $135.33
United CHIP $135.33
United STAR $135.33
Parkland Community Health Plan MCD $135.33
Cook Childrens Health Plan CHIP $135.33
Amerigroup MGMCD $135.33
Cigna Healthspring MGMCD $142.10
Aetna Better Health CHIP $146.16
Aetna Better Health MCD $146.16
Molina STAR+PLUS $148.86
Molina STARKIDS $148.86
Molina MCDSTAR $148.86
Molina CHIP $148.86
Humana MGMCD $169.16
Superior Health Plan STARHealth $188.36
Superior Health Plan MCDSTAR $188.36
Superior Health Plan STARPLUS $188.36
Superior Health Plan STARKids $188.36
Superior Health Plan CHIP $188.36
Aetna QHPHIX $194.15
Aetna NewBusiness $266.20
Aetna COMM $285.16
Aetna Meritain $285.16
Aetna OON $334.45
United NarrowNetworkIndivExchange $341.20
United SmallGroup $341.20
Humana COMM $341.62
Cigna IFP $363.27
BCBS BlueEssentials $372.90
BCBS BlueEssentialsAccess $372.90
Cigna QHP $376.73
BCBS EPOSOA $391.11
United AllPayerAppendix $401.74
BCBS PPO $409.32
Cigna LocalPlus $438.52
Cigna NewBusiness $438.96
Cigna NetworkBenefit $489.80
Cigna OpenAccessPlus $489.80
Cigna HMO $489.80
United OptionsPPO $535.49
Cigna AllOther $619.90
Unicare CHIP $645.82
Healthcare Highways NarrowNetwork $659.28
Evry Health COMM $694.26
Healthcare Highways CityofPlano $909.53
Curative Administrators COMM $1,076.37
BCBS Traditional $1,194.77
Fidelis SecureCare MGMCR $1,210.91
City of McKinney COMM $1,210.91
National ChoiceCare WCOMP $1,345.46
Aetna ASA $1,418.11
Rockport Health Group WORKERSCOMP $1,480.01
PC Texas Partners WCOMP $1,480.01
Physicians Coop of TX MGMCR $1,480.01
Aetna WCOMP $1,480.01
Averde Health, Inc PPO $1,560.73
USC Health Services COMM $1,614.55
Coastal Comp Health Networks WCOMP $1,883.64
Multiplan PHCS PrimaryNetwork $1,883.64
Jostens WCOMP $1,883.64
Mega Life MGMCRPPO $1,883.64
Aetna Coventry First Health COMM $1,956.30
LEWISVILLE ISD/DLS CONSULTING COMMPPO $2,018.19
HealthSmart Preferred Care PPO $2,018.19
USA Managed Care COMM $2,152.74
Galaxy Health Network PPO $2,287.28
National Healthcare Solutions COMM $2,690.92
Unicare MCD $2,690.92
Independent Medical Systems COMM $2,690.92

Visitor-reported prices

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Ivp w/wo kub w/wo tomography at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $687.80 $135.33 – $859.75
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $823.10 $169.42 – $1,234.66
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $683.08 $135.33 – $853.85
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $687.80 $135.33 – $859.75
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $823.10 $144.80 – $1,234.66
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $823.10 $135.33 – $1,234.66
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $683.08 $135.33 – $1,024.62
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $687.80 $135.33 – $859.75

All Texas hospitals for this procedure →