Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr 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.
$9.53 with Humana vs $256.49 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 |
|---|---|---|---|
| Humana | Tricare | $9.53 | — |
| BCBS | MyBlueHealth | $16.08 | — |
| BCBS | BlueAdvantageHMO | $16.08 | — |
| Superior Health Plan | STARHealth | $17.95 | — |
| Superior Health Plan | CHIP | $17.95 | — |
| Superior Health Plan | STARKids | $17.95 | — |
| Superior Health Plan | STARPLUS | $17.95 | — |
| Superior Health Plan | MCDSTAR | $17.95 | — |
| BCBS | BluePremier | $19.01 | — |
| United | SmallGroup | $22.28 | — |
| United | AllPayerAppendix | $22.28 | — |
| United | NarrowNetworkIndivExchange | $22.28 | — |
| BCBS | BlueEssentialsAccess | $23.53 | — |
| BCBS | BlueEssentials | $23.53 | — |
| BCBS | EPOSOA | $24.70 | — |
| BCBS | PPO | $25.86 | — |
| Aetna | QHPHIX | $34.63 | — |
| Cigna | IFP | $34.63 | — |
| Cigna | QHP | $35.91 | — |
| Aetna | NewBusiness | $51.04 | — |
| United | OptionsPPO | $51.04 | — |
| Aetna | Meritain | $54.63 | — |
| Aetna | COMM | $54.63 | — |
| Unicare | CHIP | $61.56 | — |
| Aetna | OON | $64.38 | — |
| Cigna | LocalPlus | $65.29 | — |
| Cigna | NewBusiness | $65.36 | — |
| Cigna | OpenAccessPlus | $72.94 | — |
| Cigna | HMO | $72.94 | — |
| Cigna | NetworkBenefit | $72.94 | — |
| Healthcare Highways | CityofPlano | $86.69 | — |
| Cigna | AllOther | $92.28 | — |
| BCBS | Traditional | $113.88 | — |
| City of McKinney | COMM | $115.42 | — |
| Humana | COMM | $122.33 | — |
| National ChoiceCare | WCOMP | $128.25 | — |
| Aetna | ASA | $135.17 | — |
| Rockport Health Group | WORKERSCOMP | $141.07 | — |
| Physicians Coop of TX | MGMCR | $141.07 | — |
| PC Texas Partners | WCOMP | $141.07 | — |
| Aetna | WCOMP | $141.07 | — |
| Averde Health, Inc | PPO | $148.76 | — |
| USC Health Services | COMM | $153.89 | — |
| Coastal Comp Health Networks | WCOMP | $179.54 | — |
| Jostens | WCOMP | $179.54 | — |
| Mega Life | MGMCRPPO | $179.54 | — |
| Aetna Coventry First Health | COMM | $186.47 | — |
| HealthSmart Preferred Care | PPO | $192.37 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $192.37 | — |
| USA Managed Care | COMM | $205.19 | — |
| Galaxy Health Network | PPO | $218.02 | — |
| National Healthcare Solutions | COMM | $256.49 | — |
| Independent Medical Systems | COMM | $256.49 | — |
| Unicare | MCD | $256.49 | — |
Visitor-reported prices
Comments
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $958.48 | $1.95 – $13.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $958.48 | $1.41 – $13.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $958.48 | $1.37 – $13.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $958.48 | $1.83 – $13.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $958.48 | $2.21 – $13.36 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $958.48 | $3.55 – $13.36 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $958.48 | $2.29 – $13.36 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $958.48 | $1.83 – $13.36 |