Knee X-ray 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.
$46.74 with TEXAS HEALTH NETWORK vs $1,329.35 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 →
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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 |
|---|---|---|---|
| TEXAS HEALTH NETWORK | MCD | $46.74 | — |
| United | CHIP | $47.45 | — |
| Amerigroup | CHIP | $47.45 | — |
| Cook Childrens Health Plan | CHIP | $47.45 | — |
| Cook Childrens Health Plan | STAR | $47.45 | — |
| Parkland Community Health Plan | MCD | $47.45 | — |
| United | STARPerinate | $47.45 | — |
| United | STARPLUS | $47.45 | — |
| United | STARKids | $47.45 | — |
| Amerigroup | MGMCD | $47.45 | — |
| United | STAR | $47.45 | — |
| Cigna Healthspring | MGMCD | $49.82 | — |
| Aetna Better Health | MCD | $51.25 | — |
| Aetna Better Health | CHIP | $51.25 | — |
| Molina | MCDSTAR | $52.20 | — |
| Molina | STARKIDS | $52.20 | — |
| Molina | STAR+PLUS | $52.20 | — |
| Molina | CHIP | $52.20 | — |
| Humana | MGMCD | $59.31 | — |
| Aetna | QHPHIX | $59.47 | — |
| Aetna | NewBusiness | $81.54 | — |
| Aetna | Meritain | $87.34 | — |
| Aetna | COMM | $87.34 | — |
| Superior Health Plan | MCDSTAR | $93.05 | — |
| Superior Health Plan | STARHealth | $93.05 | — |
| Superior Health Plan | STARPLUS | $93.05 | — |
| Superior Health Plan | STARKids | $93.05 | — |
| Superior Health Plan | CHIP | $93.05 | — |
| Aetna | OON | $102.44 | — |
| Humana | COMM | $113.72 | — |
| Cigna | LocalPlus | $137.90 | — |
| Cigna | NewBusiness | $138.04 | — |
| BCBS | MyBlueHealth | $146.82 | — |
| BCBS | BlueAdvantageHMO | $146.82 | — |
| BCBS | BluePremier | $152.43 | — |
| Cigna | OpenAccessPlus | $154.02 | — |
| Cigna | HMO | $154.02 | — |
| Cigna | NetworkBenefit | $154.02 | — |
| United | SmallGroup | $154.52 | — |
| United | NarrowNetworkIndivExchange | $154.52 | — |
| Cigna | IFP | $179.46 | — |
| Cigna | QHP | $186.11 | — |
| Cigna | AllOther | $194.93 | — |
| United | AllPayerAppendix | $245.18 | — |
| United | OptionsPPO | $264.54 | — |
| Unicare | CHIP | $319.04 | — |
| Healthcare Highways | NarrowNetwork | $325.69 | — |
| Evry Health | COMM | $342.97 | — |
| BCBS | BlueEssentials | $435.99 | — |
| BCBS | BlueEssentialsAccess | $435.99 | — |
| Healthcare Highways | CityofPlano | $449.32 | — |
| BCBS | EPOSOA | $457.29 | — |
| BCBS | PPO | $478.58 | — |
| Curative Administrators | COMM | $531.74 | — |
| BCBS | Traditional | $590.23 | — |
| Fidelis SecureCare | MGMCR | $598.21 | — |
| City of McKinney | COMM | $598.21 | — |
| National ChoiceCare | WCOMP | $664.67 | — |
| Aetna | ASA | $700.57 | — |
| Aetna | WCOMP | $731.14 | — |
| PC Texas Partners | WCOMP | $731.14 | — |
| Physicians Coop of TX | MGMCR | $731.14 | — |
| Rockport Health Group | WORKERSCOMP | $731.14 | — |
| Averde Health, Inc | PPO | $771.02 | — |
| USC Health Services | COMM | $797.61 | — |
| Coastal Comp Health Networks | WCOMP | $930.54 | — |
| Jostens | WCOMP | $930.54 | — |
| Mega Life | MGMCRPPO | $930.54 | — |
| Multiplan PHCS | PrimaryNetwork | $930.54 | — |
| Aetna Coventry First Health | COMM | $966.44 | — |
| HealthSmart Preferred Care | PPO | $997.01 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $997.01 | — |
| USA Managed Care | COMM | $1,063.48 | — |
| Galaxy Health Network | PPO | $1,129.95 | — |
| Unicare | MCD | $1,329.35 | — |
| National Healthcare Solutions | COMM | $1,329.35 | — |
| Independent Medical Systems | COMM | $1,329.35 | — |
Visitor-reported prices
Comments
Knee X-ray at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $679.13 | $431.51 – $431.51 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $357.20 | $47.45 – $446.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $500.23 | $102.96 – $750.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $518.08 | $47.45 – $647.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $357.20 | $47.45 – $446.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $500.23 | $50.77 – $750.35 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $500.23 | $47.45 – $750.35 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $518.08 | $47.45 – $777.12 |