Mnt subs tx for change dx at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$163.75
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.
?
What you pay up front if you don't use insurance.
$163.75
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.
?
The hospital's undiscounted list price — almost no one pays this.
$11.46 with Superior Health Plan vs $163.75 with National Healthcare Solutions — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $11.46 | ↓ -93% |
| Superior Health Plan | STARHealth | $11.46 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $11.46 | ↓ -93% |
| Superior Health Plan | STARPLUS | $11.46 | ↓ -93% |
| Superior Health Plan | STARKids | $11.46 | ↓ -93% |
| Humana | COMM | $16.88 | ↓ -90% |
| Aetna | QHPHIX | $22.11 | ↓ -86% |
| Cigna | IFP | $22.11 | ↓ -86% |
| Cigna | QHP | $22.93 | ↓ -86% |
| BCBS | MCRPPO | $25.62 | ↓ -84% |
| BCBS | MGMCRHMO | $25.62 | ↓ -84% |
| WellMed | MGMCR | $26.10 | ↓ -84% |
| Devoted Health | PPO | $26.23 | ↓ -84% |
| Devoted Health | SNP | $26.23 | ↓ -84% |
| Devoted Health | HMO | $26.23 | ↓ -84% |
| Devoted Health | POS | $26.23 | ↓ -84% |
| Devoted Health | MCR | $26.23 | ↓ -84% |
| Devoted Health | MME | $26.23 | ↓ -84% |
| Humana | MGMCR | $26.23 | ↓ -84% |
| Amerigroup | DualEligible | $26.23 | ↓ -84% |
| Mutual of Omaha | MGMCR | $26.23 | ↓ -84% |
| TriWest Health Alliance | FEDERAL | $26.23 | ↓ -84% |
| United | MGMCR | $26.36 | ↓ -84% |
| Aetna | MCR | $26.45 | ↓ -84% |
| Care N Care | MGMCR | $26.49 | ↓ -84% |
| Cigna Healthspring | MGMCR | $26.75 | ↓ -84% |
| WellCare | MGMCR | $27.02 | ↓ -83% |
| Integranet | MGMCR | $27.02 | ↓ -83% |
| Superior Health Plan | MGMCRSNP | $27.54 | ↓ -83% |
| Superior Health Plan | MGMCRPPO | $27.54 | ↓ -83% |
| ProCare Advantge | MCR | $27.54 | ↓ -83% |
| Superior Health Plan | MGMCRHMO | $27.54 | ↓ -83% |
| Superior Health Plan | MGMCRDualEligible | $27.54 | ↓ -83% |
| Superior Health Plan | MGMCRPFFS | $27.54 | ↓ -83% |
| American Health Plan of Texas, Inc. | MGMCR | $27.54 | ↓ -83% |
| Superior Health Plan | MGMCRPOS | $27.54 | ↓ -83% |
| Provider Partners Health Plan | MCR | $27.80 | ↓ -83% |
| Texas Independent Health Plan | MGMCR | $27.80 | ↓ -83% |
| Molina | MME | $28.59 | ↓ -83% |
| Molina | MMP | $28.59 | ↓ -83% |
| Molina | MCR | $28.59 | ↓ -83% |
| Imperial Insurance Company | MCR | $28.85 | ↓ -82% |
| Universal Healthcare Group | MCR | $31.48 | ↓ -81% |
| Aetna | NewBusiness | $32.59 | ↓ -80% |
| United | OptionsPPO | $32.59 | ↓ -80% |
| Oscar | HIX | $34.06 | ↓ -79% |
| Verda Health Plan | MGMCR | $34.10 | ↓ -79% |
| Aetna | Meritain | $34.88 | ↓ -79% |
| Aetna | COMM | $34.88 | ↓ -79% |
| Unicare | CHIP | $39.30 | ↓ -76% |
| Bravo Health | MCRHMO | $39.34 | ↓ -76% |
| Bravo Health | MCRPFFS | $39.34 | ↓ -76% |
| Bravo Health | MCRSNP | $39.34 | ↓ -76% |
| Bravo Health | MCRPPO | $39.34 | ↓ -76% |
| Bravo Health | MCRPOS | $39.34 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $40.12 | ↓ -75% |
| Aetna | OON | $41.10 | ↓ -75% |
| Evry Health | COMM | $42.25 | ↓ -74% |
| Cigna | LocalPlus | $43.23 | ↓ -74% |
| Cigna | NewBusiness | $43.23 | ↓ -74% |
| Superior | ValueHMO | $46.95 | ↓ -71% |
| Cigna | OpenAccessPlus | $48.31 | ↓ -70% |
| Cigna | NetworkBenefit | $48.31 | ↓ -70% |
| Cigna | HMO | $48.31 | ↓ -70% |
| USA Managed Care | WORKERSCOMP | $49.84 | ↓ -70% |
| Corvel Corporation | WORKERSCOMP | $51.94 | ↓ -68% |
| Healthcare Highways | CityofPlano | $55.35 | ↓ -66% |
| Superior | EPO | $58.76 | ↓ -64% |
| Superior | HMO | $58.76 | ↓ -64% |
| Cigna | AllOther | $61.08 | ↓ -63% |
| Curative Administrators | COMM | $65.50 | ↓ -60% |
| Molina Healthcare | HIX | $68.72 | ↓ -58% |
| BCBS | BluePremier | $69.74 | ↓ -57% |
| BCBS | Traditional | $72.70 | ↓ -56% |
| City of McKinney | COMM | $73.69 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $73.69 | ↓ -55% |
| BCBS | MyBlueHealth | $81.26 | ↓ -50% |
| BCBS | BlueAdvantageHMO | $81.26 | ↓ -50% |
| National ChoiceCare | WCOMP | $81.88 | ↓ -50% |
| Aetna | ASA | $86.30 | ↓ -47% |
| Aetna | WCOMP | $90.06 | ↓ -45% |
| PC Texas Partners | WCOMP | $90.06 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $90.06 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $90.06 | ↓ -45% |
| Averde Health, Inc | PPO | $94.97 | ↓ -42% |
| USC Health Services | COMM | $98.25 | ↓ -40% |
| Jostens | WCOMP | $114.63 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $114.63 | ↓ -30% |
| Mega Life | MGMCRPPO | $114.63 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $114.63 | ↓ -30% |
| Aetna Coventry First Health | COMM | $119.05 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $122.81 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $122.81 | ↓ -25% |
| USA Managed Care | COMM | $131.00 | ↓ -20% |
| Galaxy Health Network | PPO | $139.19 | ↓ -15% |
| BCBS | BlueEssentialsAccess | $143.91 | ↓ -12% |
| BCBS | BlueEssentials | $143.91 | ↓ -12% |
| BCBS | EPOSOA | $151.00 | ↓ -8% |
| BCBS | PPO | $158.09 | ↓ -3% |
| Independent Medical Systems | COMM | $163.75 | ↑ +0% |
| Unicare | MCD | $163.75 | ↑ +0% |
| National Healthcare Solutions | COMM | $163.75 | ↑ +0% |
Visitor-reported prices
Comments
Mnt subs tx for change dx at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $57.53 | $16.30 – $90.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $58.82 | $12.11 – $88.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $64.70 | $12.94 – $89.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $57.53 | $15.34 – $81.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $58.82 | $18.88 – $109.04 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $58.82 | $30.39 – $88.23 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $64.70 | $21.57 – $97.05 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $57.53 | $15.34 – $90.72 |