Ko swedish type pre ots at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$1,043.00
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.
$1,043.00
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.
$73.01 with Superior Health Plan vs $2,160.99 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 | CHIP | $73.01 | ↓ -93% |
| Superior Health Plan | STARHealth | $73.01 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $73.01 | ↓ -93% |
| Superior Health Plan | STARPLUS | $73.01 | ↓ -93% |
| Superior Health Plan | STARKids | $73.01 | ↓ -93% |
| Cigna | IFP | $140.81 | ↓ -86% |
| Cigna | QHP | $146.02 | ↓ -86% |
| Humana | Tricare | $199.61 | ↓ -81% |
| BCBS | MCRPPO | $200.37 | ↓ -81% |
| BCBS | MGMCRHMO | $200.37 | ↓ -81% |
| WellMed | MGMCR | $204.75 | ↓ -80% |
| Devoted Health | PPO | $205.78 | ↓ -80% |
| Amerigroup | DualEligible | $205.78 | ↓ -80% |
| Devoted Health | SNP | $205.78 | ↓ -80% |
| Devoted Health | HMO | $205.78 | ↓ -80% |
| Devoted Health | MCR | $205.78 | ↓ -80% |
| Devoted Health | POS | $205.78 | ↓ -80% |
| Mutual of Omaha | MGMCR | $205.78 | ↓ -80% |
| Humana | MGMCR | $205.78 | ↓ -80% |
| TriWest Health Alliance | FEDERAL | $205.78 | ↓ -80% |
| Devoted Health | MME | $205.78 | ↓ -80% |
| United | MGMCR | $206.81 | ↓ -80% |
| Aetna | MCR | $207.53 | ↓ -80% |
| United | OptionsPPO | $207.56 | ↓ -80% |
| Care N Care | MGMCR | $207.84 | ↓ -80% |
| Cigna Healthspring | MGMCR | $209.90 | ↓ -80% |
| WellCare | MGMCR | $211.95 | ↓ -80% |
| Integranet | MGMCR | $211.95 | ↓ -80% |
| Superior Health Plan | MGMCRPOS | $216.07 | ↓ -79% |
| Superior Health Plan | MGMCRHMO | $216.07 | ↓ -79% |
| Superior Health Plan | MGMCRPPO | $216.07 | ↓ -79% |
| Superior Health Plan | MGMCRDualEligible | $216.07 | ↓ -79% |
| Superior Health Plan | MGMCRPFFS | $216.07 | ↓ -79% |
| Superior Health Plan | MGMCRSNP | $216.07 | ↓ -79% |
| American Health Plan of Texas, Inc. | MGMCR | $216.07 | ↓ -79% |
| ProCare Advantge | MCR | $216.07 | ↓ -79% |
| Texas Independent Health Plan | MGMCR | $218.13 | ↓ -79% |
| Provider Partners Health Plan | MCR | $218.13 | ↓ -79% |
| Molina | MME | $224.30 | ↓ -78% |
| Molina | MCR | $224.30 | ↓ -78% |
| Molina | MMP | $224.30 | ↓ -78% |
| Imperial Insurance Company | MCR | $226.36 | ↓ -78% |
| Universal Healthcare Group | MCR | $246.94 | ↓ -76% |
| Unicare | CHIP | $250.32 | ↓ -76% |
| BCBS | BlueAdvantageHMO | $257.62 | ↓ -75% |
| BCBS | MyBlueHealth | $257.62 | ↓ -75% |
| Verda Health Plan | MGMCR | $267.51 | ↓ -74% |
| Cigna | LocalPlus | $275.35 | ↓ -74% |
| Cigna | NewBusiness | $275.35 | ↓ -74% |
| Cigna | HMO | $307.69 | ↓ -70% |
| Cigna | NetworkBenefit | $307.69 | ↓ -70% |
| Cigna | OpenAccessPlus | $307.69 | ↓ -70% |
| Bravo Health | MCRPOS | $308.67 | ↓ -70% |
| Bravo Health | MCRPPO | $308.67 | ↓ -70% |
| Bravo Health | MCRSNP | $308.67 | ↓ -70% |
| Bravo Health | MCRPFFS | $308.67 | ↓ -70% |
| Bravo Health | MCRHMO | $308.67 | ↓ -70% |
| BCBS | BlueEssentialsAccess | $332.72 | ↓ -68% |
| BCBS | BlueEssentials | $332.72 | ↓ -68% |
| BCBS | EPOSOA | $349.40 | ↓ -67% |
| Healthcare Highways | CityofPlano | $352.53 | ↓ -66% |
| BCBS | PPO | $365.05 | ↓ -65% |
| Superior | ValueHMO | $368.35 | ↓ -65% |
| Cigna | AllOther | $389.04 | ↓ -63% |
| USA Managed Care | WORKERSCOMP | $390.98 | ↓ -63% |
| Corvel Corporation | WORKERSCOMP | $407.44 | ↓ -61% |
| Superior | HMO | $460.95 | ↓ -56% |
| Superior | EPO | $460.95 | ↓ -56% |
| BCBS | Traditional | $463.09 | ↓ -56% |
| City of McKinney | COMM | $469.35 | ↓ -55% |
| National ChoiceCare | WCOMP | $521.50 | ↓ -50% |
| Molina Healthcare | HIX | $539.14 | ↓ -48% |
| Aetna | ASA | $549.66 | ↓ -47% |
| PC Texas Partners | WCOMP | $573.65 | ↓ -45% |
| Aetna | WCOMP | $573.65 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $573.65 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $573.65 | ↓ -45% |
| Averde Health, Inc | PPO | $604.94 | ↓ -42% |
| USC Health Services | COMM | $625.80 | ↓ -40% |
| Mega Life | MGMCRPPO | $730.10 | ↓ -30% |
| Jostens | WCOMP | $730.10 | ↓ -30% |
| Aetna Coventry First Health | COMM | $758.26 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $782.25 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $782.25 | ↓ -25% |
| USA Managed Care | COMM | $834.40 | ↓ -20% |
| Galaxy Health Network | PPO | $886.55 | ↓ -15% |
| Independent Medical Systems | COMM | $1,043.00 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,043.00 | ↑ +0% |
| Unicare | MCD | $1,043.00 | ↑ +0% |
| Humana | COMM | $2,160.99 | ↑ +107% |
Visitor-reported prices
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Ko swedish type pre ots at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MEDICAL CITY ARGYLE HOSPITAL | Argyle | $1,379.00 | $199.61 – $539.14 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK | $2,760.00 | $199.61 – $539.14 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving | $1,735.00 | $199.61 – $539.14 |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford | $2,760.00 | $200.37 – $830.54 |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH | $1,876.00 | $199.61 – $539.14 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney | $1,405.00 | $199.61 – $539.14 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $201.66 – $442.43 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $201.66 – $442.43 |