Mannitol 12.5 gm/50 ml inj 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

$39.10

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.

$39.10

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.

$2.19 with Humana vs $39.10 with Independent Medical Systems — 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.

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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 $2.19 ↓ -94%
Superior Health Plan CHIP $2.74 ↓ -93%
Superior Health Plan STARHealth $2.74 ↓ -93%
Superior Health Plan MCDSTAR $2.74 ↓ -93%
Superior Health Plan STARPLUS $2.74 ↓ -93%
Superior Health Plan STARKids $2.74 ↓ -93%
Cigna IFP $5.28 ↓ -86%
Aetna QHPHIX $5.28 ↓ -86%
Cigna QHP $5.47 ↓ -86%
United OptionsPPO $7.78 ↓ -80%
Aetna NewBusiness $7.78 ↓ -80%
Superior HMO $7.82 ↓ -80%
Superior ValueHMO $7.82 ↓ -80%
Superior EPO $7.82 ↓ -80%
Aetna Meritain $8.33 ↓ -79%
Aetna COMM $8.33 ↓ -79%
Unicare CHIP $9.38 ↓ -76%
Molina Healthcare HIX $9.78 ↓ -75%
Aetna OON $9.81 ↓ -75%
BCBS BlueAdvantageHMO $10.59 ↓ -73%
BCBS MyBlueHealth $10.59 ↓ -73%
BCBS BluePremier $12.53 ↓ -68%
Healthcare Highways CityofPlano $13.22 ↓ -66%
Cigna LocalPlus $13.55 ↓ -65%
Cigna NewBusiness $13.57 ↓ -65%
Cigna OpenAccessPlus $15.14 ↓ -61%
Cigna NetworkBenefit $15.14 ↓ -61%
Cigna HMO $15.14 ↓ -61%
BCBS BlueEssentialsAccess $15.50 ↓ -60%
BCBS BlueEssentials $15.50 ↓ -60%
BCBS EPOSOA $16.27 ↓ -58%
Humana COMM $16.38 ↓ -58%
BCBS PPO $17.04 ↓ -56%
BCBS Traditional $17.36 ↓ -56%
City of McKinney COMM $17.59 ↓ -55%
Cigna AllOther $19.16 ↓ -51%
National ChoiceCare WCOMP $19.55 ↓ -50%
Aetna ASA $20.61 ↓ -47%
Aetna WCOMP $21.50 ↓ -45%
PC Texas Partners WCOMP $21.50 ↓ -45%
Physicians Coop of TX MGMCR $21.50 ↓ -45%
Rockport Health Group WORKERSCOMP $21.50 ↓ -45%
Averde Health, Inc PPO $22.68 ↓ -42%
USC Health Services COMM $23.46 ↓ -40%
Jostens WCOMP $27.37 ↓ -30%
Coastal Comp Health Networks WCOMP $27.37 ↓ -30%
Mega Life MGMCRPPO $27.37 ↓ -30%
Aetna Coventry First Health COMM $28.43 ↓ -27%
HealthSmart Preferred Care PPO $29.32 ↓ -25%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $29.32 ↓ -25%
USA Managed Care COMM $31.28 ↓ -20%
Galaxy Health Network PPO $33.23 ↓ -15%
Unicare MCD $39.10 ↑ +0%
National Healthcare Solutions COMM $39.10 ↑ +0%
Independent Medical Systems COMM $39.10 ↑ +0%

Visitor-reported prices

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Mannitol 12.5 gm/50 ml inj at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $95.92 $11.82 – $11.82
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $17.82 $5.05 – $25.25
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $17.82 $3.67 – $26.73
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $17.82 $3.56 – $22.27
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $17.82 $4.75 – $25.25
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $17.82 $5.72 – $26.73
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $17.82 $9.21 – $26.73
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $17.82 $5.94 – $26.73

All Texas hospitals for this procedure →