Lung function test (mbc/mvv) at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$795.72
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.
?
What you pay up front if you don't use insurance.
$795.72
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.
?
The hospital's undiscounted list price — almost no one pays this.
$55.70 with Superior Health Plan vs $795.72 with Unicare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $55.70 | ↓ -93% |
| Superior Health Plan | STARHealth | $55.70 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $55.70 | ↓ -93% |
| Superior Health Plan | STARPLUS | $55.70 | ↓ -93% |
| Superior Health Plan | STARKids | $55.70 | ↓ -93% |
| Aetna | QHPHIX | $107.42 | ↓ -87% |
| Cigna | IFP | $107.42 | ↓ -87% |
| Cigna | QHP | $111.40 | ↓ -86% |
| BCBS | BluePremier | $129.82 | ↓ -84% |
| Humana | COMM | $149.37 | ↓ -81% |
| BCBS | MyBlueHealth | $151.28 | ↓ -81% |
| BCBS | BlueAdvantageHMO | $151.28 | ↓ -81% |
| Aetna | NewBusiness | $158.35 | ↓ -80% |
| United | OptionsPPO | $158.35 | ↓ -80% |
| Oscar | HIX | $165.51 | ↓ -79% |
| Aetna | Meritain | $169.49 | ↓ -79% |
| Aetna | COMM | $169.49 | ↓ -79% |
| Unicare | CHIP | $190.97 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $194.95 | ↓ -76% |
| Aetna | OON | $199.73 | ↓ -75% |
| Evry Health | COMM | $205.30 | ↓ -74% |
| Cigna | NewBusiness | $210.07 | ↓ -74% |
| Cigna | LocalPlus | $210.07 | ↓ -74% |
| Cigna | NetworkBenefit | $234.74 | ↓ -70% |
| Cigna | OpenAccessPlus | $234.74 | ↓ -70% |
| Cigna | HMO | $234.74 | ↓ -70% |
| BCBS | BlueEssentials | $267.90 | ↓ -66% |
| BCBS | BlueEssentialsAccess | $267.90 | ↓ -66% |
| Healthcare Highways | CityofPlano | $268.95 | ↓ -66% |
| BCBS | EPOSOA | $281.10 | ↓ -65% |
| BCBS | PPO | $294.30 | ↓ -63% |
| Cigna | AllOther | $296.80 | ↓ -63% |
| Curative Administrators | COMM | $318.29 | ↓ -60% |
| BCBS | Traditional | $353.30 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $358.07 | ↓ -55% |
| City of McKinney | COMM | $358.07 | ↓ -55% |
| National ChoiceCare | WCOMP | $397.86 | ↓ -50% |
| Aetna | ASA | $419.34 | ↓ -47% |
| Physicians Coop of TX | MGMCR | $437.65 | ↓ -45% |
| PC Texas Partners | WCOMP | $437.65 | ↓ -45% |
| Aetna | WCOMP | $437.65 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $437.65 | ↓ -45% |
| Averde Health, Inc | PPO | $461.52 | ↓ -42% |
| USC Health Services | COMM | $477.43 | ↓ -40% |
| Coastal Comp Health Networks | WCOMP | $557.00 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $557.00 | ↓ -30% |
| Jostens | WCOMP | $557.00 | ↓ -30% |
| Mega Life | MGMCRPPO | $557.00 | ↓ -30% |
| Aetna Coventry First Health | COMM | $578.49 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $596.79 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $596.79 | ↓ -25% |
| USA Managed Care | COMM | $636.58 | ↓ -20% |
| Galaxy Health Network | PPO | $676.36 | ↓ -15% |
| National Healthcare Solutions | COMM | $795.72 | ↑ +0% |
| Independent Medical Systems | COMM | $795.72 | ↑ +0% |
| Unicare | MCD | $795.72 | ↑ +0% |
Visitor-reported prices
Comments
Lung function test (mbc/mvv) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $214.94 | $56.30 – $268.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $229.93 | $47.33 – $344.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $192.29 | $38.46 – $240.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $214.94 | $56.30 – $268.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $229.93 | $56.30 – $344.90 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $229.93 | $118.80 – $344.90 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $192.29 | $56.30 – $288.44 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $214.94 | $56.30 – $268.68 |