Methadone oral 5mg 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.
$0.07 with BCBS vs $11.90 with Unicare — 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 |
|---|---|---|---|
| BCBS | MyBlueHealth | $0.07 | — |
| BCBS | BlueAdvantageHMO | $0.07 | — |
| BCBS | BluePremier | $0.08 | — |
| BCBS | BlueEssentialsAccess | $0.10 | — |
| BCBS | BlueEssentials | $0.10 | — |
| BCBS | PPO | $0.11 | — |
| BCBS | EPOSOA | $0.11 | — |
| Superior Health Plan | MCDSTAR | $0.83 | — |
| Superior Health Plan | STARHealth | $0.83 | — |
| Superior Health Plan | CHIP | $0.83 | — |
| Superior Health Plan | STARKids | $0.83 | — |
| Superior Health Plan | STARPLUS | $0.83 | — |
| Cigna | IFP | $1.61 | — |
| Aetna | QHPHIX | $1.61 | — |
| Cigna | QHP | $1.67 | — |
| Cigna | LocalPlus | $1.88 | — |
| Cigna | NewBusiness | $1.88 | — |
| Cigna | HMO | $2.10 | — |
| Cigna | OpenAccessPlus | $2.10 | — |
| Cigna | NetworkBenefit | $2.10 | — |
| Aetna | NewBusiness | $2.37 | — |
| United | OptionsPPO | $2.37 | — |
| Superior | ValueHMO | $2.38 | — |
| Superior | EPO | $2.38 | — |
| Superior | HMO | $2.38 | — |
| Humana | COMM | $2.43 | — |
| Aetna | COMM | $2.53 | — |
| Aetna | Meritain | $2.53 | — |
| Cigna | AllOther | $2.65 | — |
| Unicare | CHIP | $2.86 | — |
| Molina Healthcare | HIX | $2.98 | — |
| Aetna | OON | $2.99 | — |
| Healthcare Highways | CityofPlano | $4.02 | — |
| BCBS | Traditional | $5.28 | — |
| City of McKinney | COMM | $5.36 | — |
| National ChoiceCare | WCOMP | $5.95 | — |
| PC Texas Partners | WCOMP | $6.54 | — |
| Rockport Health Group | WORKERSCOMP | $6.54 | — |
| Aetna | WCOMP | $6.54 | — |
| Physicians Coop of TX | MGMCR | $6.54 | — |
| Averde Health, Inc | PPO | $6.90 | — |
| USC Health Services | COMM | $7.14 | — |
| Jostens | WCOMP | $8.33 | — |
| Mega Life | MGMCRPPO | $8.33 | — |
| Coastal Comp Health Networks | WCOMP | $8.33 | — |
| Aetna Coventry First Health | COMM | $8.65 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $8.93 | — |
| HealthSmart Preferred Care | PPO | $8.93 | — |
| USA Managed Care | COMM | $9.52 | — |
| Galaxy Health Network | PPO | $10.12 | — |
| Independent Medical Systems | COMM | $11.90 | — |
| National Healthcare Solutions | COMM | $11.90 | — |
| Unicare | MCD | $11.90 | — |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Methadone oral 5mg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $23.81 | $0.04 – $3.31 |
| HCA HOUSTON WEST | HOUSTON | $48.00 | $0.04 – $3.31 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio | $14.11 | $0.05 – $0.63 |
| CHRISTUS Health - West Beaumont | Beaumont | $20.29 | $0.08 – $0.76 |
| CHRISTUS Spohn Hospital Corpus Christi - Shoreline | Corpus Christi | $22.07 | $0.05 – $0.66 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle | $21.20 | $0.07 – $2.43 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW | $10.93 | $0.07 – $2.43 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | $3.09 | $2.43 – $2.43 |