Metered dose inhaler drug 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.
$27.97 with Humana vs $1,075.38 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 |
|---|---|---|---|
| Humana | COMM | $27.97 | — |
| Superior Health Plan | STARPLUS | $75.28 | — |
| Superior Health Plan | STARKids | $75.28 | — |
| Superior Health Plan | STARHealth | $75.28 | — |
| Superior Health Plan | MCDSTAR | $75.28 | — |
| Superior Health Plan | CHIP | $75.28 | — |
| Cigna | IFP | $145.18 | — |
| Aetna | QHPHIX | $145.18 | — |
| Cigna | QHP | $150.55 | — |
| Imperial Insurance Company | MCR | $204.32 | — |
| United | OptionsPPO | $214.00 | — |
| Aetna | NewBusiness | $214.00 | — |
| Oscar | HIX | $223.68 | — |
| Aetna | Meritain | $229.06 | — |
| Aetna | COMM | $229.06 | — |
| Unicare | CHIP | $258.09 | — |
| Healthcare Highways | NarrowNetwork | $263.47 | — |
| BCBS | MyBlueHealth | $265.62 | — |
| BCBS | BlueAdvantageHMO | $265.62 | — |
| Aetna | OON | $269.92 | — |
| Evry Health | COMM | $277.45 | — |
| Cigna | NewBusiness | $283.90 | — |
| Cigna | LocalPlus | $283.90 | — |
| BCBS | BluePremier | $314.01 | — |
| Cigna | HMO | $317.24 | — |
| Cigna | NetworkBenefit | $317.24 | — |
| Cigna | OpenAccessPlus | $317.24 | — |
| BCBS | BlueEssentialsAccess | $343.05 | — |
| BCBS | BlueEssentials | $343.05 | — |
| BCBS | EPOSOA | $360.25 | — |
| Healthcare Highways | CityofPlano | $363.48 | — |
| BCBS | PPO | $376.38 | — |
| Cigna | AllOther | $401.12 | — |
| Curative Administrators | COMM | $430.15 | — |
| BCBS | Traditional | $477.47 | — |
| City of McKinney | COMM | $483.92 | — |
| Fidelis SecureCare | MGMCR | $483.92 | — |
| National ChoiceCare | WCOMP | $537.69 | — |
| Aetna | ASA | $566.73 | — |
| Aetna | WCOMP | $591.46 | — |
| Rockport Health Group | WORKERSCOMP | $591.46 | — |
| Physicians Coop of TX | MGMCR | $591.46 | — |
| PC Texas Partners | WCOMP | $591.46 | — |
| Averde Health, Inc | PPO | $623.72 | — |
| USC Health Services | COMM | $645.23 | — |
| Coastal Comp Health Networks | WCOMP | $752.77 | — |
| Multiplan PHCS | PrimaryNetwork | $752.77 | — |
| Jostens | WCOMP | $752.77 | — |
| Mega Life | MGMCRPPO | $752.77 | — |
| Aetna Coventry First Health | COMM | $781.80 | — |
| HealthSmart Preferred Care | PPO | $806.54 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $806.54 | — |
| USA Managed Care | COMM | $860.30 | — |
| Galaxy Health Network | PPO | $914.07 | — |
| Unicare | MCD | $1,075.38 | — |
| Independent Medical Systems | COMM | $1,075.38 | — |
| National Healthcare Solutions | COMM | $1,075.38 | — |
Visitor-reported prices
Comments
Metered dose inhaler drug at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $57.68 | $17.04 – $133.69 |
| St. Luke's Health Memorial Lufkin | Lufkin | $431.10 | $4.50 – $11.84 |
| St. Joseph Health College Station Hospital | College Station | $57.68 | $22.73 – $133.69 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $86.37 | $26.80 – $116.12 |
| St. Joseph Health Grimes Hospital | Navasota | $57.68 | $22.73 – $148.40 |
| St. Luke's Health Memorial Livingston | Livingston | $431.10 | $2.61 – $11.84 |
| St. Luke's Health Memorial San Augustine | San Augustine | $431.10 | $2.14 – $12.32 |
| St. Joseph Health Burleson Hospital | Caldwell | $57.68 | $22.73 – $133.69 |