Kafo fem fx cast molded to p at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$5,744.00
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.
$5,744.00
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.
$402.08 with Superior Health Plan vs $11,132.16 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 |
|---|---|---|---|
| Superior Health Plan | STARPLUS | $402.08 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $402.08 | ↓ -93% |
| Superior Health Plan | STARHealth | $402.08 | ↓ -93% |
| Superior Health Plan | CHIP | $402.08 | ↓ -93% |
| Superior Health Plan | STARKids | $402.08 | ↓ -93% |
| Cigna | IFP | $775.44 | ↓ -87% |
| Cigna | QHP | $804.16 | ↓ -86% |
| United | OptionsPPO | $1,143.06 | ↓ -80% |
| Unicare | CHIP | $1,378.56 | ↓ -76% |
| BCBS | MyBlueHealth | $1,418.77 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $1,418.77 | ↓ -75% |
| Cigna | LocalPlus | $1,516.42 | ↓ -74% |
| Cigna | NewBusiness | $1,516.42 | ↓ -74% |
| Cigna | OpenAccessPlus | $1,694.48 | ↓ -71% |
| Cigna | NetworkBenefit | $1,694.48 | ↓ -71% |
| Cigna | HMO | $1,694.48 | ↓ -71% |
| BCBS | BlueEssentials | $1,832.34 | ↓ -68% |
| BCBS | BlueEssentialsAccess | $1,832.34 | ↓ -68% |
| Humana | Tricare | $1,911.33 | ↓ -67% |
| BCBS | EPOSOA | $1,924.24 | ↓ -67% |
| BCBS | MGMCRHMO | $1,931.80 | ↓ -66% |
| BCBS | MCRPPO | $1,931.80 | ↓ -66% |
| Healthcare Highways | CityofPlano | $1,941.47 | ↓ -66% |
| WellMed | MGMCR | $1,960.59 | ↓ -66% |
| Devoted Health | HMO | $1,970.44 | ↓ -66% |
| Humana | MGMCR | $1,970.44 | ↓ -66% |
| Devoted Health | SNP | $1,970.44 | ↓ -66% |
| Devoted Health | POS | $1,970.44 | ↓ -66% |
| Devoted Health | MCR | $1,970.44 | ↓ -66% |
| Devoted Health | PPO | $1,970.44 | ↓ -66% |
| Devoted Health | MME | $1,970.44 | ↓ -66% |
| Amerigroup | DualEligible | $1,970.44 | ↓ -66% |
| TriWest Health Alliance | FEDERAL | $1,970.44 | ↓ -66% |
| Mutual of Omaha | MGMCR | $1,970.44 | ↓ -66% |
| United | MGMCR | $1,980.29 | ↓ -66% |
| Aetna | MCR | $1,987.19 | ↓ -65% |
| Care N Care | MGMCR | $1,990.14 | ↓ -65% |
| Cigna Healthspring | MGMCR | $2,009.85 | ↓ -65% |
| BCBS | PPO | $2,010.40 | ↓ -65% |
| Integranet | MGMCR | $2,029.55 | ↓ -65% |
| WellCare | MGMCR | $2,029.55 | ↓ -65% |
| Superior Health Plan | MGMCRPOS | $2,068.96 | ↓ -64% |
| Superior Health Plan | MGMCRHMO | $2,068.96 | ↓ -64% |
| Superior Health Plan | MGMCRPPO | $2,068.96 | ↓ -64% |
| Superior Health Plan | MGMCRDualEligible | $2,068.96 | ↓ -64% |
| Superior Health Plan | MGMCRPFFS | $2,068.96 | ↓ -64% |
| Superior Health Plan | MGMCRSNP | $2,068.96 | ↓ -64% |
| American Health Plan of Texas, Inc. | MGMCR | $2,068.96 | ↓ -64% |
| ProCare Advantge | MCR | $2,068.96 | ↓ -64% |
| Texas Independent Health Plan | MGMCR | $2,088.67 | ↓ -64% |
| Provider Partners Health Plan | MCR | $2,088.67 | ↓ -64% |
| Cigna | AllOther | $2,142.51 | ↓ -63% |
| Molina | MMP | $2,147.78 | ↓ -63% |
| Molina | MME | $2,147.78 | ↓ -63% |
| Molina | MCR | $2,147.78 | ↓ -63% |
| Imperial Insurance Company | MCR | $2,167.48 | ↓ -62% |
| Universal Healthcare Group | MCR | $2,364.53 | ↓ -59% |
| BCBS | Traditional | $2,550.34 | ↓ -56% |
| Verda Health Plan | MGMCR | $2,561.57 | ↓ -55% |
| City of McKinney | COMM | $2,584.80 | ↓ -55% |
| National ChoiceCare | WCOMP | $2,872.00 | ↓ -50% |
| Bravo Health | MCRPOS | $2,955.66 | ↓ -49% |
| Bravo Health | MCRPFFS | $2,955.66 | ↓ -49% |
| Bravo Health | MCRSNP | $2,955.66 | ↓ -49% |
| Bravo Health | MCRHMO | $2,955.66 | ↓ -49% |
| Bravo Health | MCRPPO | $2,955.66 | ↓ -49% |
| Aetna | ASA | $3,027.09 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $3,159.20 | ↓ -45% |
| Aetna | WCOMP | $3,159.20 | ↓ -45% |
| PC Texas Partners | WCOMP | $3,159.20 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $3,159.20 | ↓ -45% |
| Averde Health, Inc | PPO | $3,331.52 | ↓ -42% |
| USC Health Services | COMM | $3,446.40 | ↓ -40% |
| Superior | ValueHMO | $3,527.09 | ↓ -39% |
| USA Managed Care | WORKERSCOMP | $3,743.84 | ↓ -35% |
| Corvel Corporation | WORKERSCOMP | $3,901.47 | ↓ -32% |
| Jostens | WCOMP | $4,020.80 | ↓ -30% |
| Mega Life | MGMCRPPO | $4,020.80 | ↓ -30% |
| Aetna Coventry First Health | COMM | $4,175.89 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $4,308.00 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $4,308.00 | ↓ -25% |
| Superior | HMO | $4,413.79 | ↓ -23% |
| Superior | EPO | $4,413.79 | ↓ -23% |
| USA Managed Care | COMM | $4,595.20 | ↓ -20% |
| Galaxy Health Network | PPO | $4,882.40 | ↓ -15% |
| Molina Healthcare | HIX | $5,162.55 | ↓ -10% |
| National Healthcare Solutions | COMM | $5,744.00 | ↑ +0% |
| Unicare | MCD | $5,744.00 | ↑ +0% |
| Independent Medical Systems | COMM | $5,744.00 | ↑ +0% |
| Humana | COMM | $11,132.16 | ↑ +94% |
Visitor-reported prices
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Kafo fem fx cast molded to p at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,264.75 | $641.68 – $3,019.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,264.75 | $603.93 – $3,019.66 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,264.75 | $603.93 – $3,019.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $2,264.75 | $566.19 – $3,019.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $2,264.75 | $415.20 – $3,019.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $2,264.75 | $415.20 – $3,019.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $2,264.75 | $641.68 – $3,019.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $2,264.75 | $1,056.88 – $3,019.66 |