MRI without fol w/cont, breast at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$8,280.06
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.
$8,280.06
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.
$500.22 with BCBS vs $8,280.06 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 | BlueAdvantageHMO | $500.22 | ↓ -94% |
| BCBS | MyBlueHealth | $500.22 | ↓ -94% |
| BCBS | BluePremier | $519.32 | ↓ -94% |
| Superior Health Plan | MCDSTAR | $579.60 | ↓ -93% |
| Superior Health Plan | CHIP | $579.60 | ↓ -93% |
| Superior Health Plan | STARKids | $579.60 | ↓ -93% |
| Superior Health Plan | STARPLUS | $579.60 | ↓ -93% |
| Superior Health Plan | STARHealth | $579.60 | ↓ -93% |
| United | NarrowNetworkIndivExchange | $616.10 | ↓ -93% |
| United | SmallGroup | $616.10 | ↓ -93% |
| United | AllPayerAppendix | $828.27 | ↓ -90% |
| Cigna | IFP | $1,117.81 | ↓ -86% |
| Aetna | QHPHIX | $1,117.81 | ↓ -86% |
| Cigna | QHP | $1,159.21 | ↓ -86% |
| BCBS | BlueEssentials | $1,485.40 | ↓ -82% |
| BCBS | BlueEssentialsAccess | $1,485.40 | ↓ -82% |
| BCBS | EPOSOA | $1,557.95 | ↓ -81% |
| BCBS | PPO | $1,630.50 | ↓ -80% |
| United | OptionsPPO | $1,647.73 | ↓ -80% |
| Aetna | NewBusiness | $1,647.73 | ↓ -80% |
| Aetna | Meritain | $1,763.65 | ↓ -79% |
| Aetna | COMM | $1,763.65 | ↓ -79% |
| Unicare | CHIP | $1,987.21 | ↓ -76% |
| Aetna | OON | $2,078.30 | ↓ -75% |
| Healthcare Highways | CityofPlano | $2,798.66 | ↓ -66% |
| BCBS | Traditional | $3,676.35 | ↓ -56% |
| City of McKinney | COMM | $3,726.03 | ↓ -55% |
| Fidelis SecureCare | MGMCR | $3,726.03 | ↓ -55% |
| National ChoiceCare | WCOMP | $4,140.03 | ↓ -50% |
| Aetna | ASA | $4,363.59 | ↓ -47% |
| Aetna | WCOMP | $4,554.03 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $4,554.03 | ↓ -45% |
| PC Texas Partners | WCOMP | $4,554.03 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $4,554.03 | ↓ -45% |
| Averde Health, Inc | PPO | $4,802.43 | ↓ -42% |
| USC Health Services | COMM | $4,968.04 | ↓ -40% |
| Coastal Comp Health Networks | WCOMP | $5,796.04 | ↓ -30% |
| Jostens | WCOMP | $5,796.04 | ↓ -30% |
| Mega Life | MGMCRPPO | $5,796.04 | ↓ -30% |
| Aetna Coventry First Health | COMM | $6,019.60 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $6,210.05 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $6,210.05 | ↓ -25% |
| USA Managed Care | COMM | $6,624.05 | ↓ -20% |
| Galaxy Health Network | PPO | $7,038.05 | ↓ -15% |
| National Healthcare Solutions | COMM | $8,280.06 | ↑ +0% |
| Independent Medical Systems | COMM | $8,280.06 | ↑ +0% |
| Unicare | MCD | $8,280.06 | ↑ +0% |
Visitor-reported prices
Comments
MRI without fol w/cont, breast at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,056.69 | $332.94 – $2,570.86 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,221.52 | $457.26 – $3,332.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,049.50 | $332.94 – $2,561.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,056.69 | $332.94 – $2,570.86 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,221.52 | $332.94 – $3,332.28 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,221.52 | $952.69 – $3,332.28 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,049.50 | $332.94 – $3,074.25 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,056.69 | $332.94 – $2,570.86 |