Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution 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

$440.76

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.

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What you pay up front if you don't use insurance.

$440.76

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.

$0.01 with Humana vs $440.76 with Unicare — 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
Humana Tricare $0.01 ↓ -100%
United AllPayerAppendix $0.02 ↓ -100%
United SmallGroup $0.02 ↓ -100%
United NarrowNetworkIndivExchange $0.02 ↓ -100%
BCBS MyBlueHealth $0.03 ↓ -100%
BCBS BlueAdvantageHMO $0.03 ↓ -100%
BCBS EPOSOA $0.05 ↓ -100%
BCBS BlueEssentialsAccess $0.05 ↓ -100%
BCBS BlueEssentials $0.05 ↓ -100%
BCBS PPO $0.06 ↓ -100%
Cigna LocalPlus $0.06 ↓ -100%
Cigna NewBusiness $0.06 ↓ -100%
Cigna NetworkBenefit $0.07 ↓ -100%
Cigna HMO $0.07 ↓ -100%
Cigna OpenAccessPlus $0.07 ↓ -100%
Cigna AllOther $0.09 ↓ -100%
Superior Health Plan STARPLUS $30.85 ↓ -93%
Superior Health Plan STARKids $30.85 ↓ -93%
Superior Health Plan CHIP $30.85 ↓ -93%
Superior Health Plan MCDSTAR $30.85 ↓ -93%
Superior Health Plan STARHealth $30.85 ↓ -93%
Cigna IFP $59.50 ↓ -87%
Aetna QHPHIX $59.50 ↓ -87%
Cigna QHP $61.71 ↓ -86%
Aetna NewBusiness $87.71 ↓ -80%
United OptionsPPO $87.71 ↓ -80%
Superior EPO $88.15 ↓ -80%
Superior ValueHMO $88.15 ↓ -80%
Superior HMO $88.15 ↓ -80%
Aetna Meritain $93.88 ↓ -79%
Aetna COMM $93.88 ↓ -79%
Unicare CHIP $105.78 ↓ -76%
Molina Healthcare HIX $110.19 ↓ -75%
Aetna OON $110.63 ↓ -75%
BCBS BluePremier $128.70 ↓ -71%
Healthcare Highways CityofPlano $148.98 ↓ -66%
BCBS Traditional $195.70 ↓ -56%
City of McKinney COMM $198.34 ↓ -55%
National ChoiceCare WCOMP $220.38 ↓ -50%
Aetna ASA $232.28 ↓ -47%
Physicians Coop of TX MGMCR $242.42 ↓ -45%
PC Texas Partners WCOMP $242.42 ↓ -45%
Rockport Health Group WORKERSCOMP $242.42 ↓ -45%
Aetna WCOMP $242.42 ↓ -45%
Averde Health, Inc PPO $255.64 ↓ -42%
USC Health Services COMM $264.46 ↓ -40%
Jostens WCOMP $308.53 ↓ -30%
Coastal Comp Health Networks WCOMP $308.53 ↓ -30%
Mega Life MGMCRPPO $308.53 ↓ -30%
Aetna Coventry First Health COMM $320.43 ↓ -27%
HealthSmart Preferred Care PPO $330.57 ↓ -25%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $330.57 ↓ -25%
USA Managed Care COMM $352.61 ↓ -20%
Galaxy Health Network PPO $374.65 ↓ -15%
National Healthcare Solutions COMM $440.76 ↑ +0%
Independent Medical Systems COMM $440.76 ↑ +0%
Unicare MCD $440.76 ↑ +0%

Visitor-reported prices

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Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $28.80 $0.00 – $35.70
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $28.80 $0.00 – $37.80
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $28.80 $0.00 – $31.50
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $28.80 $0.00 – $35.70
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $28.80 $0.00 – $37.80
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $28.80 $0.00 – $37.80
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $28.80 $0.00 – $37.80
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $28.80 $0.00 – $35.70

All Texas hospitals for this procedure →