Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr 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

not published by hospital

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.

not published by hospital

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.

$0.05 with Superior Health Plan vs $8.55 with Cigna — 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 $0.05
Superior Health Plan STARHealth $0.05
Superior Health Plan MCDSTAR $0.05
Superior Health Plan STARPLUS $0.05
Superior Health Plan STARKids $0.05
Cigna IFP $0.09
Aetna QHPHIX $0.09
Cigna QHP $0.10
United OptionsPPO $0.14
Aetna NewBusiness $0.14
Aetna Meritain $0.15
Aetna COMM $0.15
Unicare CHIP $0.17
Aetna OON $0.18
Healthcare Highways CityofPlano $0.24
City of McKinney COMM $0.31
BCBS Traditional $0.31
National ChoiceCare WCOMP $0.35
Aetna ASA $0.37
Aetna WCOMP $0.39
Rockport Health Group WORKERSCOMP $0.39
Physicians Coop of TX MGMCR $0.39
PC Texas Partners WCOMP $0.39
Averde Health, Inc PPO $0.41
USC Health Services COMM $0.42
Jostens WCOMP $0.49
Coastal Comp Health Networks WCOMP $0.49
Mega Life MGMCRPPO $0.49
Aetna Coventry First Health COMM $0.51
LEWISVILLE ISD/DLS CONSULTING COMMPPO $0.53
HealthSmart Preferred Care PPO $0.53
USA Managed Care COMM $0.56
Galaxy Health Network PPO $0.59
Unicare MCD $0.70
National Healthcare Solutions COMM $0.70
Independent Medical Systems COMM $0.70
Humana Tricare $1.10
United SmallGroup $1.78
United NarrowNetworkIndivExchange $1.78
United AllPayerAppendix $1.78
BCBS MyBlueHealth $5.24
BCBS BlueAdvantageHMO $5.24
Cigna LocalPlus $6.05
Cigna NewBusiness $6.06
BCBS BluePremier $6.20
Cigna NetworkBenefit $6.76
Cigna OpenAccessPlus $6.76
Cigna HMO $6.76
BCBS BlueEssentials $7.68
BCBS BlueEssentialsAccess $7.68
BCBS EPOSOA $8.06
Humana COMM $8.30
BCBS PPO $8.44
Cigna AllOther $8.55

Visitor-reported prices

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Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $53.91 $5.85 – $5.85
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $7.92 $1.05 – $6.33
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $7.92 $0.92 – $6.71
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $7.92 $0.89 – $5.59
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $7.92 $1.05 – $6.33
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $7.92 $1.05 – $6.71
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $7.92 $1.05 – $6.71
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $7.92 $1.05 – $6.71

All Texas hospitals for this procedure →