Lso flex no ri stays pre ots at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$1,322.00
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.
$1,322.00
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.
$59.61 with Humana vs $1,322.00 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 →
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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 |
|---|---|---|---|
| Humana | Tricare | $59.61 | ↓ -95% |
| BCBS | MGMCRHMO | $59.83 | ↓ -95% |
| BCBS | MCRPPO | $59.83 | ↓ -95% |
| WellMed | MGMCR | $61.14 | ↓ -95% |
| Devoted Health | POS | $61.45 | ↓ -95% |
| Humana | MGMCR | $61.45 | ↓ -95% |
| Devoted Health | HMO | $61.45 | ↓ -95% |
| Devoted Health | SNP | $61.45 | ↓ -95% |
| Devoted Health | MCR | $61.45 | ↓ -95% |
| Devoted Health | PPO | $61.45 | ↓ -95% |
| Devoted Health | MME | $61.45 | ↓ -95% |
| TriWest Health Alliance | FEDERAL | $61.45 | ↓ -95% |
| Mutual of Omaha | MGMCR | $61.45 | ↓ -95% |
| Amerigroup | DualEligible | $61.45 | ↓ -95% |
| United | MGMCR | $61.76 | ↓ -95% |
| Aetna | MCR | $61.97 | ↓ -95% |
| Care N Care | MGMCR | $62.06 | ↓ -95% |
| Cigna Healthspring | MGMCR | $62.68 | ↓ -95% |
| WellCare | MGMCR | $63.29 | ↓ -95% |
| Integranet | MGMCR | $63.29 | ↓ -95% |
| Superior Health Plan | MGMCRPOS | $64.52 | ↓ -95% |
| Superior Health Plan | MGMCRHMO | $64.52 | ↓ -95% |
| Superior Health Plan | MGMCRPPO | $64.52 | ↓ -95% |
| Superior Health Plan | MGMCRDualEligible | $64.52 | ↓ -95% |
| Superior Health Plan | MGMCRPFFS | $64.52 | ↓ -95% |
| Superior Health Plan | MGMCRSNP | $64.52 | ↓ -95% |
| American Health Plan of Texas, Inc. | MGMCR | $64.52 | ↓ -95% |
| ProCare Advantge | MCR | $64.52 | ↓ -95% |
| Texas Independent Health Plan | MGMCR | $65.14 | ↓ -95% |
| Provider Partners Health Plan | MCR | $65.14 | ↓ -95% |
| Molina | MCR | $66.98 | ↓ -95% |
| Molina | MMP | $66.98 | ↓ -95% |
| Molina | MME | $66.98 | ↓ -95% |
| Imperial Insurance Company | MCR | $67.60 | ↓ -95% |
| Universal Healthcare Group | MCR | $73.74 | ↓ -94% |
| Verda Health Plan | MGMCR | $79.89 | ↓ -94% |
| Bravo Health | MCRPOS | $92.18 | ↓ -93% |
| Bravo Health | MCRPFFS | $92.18 | ↓ -93% |
| Bravo Health | MCRSNP | $92.18 | ↓ -93% |
| Bravo Health | MCRPPO | $92.18 | ↓ -93% |
| Bravo Health | MCRHMO | $92.18 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $92.54 | ↓ -93% |
| Superior Health Plan | STARHealth | $92.54 | ↓ -93% |
| Superior Health Plan | STARKids | $92.54 | ↓ -93% |
| Superior Health Plan | CHIP | $92.54 | ↓ -93% |
| Superior Health Plan | STARPLUS | $92.54 | ↓ -93% |
| Superior | ValueHMO | $110.00 | ↓ -92% |
| USA Managed Care | WORKERSCOMP | $116.75 | ↓ -91% |
| Corvel Corporation | WORKERSCOMP | $121.67 | ↓ -91% |
| Superior | HMO | $137.65 | ↓ -90% |
| Superior | EPO | $137.65 | ↓ -90% |
| Molina Healthcare | HIX | $161.00 | ↓ -88% |
| Cigna | IFP | $178.47 | ↓ -87% |
| Cigna | QHP | $185.08 | ↓ -86% |
| United | OptionsPPO | $263.08 | ↓ -80% |
| Unicare | CHIP | $317.28 | ↓ -76% |
| BCBS | BlueAdvantageHMO | $326.53 | ↓ -75% |
| BCBS | MyBlueHealth | $326.53 | ↓ -75% |
| Cigna | NewBusiness | $349.01 | ↓ -74% |
| Cigna | LocalPlus | $349.01 | ↓ -74% |
| Cigna | OpenAccessPlus | $389.99 | ↓ -71% |
| Cigna | NetworkBenefit | $389.99 | ↓ -71% |
| Cigna | HMO | $389.99 | ↓ -71% |
| BCBS | BlueEssentialsAccess | $421.72 | ↓ -68% |
| BCBS | BlueEssentials | $421.72 | ↓ -68% |
| BCBS | EPOSOA | $442.87 | ↓ -67% |
| Healthcare Highways | CityofPlano | $446.84 | ↓ -66% |
| BCBS | PPO | $462.70 | ↓ -65% |
| Cigna | AllOther | $493.11 | ↓ -63% |
| Humana | COMM | $585.46 | ↓ -56% |
| BCBS | Traditional | $586.97 | ↓ -56% |
| City of McKinney | COMM | $594.90 | ↓ -55% |
| National ChoiceCare | WCOMP | $661.00 | ↓ -50% |
| Aetna | ASA | $696.69 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $727.10 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $727.10 | ↓ -45% |
| Aetna | WCOMP | $727.10 | ↓ -45% |
| PC Texas Partners | WCOMP | $727.10 | ↓ -45% |
| Averde Health, Inc | PPO | $766.76 | ↓ -42% |
| USC Health Services | COMM | $793.20 | ↓ -40% |
| Mega Life | MGMCRPPO | $925.40 | ↓ -30% |
| Jostens | WCOMP | $925.40 | ↓ -30% |
| Aetna Coventry First Health | COMM | $961.09 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $991.50 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $991.50 | ↓ -25% |
| USA Managed Care | COMM | $1,057.60 | ↓ -20% |
| Galaxy Health Network | PPO | $1,123.70 | ↓ -15% |
| National Healthcare Solutions | COMM | $1,322.00 | ↑ +0% |
| Independent Medical Systems | COMM | $1,322.00 | ↑ +0% |
| Unicare | MCD | $1,322.00 | ↑ +0% |
Visitor-reported prices
Comments
Lso flex no ri stays pre ots at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Allen | Allen | $135.35 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $135.35 | not published |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $135.35 | not published |
| Texas Health Arlington Memorial Hospital | Arlington | $135.35 | not published |
| Texas Health Presbyterian Hospital Denton | Denton | $135.35 | not published |
| Texas Health Presbyterian Hospital Plano | Plano | $135.35 | not published |
| Texas Health Hospital Rockwall | Rockwall | $135.35 | not published |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $135.35 | not published |