Mayo gabapentin bld/srm/plasma therapeutic drug level 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

$105.07

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.

Full explanation →

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

$105.07

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.

$7.35 with Superior Health Plan vs $194.99 with Humana — 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
Superior Health Plan CHIP $7.35 ↓ -93%
Superior Health Plan MCDSTAR $7.35 ↓ -93%
Superior Health Plan STARHealth $7.35 ↓ -93%
Superior Health Plan STARPLUS $7.35 ↓ -93%
Superior Health Plan STARKids $7.35 ↓ -93%
Cook Childrens Health Plan CHIP $13.00 ↓ -88%
Cook Childrens Health Plan STAR $13.00 ↓ -88%
Cigna IFP $14.18 ↓ -87%
Cigna QHP $14.71 ↓ -86%
TEXAS HEALTH NETWORK MCD $17.93 ↓ -83%
Amerigroup CHIP $18.20 ↓ -83%
United CHIP $18.20 ↓ -83%
United STAR $18.20 ↓ -83%
United STARKids $18.20 ↓ -83%
United STARPLUS $18.20 ↓ -83%
Parkland Community Health Plan MCD $18.20 ↓ -83%
United STARPerinate $18.20 ↓ -83%
Amerigroup MGMCD $18.20 ↓ -83%
Cigna Healthspring MGMCD $19.11 ↓ -82%
Aetna Better Health CHIP $19.66 ↓ -81%
Aetna Better Health MCD $19.66 ↓ -81%
Molina STAR+PLUS $20.02 ↓ -81%
Molina CHIP $20.02 ↓ -81%
Molina STARKIDS $20.02 ↓ -81%
Molina MCDSTAR $20.02 ↓ -81%
United OptionsPPO $20.91 ↓ -80%
WellMed MGMCR $21.56 ↓ -79%
BCBS MGMCRHMO $21.67 ↓ -79%
Humana MGMCR $21.67 ↓ -79%
United SmallGroup $21.67 ↓ -79%
Devoted Health MME $21.67 ↓ -79%
Devoted Health MCR $21.67 ↓ -79%
Devoted Health POS $21.67 ↓ -79%
Devoted Health HMO $21.67 ↓ -79%
United NarrowNetworkIndivExchange $21.67 ↓ -79%
Mutual of Omaha MGMCR $21.67 ↓ -79%
BCBS MCRPPO $21.67 ↓ -79%
TriWest Health Alliance FEDERAL $21.67 ↓ -79%
Devoted Health SNP $21.67 ↓ -79%
United AllPayerAppendix $21.67 ↓ -79%
Amerigroup DualEligible $21.67 ↓ -79%
Devoted Health PPO $21.67 ↓ -79%
United MGMCR $21.78 ↓ -79%
Aetna MCR $21.85 ↓ -79%
Care N Care MGMCR $21.89 ↓ -79%
Cigna Healthspring MGMCR $22.10 ↓ -79%
WellCare MGMCR $22.32 ↓ -79%
Integranet MGMCR $22.32 ↓ -79%
Superior Health Plan MGMCRSNP $22.75 ↓ -78%
Superior Health Plan MGMCRPFFS $22.75 ↓ -78%
Superior Health Plan MGMCRDualEligible $22.75 ↓ -78%
Superior Health Plan MGMCRPPO $22.75 ↓ -78%
Superior Health Plan MGMCRHMO $22.75 ↓ -78%
ProCare Advantge MCR $22.75 ↓ -78%
Humana Tricare $22.75 ↓ -78%
Humana MGMCD $22.75 ↓ -78%
American Health Plan of Texas, Inc. MGMCR $22.75 ↓ -78%
Superior Health Plan MGMCRPOS $22.75 ↓ -78%
Texas Independent Health Plan MGMCR $22.97 ↓ -78%
Provider Partners Health Plan MCR $22.97 ↓ -78%
Molina MME $23.62 ↓ -78%
Molina MCR $23.62 ↓ -78%
Molina MMP $23.62 ↓ -78%
Imperial Insurance Company MCR $23.84 ↓ -77%
Unicare CHIP $25.22 ↓ -76%
Healthcare Highways NarrowNetwork $25.74 ↓ -76%
Universal Healthcare Group MCR $26.00 ↓ -75%
Evry Health COMM $27.11 ↓ -74%
Aetna QHPHIX $27.56 ↓ -74%
Verda Health Plan MGMCR $28.17 ↓ -73%
Bravo Health MCRPOS $32.51 ↓ -69%
Bravo Health MCRHMO $32.51 ↓ -69%
Bravo Health MCRPPO $32.51 ↓ -69%
Bravo Health MCRSNP $32.51 ↓ -69%
Bravo Health MCRPFFS $32.51 ↓ -69%
Healthcare Highways CityofPlano $35.51 ↓ -66%
BCBS BluePremier $36.84 ↓ -65%
BCBS MyBlueHealth $37.92 ↓ -64%
BCBS BlueAdvantageHMO $37.92 ↓ -64%
Aetna NewBusiness $37.96 ↓ -64%
Superior ValueHMO $38.79 ↓ -63%
Aetna Meritain $40.43 ↓ -62%
Aetna COMM $40.43 ↓ -62%
USA Managed Care WORKERSCOMP $41.17 ↓ -61%
Corvel Corporation WORKERSCOMP $42.91 ↓ -59%
BCBS Traditional $46.65 ↓ -56%
Fidelis SecureCare MGMCR $47.28 ↓ -55%
City of McKinney COMM $47.28 ↓ -55%
Aetna OON $47.58 ↓ -55%
Superior EPO $48.54 ↓ -54%
Superior HMO $48.54 ↓ -54%
National ChoiceCare WCOMP $52.53 ↓ -50%
BCBS BlueEssentials $53.52 ↓ -49%
BCBS BlueEssentialsAccess $53.52 ↓ -49%
Aetna ASA $55.37 ↓ -47%
BCBS EPOSOA $56.13 ↓ -47%
Oscar HIX $56.34 ↓ -46%
Molina Healthcare HIX $56.78 ↓ -46%
Aetna WCOMP $57.79 ↓ -45%
Rockport Health Group WORKERSCOMP $57.79 ↓ -45%
PC Texas Partners WCOMP $57.79 ↓ -45%
Physicians Coop of TX MGMCR $57.79 ↓ -45%
BCBS PPO $58.73 ↓ -44%
Averde Health, Inc PPO $60.94 ↓ -42%
USC Health Services COMM $63.04 ↓ -40%
Multiplan PHCS PrimaryNetwork $73.55 ↓ -30%
Coastal Comp Health Networks WCOMP $73.55 ↓ -30%
Jostens WCOMP $73.55 ↓ -30%
Mega Life MGMCRPPO $73.55 ↓ -30%
Aetna Coventry First Health COMM $76.39 ↓ -27%
HealthSmart Preferred Care PPO $78.80 ↓ -25%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $78.80 ↓ -25%
Cigna LocalPlus $82.63 ↓ -21%
Cigna NewBusiness $82.71 ↓ -21%
USA Managed Care COMM $84.06 ↓ -20%
Galaxy Health Network PPO $89.31 ↓ -15%
Cigna OpenAccessPlus $92.29 ↓ -12%
Cigna NetworkBenefit $92.29 ↓ -12%
Cigna HMO $92.29 ↓ -12%
National Healthcare Solutions COMM $105.07 ↑ +0%
Unicare MCD $105.07 ↑ +0%
Independent Medical Systems COMM $105.07 ↑ +0%
Cigna AllOther $116.80 ↑ +11%
Humana COMM $194.99 ↑ +86%
Curative Administrators COMM not published by hospital

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Mayo gabapentin bld/srm/plasma therapeutic drug level at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $103.53 $10.00 – $129.41
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $110.15 $12.00 – $165.23
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $99.02 $12.00 – $123.78
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $103.53 $10.00 – $129.41
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $110.15 $12.00 – $165.23
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $110.15 $8.00 – $165.23
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $99.02 $12.00 – $148.54
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $103.53 $10.00 – $129.41

All Texas hospitals for this procedure →