Nm imaging hepatobiliary system w/pharmacologic intervention 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.
$401.19 with TEXAS HEALTH NETWORK vs $8,944.19 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 |
|---|---|---|---|
| TEXAS HEALTH NETWORK | MCD | $401.19 | — |
| United | CHIP | $407.30 | — |
| Amerigroup | MGMCD | $407.30 | — |
| Amerigroup | CHIP | $407.30 | — |
| Parkland Community Health Plan | MCD | $407.30 | — |
| United | STAR | $407.30 | — |
| United | STARPLUS | $407.30 | — |
| United | STARKids | $407.30 | — |
| Cook Childrens Health Plan | STAR | $407.30 | — |
| Cook Childrens Health Plan | CHIP | $407.30 | — |
| United | STARPerinate | $407.30 | — |
| Cigna Healthspring | MGMCD | $427.67 | — |
| Aetna Better Health | CHIP | $439.88 | — |
| Aetna Better Health | MCD | $439.88 | — |
| Molina | STARKIDS | $448.03 | — |
| Molina | MCDSTAR | $448.03 | — |
| Molina | CHIP | $448.03 | — |
| Molina | STAR+PLUS | $448.03 | — |
| Humana | MGMCD | $509.13 | — |
| BCBS | BlueAdvantageHMO | $547.65 | — |
| BCBS | MyBlueHealth | $547.65 | — |
| BCBS | BluePremier | $568.55 | — |
| United | SmallGroup | $611.66 | — |
| United | NarrowNetworkIndivExchange | $611.66 | — |
| Aetna | QHPHIX | $625.95 | — |
| Superior Health Plan | STARHealth | $626.09 | — |
| Superior Health Plan | CHIP | $626.09 | — |
| Superior Health Plan | MCDSTAR | $626.09 | — |
| Superior Health Plan | STARPLUS | $626.09 | — |
| Superior Health Plan | STARKids | $626.09 | — |
| Aetna | NewBusiness | $858.23 | — |
| Aetna | Meritain | $919.36 | — |
| Aetna | COMM | $919.36 | — |
| Aetna | OON | $1,078.29 | — |
| United | AllPayerAppendix | $1,101.15 | — |
| Cigna | IFP | $1,207.47 | — |
| Cigna | QHP | $1,252.19 | — |
| BCBS | BlueEssentialsAccess | $1,626.21 | — |
| BCBS | BlueEssentials | $1,626.21 | — |
| Humana | COMM | $1,692.43 | — |
| BCBS | EPOSOA | $1,705.64 | — |
| United | OptionsPPO | $1,779.89 | — |
| BCBS | PPO | $1,785.07 | — |
| Unicare | CHIP | $2,146.61 | — |
| Healthcare Highways | NarrowNetwork | $2,191.33 | — |
| Evry Health | COMM | $2,307.60 | — |
| Healthcare Highways | CityofPlano | $3,023.14 | — |
| Curative Administrators | COMM | $3,577.68 | — |
| BCBS | Traditional | $3,971.22 | — |
| City of McKinney | COMM | $4,024.89 | — |
| Fidelis SecureCare | MGMCR | $4,024.89 | — |
| National ChoiceCare | WCOMP | $4,472.10 | — |
| Aetna | ASA | $4,713.59 | — |
| PC Texas Partners | WCOMP | $4,919.30 | — |
| Physicians Coop of TX | MGMCR | $4,919.30 | — |
| Rockport Health Group | WORKERSCOMP | $4,919.30 | — |
| Aetna | WCOMP | $4,919.30 | — |
| Averde Health, Inc | PPO | $5,187.63 | — |
| USC Health Services | COMM | $5,366.51 | — |
| Mega Life | MGMCRPPO | $6,260.93 | — |
| Multiplan PHCS | PrimaryNetwork | $6,260.93 | — |
| Coastal Comp Health Networks | WCOMP | $6,260.93 | — |
| Jostens | WCOMP | $6,260.93 | — |
| Aetna Coventry First Health | COMM | $6,502.43 | — |
| HealthSmart Preferred Care | PPO | $6,708.14 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $6,708.14 | — |
| USA Managed Care | COMM | $7,155.35 | — |
| Galaxy Health Network | PPO | $7,602.56 | — |
| National Healthcare Solutions | COMM | $8,944.19 | — |
| Independent Medical Systems | COMM | $8,944.19 | — |
| Unicare | MCD | $8,944.19 | — |
Visitor-reported prices
Comments
Nm imaging hepatobiliary system w/pharmacologic intervention at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,900.64 | $390.26 – $2,375.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,968.94 | $405.27 – $2,953.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,968.31 | $390.26 – $2,460.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,900.64 | $390.26 – $2,375.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,968.94 | $417.58 – $2,953.41 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,968.94 | $390.26 – $2,953.41 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,968.31 | $390.26 – $2,952.47 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,900.64 | $390.26 – $2,375.80 |