Lev 3 hosp type b ed visit at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$1,749.99
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.
$1,749.99
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.
$50.59 with TEXAS HEALTH NETWORK vs $2,931.00 with United — 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 | $50.59 | ↓ -97% |
| Amerigroup | MGMCD | $51.36 | ↓ -97% |
| Parkland Community Health Plan | MCD | $51.36 | ↓ -97% |
| Cook Childrens Health Plan | STAR | $51.36 | ↓ -97% |
| Cook Childrens Health Plan | CHIP | $51.36 | ↓ -97% |
| Amerigroup | CHIP | $51.36 | ↓ -97% |
| Cigna Healthspring | MGMCD | $53.93 | ↓ -97% |
| Aetna Better Health | CHIP | $55.47 | ↓ -97% |
| Aetna Better Health | MCD | $55.47 | ↓ -97% |
| Molina | STARKIDS | $56.50 | ↓ -97% |
| Molina | CHIP | $56.50 | ↓ -97% |
| Molina | STAR+PLUS | $56.50 | ↓ -97% |
| Molina | MCDSTAR | $56.50 | ↓ -97% |
| Humana | MGMCD | $64.20 | ↓ -96% |
| Cigna | IFP | $236.25 | ↓ -86% |
| Cigna | QHP | $245.00 | ↓ -86% |
| United | OptionsPPO | $348.25 | ↓ -80% |
| Unicare | CHIP | $420.00 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $428.75 | ↓ -75% |
| BCBS | MyBlueHealth | $432.25 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $432.25 | ↓ -75% |
| Evry Health | COMM | $451.50 | ↓ -74% |
| BCBS | BluePremier | $511.00 | ↓ -71% |
| Humana | COMM | $542.32 | ↓ -69% |
| BCBS | BlueEssentialsAccess | $558.25 | ↓ -68% |
| BCBS | BlueEssentials | $558.25 | ↓ -68% |
| BCBS | EPOSOA | $586.25 | ↓ -66% |
| Healthcare Highways | CityofPlano | $591.50 | ↓ -66% |
| BCBS | PPO | $612.50 | ↓ -65% |
| Aetna | QHPHIX | $635.00 | ↓ -64% |
| Curative Administrators | COMM | $700.00 | ↓ -60% |
| BCBS | Traditional | $777.00 | ↓ -56% |
| City of McKinney | COMM | $787.50 | ↓ -55% |
| Oscar | HIX | $855.00 | ↓ -51% |
| Aetna | NewBusiness | $868.00 | ↓ -50% |
| National ChoiceCare | WCOMP | $875.00 | ↓ -50% |
| Aetna | ASA | $922.24 | ↓ -47% |
| Aetna | COMM | $929.00 | ↓ -47% |
| Aetna | Meritain | $929.00 | ↓ -47% |
| PC Texas Partners | WCOMP | $962.49 | ↓ -45% |
| Aetna | WCOMP | $962.49 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $962.49 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $962.49 | ↓ -45% |
| Averde Health, Inc | PPO | $1,014.99 | ↓ -42% |
| USC Health Services | COMM | $1,049.99 | ↓ -40% |
| Aetna | OON | $1,092.00 | ↓ -38% |
| Mega Life | MGMCRPPO | $1,224.99 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $1,224.99 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $1,224.99 | ↓ -30% |
| Jostens | WCOMP | $1,224.99 | ↓ -30% |
| Aetna Coventry First Health | COMM | $1,272.24 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $1,312.49 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,312.49 | ↓ -25% |
| USA Managed Care | COMM | $1,399.99 | ↓ -20% |
| Galaxy Health Network | PPO | $1,487.49 | ↓ -15% |
| United | NarrowNetworkIndivExchange | $1,545.00 | ↓ -12% |
| Unicare | MCD | $1,749.99 | ↑ +0% |
| Independent Medical Systems | COMM | $1,749.99 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,749.99 | ↑ +0% |
| United | SmallGroup | $1,856.00 | ↑ +6% |
| United | AllPayerAppendix | $2,931.00 | ↑ +67% |
Visitor-reported prices
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Lev 3 hosp type b ed visit at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $2,155.68 | $50.33 – $77.04 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | $589.41 | $111.30 – $689.48 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle | $2,811.64 | $50.59 – $64.20 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW | $3,386.92 | $51.36 – $64.20 |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford | $2,235.82 | $51.36 – $64.20 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney | $2,956.04 | $51.36 – $64.20 |
| Adventhealth Rollins Brook | Lampasas | not published | $639.64 – $639.64 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $51.36 – $77.04 |