Lso sc r pos/lat pnl pre cst 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.
$145.53 with Superior Health Plan vs $2,079.00 with National Healthcare Solutions — 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 | STARKids | $145.53 | — |
| Superior Health Plan | STARHealth | $145.53 | — |
| Superior Health Plan | CHIP | $145.53 | — |
| Superior Health Plan | MCDSTAR | $145.53 | — |
| Superior Health Plan | STARPLUS | $145.53 | — |
| Cigna | IFP | $280.67 | — |
| Cigna | QHP | $291.06 | — |
| Humana | Tricare | $343.68 | — |
| BCBS | MCRPPO | $347.36 | — |
| BCBS | MGMCRHMO | $347.36 | — |
| WellMed | MGMCR | $352.54 | — |
| Mutual of Omaha | MGMCR | $354.31 | — |
| Humana | MGMCR | $354.31 | — |
| Amerigroup | DualEligible | $354.31 | — |
| Devoted Health | POS | $354.31 | — |
| Devoted Health | MCR | $354.31 | — |
| Devoted Health | PPO | $354.31 | — |
| Devoted Health | MME | $354.31 | — |
| TriWest Health Alliance | FEDERAL | $354.31 | — |
| Devoted Health | SNP | $354.31 | — |
| Devoted Health | HMO | $354.31 | — |
| United | MGMCR | $356.08 | — |
| Aetna | MCR | $357.32 | — |
| Care N Care | MGMCR | $357.85 | — |
| Cigna Healthspring | MGMCR | $361.40 | — |
| Integranet | MGMCR | $364.94 | — |
| WellCare | MGMCR | $364.94 | — |
| Superior Health Plan | MGMCRPOS | $372.03 | — |
| Superior Health Plan | MGMCRHMO | $372.03 | — |
| Superior Health Plan | MGMCRPPO | $372.03 | — |
| Superior Health Plan | MGMCRDualEligible | $372.03 | — |
| Superior Health Plan | MGMCRPFFS | $372.03 | — |
| Superior Health Plan | MGMCRSNP | $372.03 | — |
| American Health Plan of Texas, Inc. | MGMCR | $372.03 | — |
| ProCare Advantge | MCR | $372.03 | — |
| Texas Independent Health Plan | MGMCR | $375.57 | — |
| Provider Partners Health Plan | MCR | $375.57 | — |
| Molina | MME | $386.20 | — |
| Molina | MMP | $386.20 | — |
| Molina | MCR | $386.20 | — |
| Imperial Insurance Company | MCR | $389.74 | — |
| United | OptionsPPO | $413.72 | — |
| Universal Healthcare Group | MCR | $425.17 | — |
| Verda Health Plan | MGMCR | $460.60 | — |
| Unicare | CHIP | $498.96 | — |
| BCBS | MyBlueHealth | $513.51 | — |
| BCBS | BlueAdvantageHMO | $513.51 | — |
| Bravo Health | MCRPPO | $531.47 | — |
| Bravo Health | MCRPFFS | $531.47 | — |
| Bravo Health | MCRSNP | $531.47 | — |
| Bravo Health | MCRPOS | $531.47 | — |
| Bravo Health | MCRHMO | $531.47 | — |
| Cigna | LocalPlus | $548.86 | — |
| Cigna | NewBusiness | $548.86 | — |
| Cigna | NetworkBenefit | $613.30 | — |
| Cigna | OpenAccessPlus | $613.30 | — |
| Cigna | HMO | $613.30 | — |
| Superior | ValueHMO | $634.21 | — |
| BCBS | BlueEssentials | $663.20 | — |
| BCBS | BlueEssentialsAccess | $663.20 | — |
| USA Managed Care | WORKERSCOMP | $673.19 | — |
| BCBS | EPOSOA | $696.47 | — |
| Corvel Corporation | WORKERSCOMP | $701.53 | — |
| Healthcare Highways | CityofPlano | $702.70 | — |
| BCBS | PPO | $727.65 | — |
| Cigna | AllOther | $775.47 | — |
| Superior | EPO | $793.65 | — |
| Superior | HMO | $793.65 | — |
| BCBS | Traditional | $923.08 | — |
| Molina Healthcare | HIX | $928.29 | — |
| City of McKinney | COMM | $935.55 | — |
| National ChoiceCare | WCOMP | $1,039.50 | — |
| Aetna | ASA | $1,095.63 | — |
| Rockport Health Group | WORKERSCOMP | $1,143.45 | — |
| Aetna | WCOMP | $1,143.45 | — |
| Physicians Coop of TX | MGMCR | $1,143.45 | — |
| PC Texas Partners | WCOMP | $1,143.45 | — |
| Averde Health, Inc | PPO | $1,205.82 | — |
| USC Health Services | COMM | $1,247.40 | — |
| Mega Life | MGMCRPPO | $1,455.30 | — |
| Jostens | WCOMP | $1,455.30 | — |
| Aetna Coventry First Health | COMM | $1,511.43 | — |
| HealthSmart Preferred Care | PPO | $1,559.25 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1,559.25 | — |
| USA Managed Care | COMM | $1,663.20 | — |
| Galaxy Health Network | PPO | $1,767.15 | — |
| Humana | COMM | $2,001.61 | — |
| Unicare | MCD | $2,079.00 | — |
| Independent Medical Systems | COMM | $2,079.00 | — |
| National Healthcare Solutions | COMM | $2,079.00 | — |
Visitor-reported prices
Comments
Lso sc r pos/lat pnl pre cst at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $785.09 | $38.28 – $278.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $785.09 | $37.19 – $247.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $785.09 | $59.69 – $278.95 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $785.09 | $96.08 – $278.95 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $785.09 | $61.99 – $278.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $785.09 | $37.19 – $247.95 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $785.09 | $46.49 – $278.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $785.09 | $34.09 – $278.95 |